Immigration I-94 Fee Payment Form
Use this form to submit the information needed to process an Immigration I-94 fee payment.
Applicant Information
Full Legal Name
*
First Name
Middle Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Nationality / Country of Citizenship
*
Please Select
Afghanistan
Albania
Algeria
Argentina
Australia
Bangladesh
Brazil
Canada
China
Colombia
France
Germany
India
Italy
Japan
Mexico
Nigeria
Pakistan
Philippines
United Kingdom
United States
Other
Email Address
*
example@example.com
Immigration I-94 Details
Arrival Date to the U.S.
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Arrival Airport or Port of Entry
*
I-94 Number (last 4 digits)
*
Payment Information
Payment Amount
*
Payment Method
*
Please Select
Card
Bank Transfer
Mobile Wallet
Other
Last 4 Digits of Card
Submit Payment
Should be Empty: