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 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 |
