Nassau County, NY

Nassau County Office of Hispanic Affairs
Application to Renew Permanent Resident Card

The Nassau County Office of Hispanic Affairs is now offering an online process to apply for the renewal of the Permanent Resident Card (Green Card). Once your information has been received, we will contact you to schedule a phone call appointment.

Please complete the following form to begin your process.

Any questions or concerns please do not hesitate to call our office at (516) 572-0750.

Your Full Name as it appears on your Permanent Resident Card: *

Home Address: *

City: *

State: *

Zip Code: *

Mailing Address (only if different from you Home Address):

City:

State:

Zip Code:

Phone Number: *

Email Address:

Applicant Mother's First Name: *

Applicant Father's First Name: *

First City you arrived at: *

Location where you applied for your visa or adjustment of status: *

Location where you were granted adjustment of status: *

Your Height (in feet): *

Your Height (in inches): *

Your Weight (in pounds): *

Your Eye Color: *

Have you ever been in exclusion, deportation, or removal proceedings or ordered removed from the United States? *

Yes

Since you were granted permanent residence, have you ever filed for Form I-407, Abandonment by Alien of Status as Lawful Resident, or otherwise been determined to have abandoned your status? *

Yes

I agree to send the aforementioned