Application for Employment Authorization

DRAFT
OMB No. 1615-0040; Expires 09/30/11

Instructions for I-765, Application
for Employment Authorization

Department of Homeland Security
U.S. Citizenship and Immigration Services

Instructions
Read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a
separate sheet of paper. Write your name and Alien Registration Number (A-Number), if any, at the top of each sheet of
paper and indicate the part and number of the item to which the answer refers.
The filing addresses provided on this form reflect the most current information as of the date this form was last printed. If you are
filing Form I-765 more than 30 days after the latest edition date shown in the lower right-hand corner, visit our Web site at www.
uscis.gov before you file, and check the "FORMS" page to confirm the correct filing address and version currently in use. Check the
edition date located in the lower right-hand corner of the form. If the edition date on your Form I-765 matches the edition date listed
for Form I-765 on the online Forms page, your version is current and will be accepted by USCIS. If the edition date on the online
version is later, download a copy and use the online version. If you do not have Internet access, call the National Customer Service
Center at 1-800-375-5283 to verify the current filing address and edition date. Improperly filed forms will be rejected and the fee
returned, with instructions to resubmit the entire filing using the current form instructions.

Renewal EAD: An EAD issued to an eligible applicant

Index
Page No.
What Is the Purpose of This Form?

1

Who May File This Form I-765?

1

Required Documentation

5

What Is the Filing Fee?

7

Where to File?

8

Processing Information

10

What Is the Purpose of This Form?
Certain aliens who are temporarily in the United States may
file Form I-765, Application for Employment Authorization,
to request an Employment Authorization Document (EAD).
Other aliens who are authorized to work in the United States
without restrictions must also use this form to apply to USCIS
for a document that shows such authorization. Review
Eligibility Categories to determine whether you should use
this form.
If you are a lawful permanent resident, a conditional resident,
or a nonimmigrant authorized to be employed with a specific
employer under 8 CFR 274a.12(b), do not use this form.

upon the expiration of a previous EAD issued under the same
category.

Replacement EAD: An EAD issued to an eligible
applicant when the previously issued EAD has been lost,
stolen, mutilated, or contains erroneous information, such as a
misspelled name.
Interim EAD: An EAD issued to an eligible applicant when
USCIS has failed to adjudicate an application within 90 days
of of a properly filed EAD application, or within 30 days of a
properly filed initial EAD application based on an asylum
application filed on or after January 4, 1995. The interim EAD
will be granted for a period not to exceed 240 days and is
subject to the conditions noted on the document.

Who May File This Form I-765?
USCIS adjudicates a request for employment authorization by
determining whether an applicant has submitted the required
information and documentation, and whether the applicant is
eligible. In order to determine your eligibility, you must
identify the category in which you are eligible and fill in that
category in Question 16 on Form I-765. Enter only one of the
following category numbers on the application form. For
example, if you are a refugee applying for an EAD, write "(a)
(3)" at Question 16.

Definitions
For easier reference, the categories are subdivided as follows:

Employment Authorization Document (EAD): Form
I-688, Form I-688A, Form I-688B, Form I-766, or any
successor document issued by USCIS as evidence that the
holder is authorized to work in the United States.

Page No.
Asylee/Refugee and Their Spouses and Children
Nationality Categories

2
2

Foreign Students

3

Form I-765 Instructions (Rev. 08/20/10) Y

DRAFT
Eligible Dependents of Employees of Diplomatic
Missions, International Organization, or NATO
Employment-Based Nonimmigrants
Family-Based Nonimmigrants
Adjustment-of-Status Categories
Other Categories

3
3
4
4
5

1. Asylee/Refugee Categories
A. Refugee--(a)(3). File Form I-765 with either a copy
of your Form I-590, Registration for Classification as
Refugee, approval letter, or a copy of a Form I-730,
Refugee/Asylee Relative Petition, approval notice.

B. Paroled as a Refugee--(a)(4). File Form I-765 with
a copy of your Form I-94, Arrival-Departure Record.

C. Asylee (Granted Asylum)--(a)(5). File Form
I-765 with a copy of the USCIS letter, or judge's
decision, granting you asylum. It is not necessary to
apply for an EAD as an asylee until 90 days before the
expiration of your current EAD.

D. Asylum Applicant (With a Pending Asylum
Application) Who Filed for Asylum on or
After January 4, 1995--(c)(8). For specific
instructions for applicants with pending asylum
claims, see Page 6.

2. Nationality Categories
A. Citizen of Micronesia, the Marshall Islands, or
Palau--(a)(8). File Form I-765 if you were admitted
to the United States as a citizen of the Federated States
of Micronesia (CFA/FSM), the Marshall Islands
(CFA/MIS), or Palau under agreements between the
United States and the former trust territories.

B. Deferred Enforced Departure (DED) /
Extended Voluntary Departure--(a)(11). File
Form I-765 with evidence of your identity and
nationality.

