Form I-90, Application to Replace Permanent Resident Card Completed Form Examples and Samples

Explore our detailed example of Form I-90, designed for those needing to replace a lost or stolen Permanent Resident Card. This sample provides a step-by-step guide on completing the form with accurate personal information, a clear reason for replacement, and formatted dates and signatures.
Form I-90, Application to Replace Permanent Resident Card has a complex Form Complexity Index of 73/100 — Instafill’s AI completes it in under a minute.
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Completed Form I-90 for replacing a lost green card

Form I-90 Example – Lost Green Card Replacement

How this form was filled:

This example demonstrates how to fill Form I-90 to replace a lost or stolen Permanent Resident Card. It includes personal identification details, a clear explanation of the reason for replacement, and properly formatted dates and signatures.

Information used to fill out the document:

  • Applicant’s Full Name: Jane Doe
  • Alien Registration Number (A-Number): A123456789
  • U.S. Mailing Address: 456 Elm Street, Anytown, USA
  • Date of Birth: 01/14/1985
  • Reason for Application: My previous card has been lost.
  • Applicant’s Signature: Jane Doe
  • Application Date: 03/05/2025

What this filled form sample shows:

  • Accurate completion of personal and residency information
  • Clear specification of reason for I-90 application as 'Lost Card'
  • Properly formatted signature and date
  • Correct Alien Registration Number provided

Form specifications and details:

Use Case: Replacement of a lost or stolen Permanent Resident Card
Categories: CAR forms, ERM forms
Completed Form I-90 for replacing a lost green card