All nonimmigrant aliens seeking admission to the U.S. unless otherwise exempted must provide this information. Failure to provide this information may deny you entry to the United States and result in your removal. CBP Form I-94 05/08 Arrival Record Admission Number 000000000 1. DEPARTMENT OF HOMELAND SECURITY U*S* Customs and Border Protection OMB No* 1651-0111 Welcome to the United States I-94 Arrival/Departure Record Instructions This form must be completed by all persons except U*S* Citizens returning resident aliens aliens with immigrant visas and Canadian Citizens visiting or in transit. Type or print legibly with pen in ALL CAPITAL LETTERS* Use English. Do not write on the back of this form* This form is in two parts. Please complete both the Arrival Record Items 1 through 17 and the Departure Record Items 18 through 21. When all items are completed present this form to the CBP Officer. Item 9 - If you are entering the United States by land enter LAND in this space. If you are entering the United States by ship enter SEA in this space. 5 U*S*C. 552a e 3 Privacy Act Notice Information collected on this form is required by Title 8 of the U*S* Code including the INA 8 U*S*C. 1103 1187 and 8 CFR 235. 1 264 and 1235. 1. The purposes for this collection are to give the terms of admission and document the arrival and departure of nonimmigrant aliens to the U*S* The information solicited on this form may be made available to other government agencies for law enforcement purposes or to assist DHS in determining your admissibility. Family Name 2. First Given Name 3. Birth Date DD/MM/YY 4. Country of Citizenship 5. Sex Male or Female 6. Passport Issue Date DD/MM/YY 7. Passport Expiration Date DD/MM/YY 8. Passport Number 9. Airline and Flight Number 10. Country Where You Live 12. City Where Visa Was Issued 13. Date Issued DD/MM/YY 14. Address While in the United States Number and Street 15. City and State 16. Telephone Number in the U*S* Where You Can be Reached 17. Email Address Departure Record See Other Side STAPLE HERE This Side For Government Use Only Primary Inspection Applicant s Name Date Referred I-94 Back 11 h x 4. 5 w Fonts Arial Times Time Insp* Reason Referred PP Visa Parole L/O TWOV Other Secondary Inspection End Secondary Disposition 22. Occupation 23. Waivers 24. CIS A Number 25. CIS FCO A26. Petition Number 27. Program Number Bond Prospective Student 30. Itinerary/Comments 31. TWOV Ticket Number Paperwork Reduction Act Statement An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number. The control number for this collection is 1651-0111. The estimated average time to complete this application is 8 minutes per respondent. If you have any comments regarding the burden estimate you can write to U*S* Customs and Border Protection Asset Management 1300 Pennsylvania Avenue NW Washington DC 20229 Warning A nonimmigrant who accepts unauthorized employment is subject to deportation* Important Retain this permit in your possession you must surrender it when you leave the U*S* Failure to do so may delay your entry into the U*S* in the future.
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About Form I-94
S. For the I-94 to reflect on the CBP website. If it has been a couple of months or longer since the last time a Form DS-160 was submitted for entry, you may have reached the expiration date of that form. If that is the case, the I-94 must be used before leaving the US as this will change the classification of your Form. If you have requested a different passport from Customs and Border Protection (CBP), you will need to submit a Form DS-160 in the future. There are no exceptions, regardless of the reason for the change. For more information visit: To find out when your Form I-94 will be printed in the Visit and enter the following information on the “Departing from the United States to another country (Form I-94, Arrival-Departure Record of Arrival)” page, for example: Date of Arrival: January 3, 1993 Date of Departure: February 29, 2013 Country of Arrival (in parentheses): Philippines Country of Departure (in parentheses): Philippines Reason: To move to a location Country: Visa/Electronic Travel Authorization (with or without a passport) What is the purpose for the change? The reason for the change on the I-94 is that the foreign country you have applied from has a greater likelihood of you not meeting your temporary and permanent residence permit requirements. You may wish to apply from a different country that may not require you to obtain a visa. Check the travel webpages of the Foreign Affairs, Security, and Economy Subcommittee of the Committee on Foreign Relations, (H. Kept. 113-904) for additional information. What if the change on the Form I-94 is incorrect? The embassy or consulate nearest the requestor's country of residence should be contacted for help or assistance in completing the I-94. If the change of address is due to the foreign country from which the I-94 was issued that requires you to obtain a passport prior to entry to the United States, the USCIS representative in the country to which the Form I-94 was submitted should be contacted directly.
What Is i94 form?
Every foreign citizen who is entering or leaving the United States should be provided with I-94 form. It is called an Arrival and Departure Record issued by the CPB officer.
The purpose of such form is to permit foreigners to enter and stay on the territory of the U.S. Since recently, most I-94 are created electronically upon foreigner`s arrival but paper forms are still in use.
This form is usually prepared by nonimmigrant travellers arriving by land. Individuals arriving from air or sea may not be asked to fill out a document.
If an individual is provided with a paper form, it will be further attached to his/her foreign passport and bear a stamp with the date of departure.
When exiting the U.S., a foreigner has to give back a form to the officer. In case of failure to return a document, a person will be considered an overstayer and may get a refusal of entry to the U.S. in the future.
On our site you will find a fillable I-94 form sample which can be filled out online in no time. Using a printable form template you can easily print a document and further enter all required information by hand. Take an advantage of editing a document with the help of our tools and customizing it according to your requirements.
In order a form to be accepted, it has to be prepared correctly. Read attentively the instructions first to avoid any mistakes. To complete a document, a visitor is required to prhis/her personal data (i.e. full name, address, citizenship, passport details etc.). It also required to specify the address where a person will stay while in the U.S. Upon arrival CPB officer will put an admission number on the form.
After a document is complete, remember to check if all information is true and correct in order to avoid further misunderstandings or any rejections.
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