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
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.
1
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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
'The checkboxes in this group are mutually exclusive - the
user cannot check multiple boxes in the group.
The barcode value is 'Y' if the checkbox is marked. If the
checkbox is not marked, the barcode value is blank.
The checkboxes in this group are mutually exclusive - the
user cannot check multiple boxes in the group.
The barcode value is 'Y' if the checkbox is marked. If the
checkbox is not marked, the barcode value is blank.
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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
The checkboxes in this group are mutually exclusive - the
user cannot check multiple boxes in the group.
The barcode value is 'Y' if the checkbox is marked. If the
checkbox is not marked, the barcode value is blank.
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
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I-131 Form and Barcode Requirements
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