I 90 MFV Deployment 7.3 Production E 131 Form And Barcode Requirements

User Manual: E 131

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I-131 Form and Barcode Requirements
Form Field Name

Page 1
Part 1. Information About You
Form Type
Form Revision

Data
Length
(Max)

Field Type

Barcode Mapping
Form Rev 05/03/16
Form Rev 02/17/15
Form Rev 03/22/13
Page

Position

Comment

5
8

Alphanumeric
Date

1
1

1
2

Format: I-131
Format: 05/03/16, 02/17/15 or 03/22/13. Must be an exact
match to the value printed on the Form I-131 footer.
Format: 1
The barcode value is 'Y' if the checkbox is marked. If the
checkbox is not marked, the barcode value is blank.

1
1

Numeric
Y/Blank

1
1

3
4

1.a.
1.b.
1.c.

Page Number
To be completed by an Attorney/Representative if any Checkbox
Family Name (Last Name)
Given Name (First Name)
Middle Name

30
18
18

Alpha,Hyphen,Space
Alpha,Hyphen,Space
Alpha, Space, Forward
Slash

1
1
1

5
6
7

If "N/A" is entered, the barcode value should be blank.

2.a.
2.b.

Physical Address
In Care of Name
Street Number and Name

34
34

Alpha,Hyphen,Space
Alphanumeric, Space,
Forward Slash

1
1

8
9

Format: 12345 Example Street Name APT A123
The output in the barcode for Street Number and Name, and
Apt. Number, is concatenated. The barcode displays 34
characters total: 25 (street names) + 1 (space) + 3 (APT or
STE or FLR) + 1 (space) + 4 (Apt#). It is not necessary to
pad the field to reach 25 characters.

2.c.

Apt. Ste. Flr

4

Alphanumeric, Space,
Forward Slash

2.d.
2.e.
2.f.
2.g.
2.h.
2.i.

City or Town
State
Zip Code
Postal Code
Province
Country

20
2
5
9
20
29

Alpha, Space
Alpha
Numeric
Alphanumeric, Space
Alpha, Space
Alpha,Hyphen,Space,
Comma

1
1
1
1
1
1

10
11
12
13
14
15

3

Other Information
Alien Registration Number (A-Number)

9

Numeric

1

16

4

Country of Birth

29

1

17

5

Country of Citizenship

29

1

18

6

Class of Admission

20

Alpha,Hyphen,Space,
Comma
Alpha,Hyphen,Space,
Comma
Text Box

1

19

Page 1

Format: 999999999. The leading 'A' is omitted from the
barcode value.

Barcode output is always blank.

05/10/2016

I-131 Form and Barcode Requirements
7

Gender: Male

1

Y/Blank

1

20

'The checkboxes in this group are mutually exclusive - the
user cannot check multiple boxes in the group.

Gender: Female

1

Y/Blank

1

21

The barcode value is 'Y' if the checkbox is marked. If the
checkbox is not marked, the barcode value is blank.

Date of Birth (mm/dd/yyyy)
U.S. Social Security Number (if any)
Page 2
Form Type
Form Revision

10
9

Date
Numeric

1
1

22
23

Format: mm/dd/yyyy
Format: 999999999

5
8

Alphanumeric
Date

2
2

1
2

Format: I-131
Format: 05/03/16, 02/17/15 or 03/22/13. Must be an exact
match to the value printed on the Form I-131 footer.

Page Number
Part 2. Application Type
I am a permanent resident or conditional resident of the United
States, and I am applying for a reentry permit.
I now hold U.S. refugee or asylee status, and I am applying for a
Refugee Travel Document.
I am a permanent resident as direct result of refugee or asylee
status and I am applying for a Refugee Travel Document.

1

Numeric

2

3

Format: 2

1

Y/Blank

2

4

The checkboxes in this group are mutually exclusive - the
user cannot check multiple boxes in the group.

1

Y/Blank

2

5

1

Y/Blank

2

6

1.d.

