Questionnaire: Green Card (Renewal) Questionnaire: Green Card - Renewal 1. INFORMATIONWichtige InformationenHas your name legally changed since the issuance of your Permanent Resident Card?(Required) Yes/Ja No/Nein Wurde Ihr Name seit der letzten Ausstellung Ihrer Permanent Resident Card rechtlich verändert?U.S. Physical Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Anschrift in den USAIs your U.S. MAILING ADDRESS different from the above U.S. PHYSICAL ADDRESS?(Required) Yes (U.S. Mailing Address if different than U.S. Physical Address) No (U.S. Mailing Address and U.S. Physical Address are the same) U.S. Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing-Adresse in den USAPlace of Birth (Country)(Required)Select CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsGeburtsort (Land)Place of Birth (City)(Required)Geburtsort (Stadt)U.S. Social Security Number(Required)U.S. SozialversicherungsnummerMother's Name(Required) First Middle Last Name der MutterFather's Name(Required) First Middle Last Name des VatersLocation where your Green Card was issued?(Required)Ausstellungsort Ihrer Green Card?Location where you applied for your Green Card?(Required)Wo haben Sie sich für Ihre Green Card beworben?Did you enter the USA with an immigrant visa (i.e. Green Card) or were you granted adjustment of status?(Required) Entered with an Immigrant visa Granted Adjustment of Status Haben Sie die USA mit einem Einwanderungsvisum betreten (z.B. einer Green Card) oder wurde Ihnen die Anpassung Ihres Status gewährt?If you entered the USA with an immigrant visa, please provide: Port of entry where admitted in the USA (State)(Required)Select U.S. StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificWenn Sie die USA mit einem Einwanderungsvisum betreten haben, bitte machen Sie die folgenden Angaben: Einreiseort/ Wo sind Sie in die USA eingereist? (Staat)If you entered the USA with an immigrant visa, please provide: Port of entry where admitted in the USA (City)(Required)Wenn Sie die USA mit einem Einwanderungsvisum betreten haben, bitte machen Sie die folgenden Angaben: Einreiseort/ Wo sind Sie in die USA eingereist? (Stadt)If you entered the USA with an immigrant visa, please provide: Destination in the USA at time of admission(Required)Wenn Sie die USA mit einem Einwanderungsvisum betreten haben, bitte machen Sie die folgenden Angaben: Zielort in den USA zum Zeitpunkt des EintrittsHave you ever been removed from the USA?(Required) Yes/Ja No/Nein Wurden Sie jemals aus den USA entfernt?Are you requesting an accommodation because of a disability and/or impairment?(Required) Yes/Ja No/Nein Verlangen Sie eine Unterbringung aufgrund einer Behinderung und/oder Beinträchtigung?Since you were granted permanent residence, have you ever filed Form I-407, Abandonment by Alien of Status as Lawful Permanent Resident, or otherwise been judged to have abandoned your status?(Required) Yes/Ja No/Nein Seitdem Ihnen der Status “Permanent Resident” zugesprochen wurde, haben Sie jemals das Formular I-407 beantragt, Verzicht eines Ausländers auf den Status als legaler permanenter Einwohner, oder haben Sie anderweitig auf Ihren Status verzichtet?Phone number in the United States?(Required)Telefonnummer in den USA?Height(Required)Select Height4'0" (1.22) or less4'1" (1.24)4'2" (1.27)4'3" (1.3)4'4" (1.32)4'5" (1.35)4'6" (1.37)4'7" (1.4)4'8" (1.42)4'9" (1.45)4'10" (1.47)4'11" (1.5)5'0" (1.52)5'1" (1.55)5'3" (1.6)5'4" (1.63)5'5" (1.65)5'6" (1.68)5'7" (1.7)5'8" (1.73)5'9" (1.75)5'10" (1.78)5'11" (1.8)6'0" (1.83)6'1" (1.85)6'2" (1.88)6'3" (1.91)6'4" (1.93)6'5" (1.96)6'6" (1.98)6'7" (2.01)6'8" (2.03)6'9" (2.06)6'10" (2.08)6'11" (2.11)7'0" (2.13) or moreKörpergrößeWeight(Required)Select Weight110 lb (49.90 kg) or less111 lb (50.35 kg)112 lb (50.80 kg)113 lb (51.26 kg)114 lb (51.71 kg)115 lb (52.16 kg)116 lb (52.62 kg)117 lb (53.07 kg)118 lb (53.52 kg)119 lb (53.98 kg)120 lb (54.43 kg)121 lb (54.88 kg)122 lb (55.34 kg)123 lb (55.79 kg)124 lb (56.25 kg)125 lb (56.70 kg)126 lb (57.15 kg)127 lb (57.61 kg)128 lb (58.06 kg)129 lb (58.51 kg)130 lb (58.97 kg)131 lb (59.42 kg)132 lb (59.87 kg)133 lb (60.33 kg)134 lb (60.78 kg)135 lb (61.23 kg)136 lb (61.69 kg)137 lb (62.14 kg)138 lb (62.60 kg)139 lb (63.05 kg)140 lb (63.50 kg)141 lb (63.96 kg)142 lb (64.41 kg)143 lb (64.86 kg)144 lb (65.32 kg)145 lb (65.77 kg)146 lb (66.22 kg)147 lb (66.68 kg)148 lb (67.13 kg)149 lb (67.59 kg)150 lb (68.04 kg)151 lb (68.49 kg)152 lb (68.95 kg)153 lb (69.40 kg)154 lb (69.85 kg)155 lb (70.31 kg)156 lb (70.76 kg)157 lb (71.21 kg)158 lb (71.67 kg)159 lb (72.12 kg)160 lb (72.57 kg)161 lb (73.03 kg)162 lb (73.48 kg)163 lb (73.94 kg)164 lb (74.39 kg)165 lb (74.84 kg)166 lb (75.30 kg)167 lb (75.75 kg)168 lb (76.20 kg)169 lb (76.66 kg)170 lb (77.11 kg)171 lb (77.56 kg)172 lb (78.02 kg)173 lb (78.47 kg)174 lb (78.93 kg)175 lb (79.38 kg)176 lb (79.83 kg)177 lb (80.29 kg)178 lb (80.74 kg)179 lb (81.19 kg)180 lb (81.65 kg)181 lb (82.10 kg)182 lb (82.55 kg)183 lb (83.01 kg)184 lb (83.46 kg)185 lb (83.91 kg)186 lb (84.37 kg)187 lb (84.82 kg)188 lb (85.28 kg)189 lb (85.73 kg)190 lb (86.18 kg)191 lb (86.64 kg)192 lb (87.09 kg)193 lb (87.54 kg)194 lb (88.00 kg)195 lb (88.45 kg)196 lb (88.90 kg)197 lb (89.36 kg)198 lb (89.81 kg)199 lb (90.26 kg)200 lb (90.72 kg)201 lb (91.17 kg)202 lb (91.63 kg)203 lb (92.08 kg)204 lb (92.53 kg)205 lb (92.99 kg)206 lb (93.44 kg)207 lb (93.89 kg)208 lb (94.35 kg)209 lb (94.80 kg)210 lb (95.25 kg)211 lb (95.71 kg)212 lb (96.16 kg)213 lb (96.62 kg)214 lb (97.07 kg)215 lb (97.52 kg)216 lb (97.98 kg)217 lb (98.43 kg)218 lb (98.88 kg)219 lb (99.34 kg)220 lb (99.79 kg)221 lb (100.24 kg)222 lb (100.70 kg)223 lb (101.15 kg)224 lb (101.60 kg)225 lb (102.06 kg)226 lb (102.51 kg)227 lb (102.97 kg)228 lb (103.42 kg)229 lb (103.87 kg)230 lb (104.33 kg) or moreGewichtEye Color(Required)Select Eye ColorBlackBrown/AmberBlueGreenHazelViolet/PurpleOther Color Not ListedAugenfarbeHair Color(Required)Select Hair ColorBlackWhite/Silver/GreyBrown (Light)Brown (Dark)RedBlondeBald (No Hair)Haarfarbe2. REQUIRED DOCUMENTSErforderliche DokumenteColor copy of your Green Card (color scan) BOTH sides(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB. Farbkopie Ihrer Green Card (als Farbscan) beidseitigColor Copy of your Passport Bio-Page (color scan)(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 128 MB. Farbkopie Ihrer Passport Bio-Page (als Farbscan)