Renewal Form 2022-2024

Renewal Form: What You Should Know

Apply to replace a lost, stolen, or destroyed card. If your card is cancelled, you may not be able to apply for a replacement until a new card arrives. All other fees must be paid at the time of your replacement application. The California Department of State Health Services (DSS) issues a replacement Green Card. You must have your replacement card within 30 days of your loss or replacement card arrives for you before application for the new card can be processed. Note : If you apply for a replacement card at the time of your loss, you will be issued a replacement card at no cost. If you apply at the time of replacement, you will be charged the full fee to replace the card, if applicable. The full fee can be paid at the time of application for the replacement card. Complete a Permanent Resident Card Replacement Application (Form SB-14) (English). English. English. Spanish/Hebrew. Notation should be clearly visible on the application, indicating the type of replacement card/cardholder, the cardholder's full name, and the date and time that the application is filed. To have a representative from the Department of State Services (DSS) verify your application for a replacement card, you must present the following: A copy of your original permanent resident card (a copy of your original document(s) of identity, such as a Certificate of Naturalization or marriage certificate, a copy of the original Green Card application, or a certified copy of the card showing your date of birth or current mailing address) that includes the name, date of birth, last place of residence, and gender. This should be kept by your representative. (a copy of your original document(s) of identity, such as a Certificate of Naturalization or marriage certificate, a copy of the original Green Card application, or a certified copy of the card showing your date of birth or current mailing address) that includes the name, date of birth, last place of residence, and gender. A copy of your original permanent resident card (a copy of your original document(s) of identity, such as a Certificate of Naturalization or marriage certificate, a copy of the original Green Card application, or a certified copy of the card showing your date of birth or current mailing address and visa information, as well as an original or copy of the new document(s) with visa information. This information can be found on this form.

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