Form I-94

Arrival/Departure Record

This 3 X 5 card is issued to almost all aliens upon entry to the U.S. It creates a record of arrival and departure. The card indicates the alien’s immigration category or section of the law under which the person is granted admission. The words “Employment Autho-

rized” may also be stamped onto the card. Aliens with I-94’s include: persons fleeing persecution, persons with permission to remain in the U.S. based on a pending application, persons in deportation proceedings, and nonimmigrants.

(Not to scale)

 

Departure Number

 

U.S. IMMIGRATION

7 4 2 8 3 2 0 3 6 0 1

 

250 WAS

---]----]---]-------]----]-----]

(SAMPLE)

 

Immigration and

Naturalization Service

 

SEP 13 1991

I-94

Departure Record

ADMITTED

UNTIL

SECTION 207

(CLASS)

 

14. Family Name

15. First (Given) Name

17. Country of Citizenship

 

16. Birth Date (Day Mo Yr)

(Rev. May 1, 1999)