Here's what you do:
Send the original I-94, original boarding pass, a copy of the next arrival stamp after you left US, copy of finger print record taken during departure.
Here's the format and the address where you should send. Failure to compny MAY result in disputable consequences.
---------------------------
Date
ACS Inc.
1084 South Laurel Rd.
London, Kentucky 40744
Re: Submission of Original I-94.
Applicant: XXXXXXXXX
Date of Birth: XX/XX/XXXX
Dear Sir or Madam:
Enclosed please find the I-94 in original and supporting documents as evidence of my departure from the United States. I entered the United States in XX status on XX XX, XXXX. I departed the United States on XXXX XX, XXXX.
Somehow, the airline person did not collect the original I-94 while I was departing the United States on XXXX XX, XXXX. I now request to submit the I-94 along with relevant documents to ensure that the departure is recorded correctly so that the applicant does not have any trouble reentering the United States in future.
Please find enclosed the following:
1. Form I-94, Arrival Departure Record in original;
2. Boarding pass in original;
3. Copy of the passport showing arrival stamp in XXXX;
4. Copy of fingerprint record taken at the time of my departure on XXXX XX, XXXX.
Your anticipated assistance in this matter is greatly appreciated.
Please confirm that the I-94 has been received and the departure recorded.
Thanks in advance for your assistance in this matter.
Very truly yours,
XXXXXXX