C. Temporary Protected Status (TPS)--(a)(12).
You must file a Form I-765 with Form I-821,
Application for Temporary Protected Status, for
each applicant, regardless of age, even if you are not
requesting employment authorization. (Only those
applicants requesting employment authorization must
pay the fee for Form I-765.) If you are filing for an
initial EAD based on your TPS status, include
evidence of identity and nationality as required by the
Form I-821 instructions. Read the Form I-821
instructions for additional guidance and filing location.

If you have been granted TPS by an immigration
judge (IJ) or the Board of Immigration Appeals
(BIA) and are requesting your first EAD, you must
submit evidence of your IJ or BIA grant of TPS with
your application for an EAD along with a copy of
your I-821 application that the IJ or BIA approved.
You must also follow the instructions for filing your
application as described in the most recent TPS
Federal Register notice regarding a TPS designation
or extension for your country. As further instructed
in those notices, once you receive your I-797
application receipt notice, you must also send an email to [email protected] with the following
information: Your name; your A number; your date
of birth; the receipt number for your application;
and the date you were granted TPS.

D. Temporary Treatment Benefits--(c)(19). For an
EAD based on 8 CFR 244.5, include evidence of
nationality and identity as required by the Form I-821
instructions.
1. Extension of TPS status: Include a copy (front and
back) of your last available TPS document: EAD,
Form I-94, or approval notice.
2. Registration for TPS only without employment
authorization: File Form I-765, Form I-821, and a
letter indicating that this form is for registration
purposes only. No fee is required for Form I-765
filed as part of TPS registration. (Form I-821 has
separate fee requirements.)

E. NACARA Section 203 Applicants Who Are
Eligible to Apply for NACARA Relief With
USCIS--(c)(10). See the instructions to Form I-881,
Application for Suspension of Deportation or Special
Rule Cancellation of Removal, to determine if you are
eligible to apply to USCIS for NACARA 203 relief.
If you are eligible, you may file a Form I-765 with the
Form I-881. See Instructions to Form I-881 for filing
location. If you file the Form I-765 separately from the
Form I-881 see “Where to File?” instructions.
Your response to Question 16 on the Form I-765 must
be “(c)(10).”
You may be eligible for a fee waiver under 8 CFR
103.7(c) if you are filing for an EAD related to your
application or grant of TPS.

F. Dependent of TECRO E-1 Nonimmigrant--(c)
(2). File Form I-765 with the required certification
from the American Institute in Taiwan if you are the
spouse or unmarried dependent son or daughter of an
E-1 employee of the Taipei Economic and Cultural
Representative Office.

Form I-765 Instructions (Rev. 08/20/10) Y Page 2

DRAFT
3. Foreign Students
A. F-1 Student Seeking Optional Practical
Training in an Occupation Directly Related to
Studies: (c)(3)(A) - Pre-completion Optional
Practical Training; (c)(3)(B) - Post-completion
Optional Practical Training; (c)(3)(C) 17-month extension for STEM Students (Students
With a degree in Science, Technology,
Engineering, or Mathematics). File Form I-765 with
a Certificate of Eligibility of Nonimmigrant (F-1) Student
Status (Form I-20 A-B/I-20 ID) endorsed by a Designated
School Official within the past 30 days. If you are a
STEM student requesting a 17-month extension under the
eligibility code (c)(3)(C), you must also submit a copy of
your degree and the employer name as listed in E-Verify,
along with the E-Verify Company Identification Number,
or a valid E-Verify Client Company Identification
Number for the employer with whom you are seeking
the 17-month OPT extension. This information must
be provided in Item 17 of the form.

B. F-1 Student Offered Off-Campus Employment
Under the Sponsorship of a Qualifying
International Organization--(c)(3)(ii). File Form
I-765 with the international organization's letter of
certification that the proposed employment is within
the scope of its sponsorship, and a Certificate of
Eligibility of Nonimmigrant (F-1) Student Status -- For
Academic and Language Students (Form I-20 A-B/ -20
ID) endorsed by the Designated School Official within
the past 30 days.

C. F-1 Student Seeking Off-Campus
Employment Due to Severe Economic
Hardship--(c)(3)(iii). File Form I-765 with Form
I-20 A-B/I-20 ID, Certificate of Eligibility of
Nonimmigrant (F-1) Student Status -- For Academic
and Language Students, and any evidence you wish to
submit, such as affidavits, that detail the unforeseen
economic circumstances that cause your request, and
evidence that you have tried to find off-campus
employment with an employer who has filed a labor
and wage attestation.

D. J-2 Spouse or Minor Child of an Exchange
Visitor--(c)(5). File Form I-765 with a copy of your
J-1 (principal alien's) Certificate of Eligibility for
Exchange Visitor (J-1) Status (Form IAP-66). You
must submit a written statement with any supporting
evidence showing that your employment is not
necessary to support the J-1 but is for other purposes.

E. M-1 Student Seeking Practical Training After
Completing Studies--(c)(6). File Form I-765 with
a completed Form I-539, Application to Change/
Extend Nonimmigrant Status, according to the filing
instructions for Form I-539. You must also include
Form I-20 M-N, Certificate of Eligibility for
Nonimmigrant (M-1) Student Status -- For Vocational
Students endorsed by the Designated School Official
within the past 30 days, with your application.

