Items 1 to 5: The applicant
Name, United States destination address, permanent address abroad, country of citizenship or nationality, and place and date of birth.
I-193
Application for Waiver of Passport and/or Visa
- Agency
- USCIS
- Revision
- Edition 03/01/24
- Fillable fields
- 34
- Pages
- 2
- Official source
- USCIS form page
- Checked
- October 20, 2026
Form I-193: Application for Waiver of Passport and/or Visa
Form I-193, Application for Waiver of Passport and/or Visa, is a one-page Department of Homeland Security form. The USCIS page describes it as the form for an alien who is a legal resident of the United States to reenter the United States without the alien's passport and/or visa.
The applicant gives identity, destination, arrival, visa and passport details, then explains in Item 10 why the passport, the visa or both are not in their possession. The bottom of the form is for the office that decides the application, which records approval of a waiver under section 211(b) or section 212(d)(4), or disapproval.
The USCIS page lists no separate instructions document. Payment instructions are printed on the second page of the form itself.
What's on Form I-193
Items 6 and 7: Arrival
Date of arrival, port of arrival and manner of arrival, such as the name of the vessel or airline.
Items 8 and 9: Visa and passport
Where a visa was previously issued, with its date, number, classification and validity, and where the passport was issued, with its date, number and validity.
Item 10: The reason
Why the applicant is not in possession of the passport, the visa or both, continued on the reverse if necessary.
Certification and signatures
Date of the application, city and state, the applicant's signature certifying the answers are true and correct, and the preparer's declaration when someone else prepared it.
Office use section
Marked for the applicant not to write below the line. The office records approval of the waiver under section 211(b) or 212(d)(4), the nonimmigrant class and date admitted until, or disapproval.
How to fill out Form I-193
- 1
Use the 03/01/24 edition
The USCIS page says a new edition will be published soon and that in the meantime the 03/01/24 edition may still be used despite the expiration date printed on it.
- 2
Complete Items 1 to 9
Enter dates of birth in mm/dd/yyyy form, as the form shows, and give the visa and passport details asked for in Items 8 and 9.
- 3
Explain the reason in Item 10
Check passport, visa or both, then write the reason. The form says to continue on the reverse if necessary.
- 4
Leave the office section blank
The form marks the bottom area Applicant, do not write below this line. That section is completed by the office that acts on the application.
- 5
Sign and date the form
The applicant signs to certify the answers are true and correct. The USCIS page says an unsigned form is rejected and returned. This page lets you fill the form online free, then print it for signature.
Why fill Form I-193 on indox
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Where to file, payment and fees
Where to file
The USCIS page lists the local office with jurisdiction over the port of entry where the alien is entering. It lists no online or lockbox filing option for this form.
Fee
The USCIS page points to its Fee Schedule page (Form G-1055) for the fee, which can change. Check it on the day you file. The form says the fee cannot be refunded regardless of the action taken.
How to pay
The form says not to mail cash, to pay the exact amount, and to make a check or money order payable to U.S. Customs and Border Protection or Department of Homeland Security, except in Guam and the U.S. Virgin Islands. Some filing locations accept credit cards.
Checks
Personal checks and money orders are drawn on a U.S. institution in U.S. currency. The form says an uncollected check makes the application and any document issued under it invalid, and a check drawn on another person's account carries the applicant's name.
Common mistakes
The USCIS page says unsigned forms are rejected and returned, and that a form with missing pages or pages from a different edition may be rejected.
Related forms
Who files Form I-193?
Official sources and the blank
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Questions about Form I-193
Who is Form I-193 for?
The USCIS page says it is for an alien who is a legal resident of the United States to reenter the United States without the alien's passport and/or visa.
Where is Form I-193 filed?
The USCIS page lists the local office with jurisdiction over the port of entry where the alien is entering.
Can the 03/01/24 edition still be used after its expiration date?
The USCIS page says a new edition will be published soon and that the 03/01/24 edition may continue to be used in the meantime, despite the expiration date.
Are there separate instructions for Form I-193?
The USCIS page lists only the form PDF. Payment instructions and the Paperwork Reduction Act statement are printed on the second page of the form.
What is the Form I-193 fee, and is it refundable?
USCIS fees change, so this page does not list one. The I-193 page points to the USCIS Fee Schedule. The form says the fee cannot be refunded regardless of the action taken.
Why does the form mention U.S. Customs and Border Protection?
The form carries OMB No. 1651-0107, its Paperwork Reduction Act statement sends burden comments to U.S. Customs and Border Protection, and it says checks are payable to U.S. Customs and Border Protection or Department of Homeland Security.