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
Data
Length
(Max)
Field Type Comment
Page Position
Page 1
Part 1. Information About You
Form Type 5 Alphanumeric 1 1 Format: I-131
Form Revision 8 Date 1 2
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 1 3 Format: 1
To be completed by an Attorney/Representative if any -
Checkbox
1 Y/Blank 1 4
The barcode value is 'Y' if the checkbox is marked. If the
checkbox is not marked, the barcode value is blank.
1.a. Family Name (Last Name) 30 Alpha,Hyphen,Space 1 5
1.b. Given Name (First Name) 18 Alpha,Hyphen,Space 1 6
1.c. Middle Name 18
Alpha, Space, Forward
Slash
1 7 If "N/A" is entered, the barcode value should be blank.
Physical Address
2.a. In Care of Name 34 Alpha,Hyphen,Space 1 8
2.b. Street Number and Name 34
Alphanumeric, Space,
Forward Slash
2.c. Apt. Ste. Flr 4
Alphanumeric, Space,
Forward Slash
2.d. City or Town 20 Alpha, Space 1 10
2.e. State 2 Alpha 1 11
2.f. Zip Code 5 Numeric 1 12
2.g. Postal Code 9 Alphanumeric, Space 1 13
2.h. Province 20 Alpha, Space 1 14
2.i. Country 29
Alpha,Hyphen,Space,
Comma
115
Other Information
3 Alien Registration Number (A-Number) 9 Numeric 1 16
Format: 999999999. The leading 'A' is omitted from the
barcode value.
4 Country of Birth 29
Alpha,Hyphen,Space,
Comma
117
5 Country of Citizenship 29
Alpha,Hyphen,Space,
Comma
118
6 Class of Admission 20 Text Box 1 19 Barcode output is always blank.
Barcode Mapping
Form Rev 05/03/16
Form Rev 02/17/15
Form Rev 03/22/13
9
1
Page 1 05/10/2016
I-131 Form and Barcode Requirements
7 Gender: Male 1 Y/Blank 1 20
Gender: Female 1 Y/Blank 1 21
8 Date of Birth (mm/dd/yyyy) 10 Date 1 22 Format: mm/dd/yyyy
9 U.S. Social Security Number (if any) 9 Numeric 1 23 Format: 999999999
Page 2
Form Type 5 Alphanumeric 2 1 Format: I-131
Form Revision 8 Date 2 2
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 2 3 Format: 2
Part 2. Application Type
1.a.
I am a permanent resident or conditional resident of the United
States, and I am applying for a reentry permit.
1 Y/Blank 2 4
1.b.
I now hold U.S. refugee or asylee status, and I am applying for a
Refugee Travel Document.
1 Y/Blank 2 5
1.c.
I am a permanent resident as direct result of refugee or asylee
status and I am applying for a Refugee Travel Document.
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.
I am outside the United States and I am applying for an Advance
Parole Document.
1 Y/Blank 2 8
1.f.
I am applying for an Advance Parole Document for a person who
is outside the United States.
1 Y/Blank 2 9
If you checked box "1.f." provide the following information about
that person in 2.a. through 2.p.
2.a. Family Name (Last Name) 30 Alpha,Hyphen,Space 2 10
2.b. Given Name (First Name) 18 Alpha,Hyphen,Space 2 11
2.c. Middle Name 18
Alpha, Space, Forward
Slash
212 If "N/A" is entered, the barcode value should be blank.
2.d. Date of Birth (mm/dd/yyyy) 10 Date 2 13 Format: mm/dd/yyyy
2.e. Country of Birth 29
Alpha,Hyphen,Space,
Comma
214
Physical Address
2.h. In Care of Name 34 Alpha,Hyphen,Space 2 15
Page 2 05/10/2016
I-131 Form and Barcode Requirements
2.i. Street Number and Name 34
Alphanumeric, Space,
Forward Slash
2.j. Apt. Ste. Flr 4
Alphanumeric, Space,
Forward Slash
2.k. City or Town 20 Alpha, Space 2 17
2.l. State 2 Alpha 2 18
2.m. Zip Code 5 Numeric 2 19
2.n. Postal Code 9 Alphanumeric, Space 2 20
2.o. Province 20 Alpha, Space 2 21
2.p. Country 29
Alpha,Hyphen,Space,
Comma
222
Part 3. Processing Information
1 Date of Intended Departure (mm/dd/yyyy) 10 Date 2 23 Format: mm/dd/yyyy
2 Expected Length of Trip (in Days) 3 Numeric 2 24 Barcode output is always blank.
3.a.
Are you, or any person included in this application, now in
exclusion, deportation, removal, or rescission proceedings? Yes
1 Y/Blank 2 25
Are you, or any person included in this application, now in
exclusion, deportation, removal, or rescission proceedings? No
1 Y/Blank 2 26
Page 3
Form Type 5 Alphanumeric 3 1 Format: I-131
Form Revision 8 Date 3 2
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 3 3 Format: 3
Page 4
Form Type 5 Alphanumeric 4 1 Format: I-131
Form Revision 8 Date 4 2
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 4 3 Format: 4
Page 5
Form Type 5 Alphanumeric 5 1 Format: I-131
Form Revision 8 Date 5 2
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
16
2
Page 3 05/10/2016
I-131 Form and Barcode Requirements
Page 4 05/10/2016

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