I am applying for an Advance Parole Document to allow me to
return to the United States after temporary foreign travel.

1

Y/Blank

2

7

1.e.

1

Y/Blank

2

8

1

Y/Blank

2

9

2.a.
2.b.
2.c.

I am outside the United States and I am applying for an Advance
Parole Document.
I am applying for an Advance Parole Document for a person who
is outside the United States.
If you checked box "1.f." provide the following information about
that person in 2.a. through 2.p.
Family Name (Last Name)
Given Name (First Name)
Middle Name

30
18
18

2
2
2

10
11
12

2.d.
2.e.

Date of Birth (mm/dd/yyyy)
Country of Birth

10
29

Alpha,Hyphen,Space
Alpha,Hyphen,Space
Alpha, Space, Forward
Slash
Date
Alpha,Hyphen,Space,
Comma

2
2

13
14

2.h.

Physical Address
In Care of Name

34

Alpha,Hyphen,Space

2

15

8
9

1.a.
1.b.
1.c.

1.f.

Page 2

The barcode value is 'Y' if the checkbox is marked. If the
checkbox is not marked, the barcode value is blank.

If "N/A" is entered, the barcode value should be blank.
Format: mm/dd/yyyy

05/10/2016

I-131 Form and Barcode Requirements
2.i.

Street Number and Name

34

Alphanumeric, Space,
Forward Slash

2

16

Format: 12345 Example Street Name APT A123
The output in the barcode for Street Number and Name, and
Apt. Number, is concatenated. The barcode displays 34
characters total: 25 (street names) + 1 (space) + 3 (APT or
STE or FLR) + 1 (space) + 4 (Apt#). It is not necessary to
pad the field to reach 25 characters.

2.j.

Apt. Ste. Flr

4

Alphanumeric, Space,
Forward Slash

2.k.
2.l.
2.m.
2.n.
2.o.
2.p.

City or Town
State
Zip Code
Postal Code
Province
Country

20
2
5
9
20
29

Alpha, Space
Alpha
Numeric
Alphanumeric, Space
Alpha, Space
Alpha,Hyphen,Space,
Comma

2
2
2
2
2
2

17
18
19
20
21
22

1
2
3.a.

Part 3. Processing Information
Date of Intended Departure (mm/dd/yyyy)
Expected Length of Trip (in Days)
Are you, or any person included in this application, now in
exclusion, deportation, removal, or rescission proceedings? Yes

10
3
1

Date
Numeric
Y/Blank

2
2
2

23
24
25

Format: mm/dd/yyyy
Barcode output is always blank.
The checkboxes in this group are mutually exclusive - the
user cannot check multiple boxes in the group.

1

Y/Blank

2

26

The barcode value is 'Y' if the checkbox is marked. If the
checkbox is not marked, the barcode value is blank.

5
8

Alphanumeric
Date

3
3

1
2

Format: I-131
Format: 05/03/16, 02/17/15 or 03/22/13. Must be an exact
match to the value printed on the Form I-131 footer.

Page Number
Page 4
Form Type
Form Revision

1

Numeric

3

3

Format: 3

5
8

Alphanumeric
Date

4
4

1
2

Format: I-131
Format: 05/03/16, 02/17/15 or 03/22/13. Must be an exact
match to the value printed on the Form I-131 footer.

Page Number
Page 5
Form Type
Form Revision

1

Numeric

4

3

Format: 4

5
8

Alphanumeric
Date

5
5

1
2

Format: I-131
Format: 05/03/16, 02/17/15 or 03/22/13. Must be an exact
match to the value printed on the Form I-131 footer.

Page Number

1

Numeric

5

3

Format: 5

Are you, or any person included in this application, now in
exclusion, deportation, removal, or rescission proceedings? No
Page 3
Form Type
Form Revision

Page 3

05/10/2016

I-131 Form and Barcode Requirements

Page 4

05/10/2016
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Title                           : I-90 MFV Deployment 7.3 - Production
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