Form I-131 Supplement, Part 7
APPLICATION FOR TRAVEL DOCUMENT I-131 for:
[First Name and Last Name],
A# [your Alien Registration Number]
[If you are filing this with your Adjustment of Status Notification state “CO-FILING I-131 with I-485, Adjustment of Status Application”]
- or -
[Attach a Copy of your Adjustment of Status Receipt Notification from USCIS]
Date Entered the US: [Enter Date]
Date Married: [Enter Date]
Date Filed for Adjustment of Status: [Enter Date]
I have not at any time accrued 180 continuous days of unlawful presence within the United States. [IF YOU HAVE ACCRUED OVER 180 CONTINUOUS DAYS OF UNLAWFUL STATUS AND YOU LEAVE THE UNITED STATES YOU MAY BE SUBJECT TO A 3 OR 10 YEAR BAN FROM THE UNITED STATES UPON ATTEMPTING TO RE-ENTER THE COUNTRY]
Description of Travel:
[Describe in sufficient detail the trips you plan to take. If you plan to travel more than once list each trip. Listing more than one trip will indicate to the USCIS that you need a multi-entry AP]
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PRINT NAME Signature Date