4. Eligible Dependents of Employees of Diplomatic
Missions, International Organizations, or NATO
A. Dependent of A-1 or A-2 Foreign Government
Officials--(c)(1). Submit Form I-765 with Form I-566,
Interagency Record of Request-A, G, or NATO
Dependent Employment Authorization or Change/
Adjustment to/from A, G, or NATO Status, Dependent
Employment Authorization, through your diplomatic
mission to the Department of State (DOS). The DOS
will forward all favorably endorsed applications directly
to the Nebraska Service Center for adjudication.

B. Dependent of G-1, G-3 or G-4 Nonimmigrant-(c)(4). Submit Form I-765 with Form I-566,
Interagency Record of Request-A, G, or NATO
Dependent Employment Authorization or Change/
Adjustment to/from A, G, or NATO Status, Dependent
Employment Authorization, through your international
organization to the Department of State (DOS). (In
New York City, the United Nations (UN) and UN
missions should submit such applications to the United
States Mission to the UN (USUN).) The DOS or
USUN will forward all favorably endorsed
applications directly to the Nebraska Service Center
for adjudication.

C. Dependent of NATO-1 Through NATO-6--(c)
(7). Submit Form I-765 with Form I-566, Interagency
Record of Request-A, G, or NATO Dependent
Employment Authorization or Change/Adjustment to/
from A, G, or NATO Status, Dependent Employment
Authorization, to NATO SACLANT, 7857 Blandy
Road, C-027, Suite 100, Norfolk, VA 23551-2490.
NATO/SACLANT will forward all favorably endorsed
applications directly to the Nebraska Service Center
for adjudication.

5. Employment-Based Nonimmigrant Categories
A. B-1 Nonimmigrant Who Is the Personal or
Domestic Servant of a Nonimmigrant
Employer--(c)(17)(i). File Form I-765 with:
1. Evidence from your employer that he or she is a B,
E, F, H, I, J, L, M, O, P, R, or TN nonimmigrant and
you were employed for at least one year by the
employer before the employer entered the United
States, or your employer regularly employs personal
and domestic servants and has done so for a period
of years before coming to the United States; and
Form I-765 Instructions (Rev. 08/20/10) Y Page 3

DRAFT
2. Evidence that you have either worked for this
employer as a personal or domestic servant for at
least one year, or evidence that you have at least one
year's experience as a personal or domestic servant;
and
3. Evidence establishing that you have a residence
abroad that you have no intention of abandoning.

B. B-1 Nonimmigrant Domestic Servant of a
U.S. Citizen--(c)(17)(ii). File Form I-765 with:
1. Evidence from your employer that he or she is a
U.S. citizen; and
2. Evidence that your employer has a permanent home
abroad or is stationed outside the United States and
is temporarily visiting the United States or the
citizen's current assignment in the United States will
not be longer than four years; and
3. Evidence that he or she has employed you as a
domestic servant abroad for at least six months prior
to your admission to the United States.

C. B-1 Nonimmigrant Employed by a Foreign
Airline--(c)(17)(iii). File Form I-765 with a letter
from the airline fully describing your duties and
stating that your position would entitle you to E
nonimmigrant status except for the fact that you are
not a national of the same country as the airline or
because there is no treaty of commerce and
navigation in effect between the United States and
that country.

D. Spouse of an E-1/E-2 Treaty Trader or
Investor--(a)(17). File Form I-765 with evidence
of your lawful status and evidence you are a spouse
of a principal E-1/E-2, such as your Form I-94.
(Other relatives or dependents of E-1/E-2 aliens who
are in E status are not eligible for employment
authorization and may not file under this category.)

E. Spouse of an L-1 Intracompany Transferee-(a)(18). File Form I-765 with evidence of your
lawful status and evidence you are a spouse of a
principal L-1, such as your Form I-94. (Other
relatives or dependents of L-1 aliens who are in L
status are not eligible for employment authorization
and may not file under this category.)

6. Family-Based Nonimmigrant Categories
A. K-1 Nonimmigrant Fiance(e) of U.S. Citizen or
K-2 Dependent--(a)(6). File Form I-765 if you are
filing within 90 days from the date of entry. This EAD
cannot be renewed. Any EAD application other than
for a replacement must be based on your pending
application for adjustment under (c)(9).

B. K-3 Nonimmigrant Spouse of U.S. Citizen or
K-4 Dependent--(a)(9). File Form I-765 along with
evidence of your admission such as copies of your
Form I-94, passport, and K visa.
C. Family Unity Program--(a)(13). If you are filing
for initial or extension Family Unity benefits, complete
and submit Form I-817, Application for Voluntary
Departure Under the Family Unity Program according
to the filing instructions on Form I-817. An EAD will
be issued if your Form I-817 is approved; you do not
need to submit Form I-765.
If your non-expired Family Unity EAD is lost or
stolen, file Form I-765 with proper fee(s), along with a
copy of your approval notice for Family Unity benefits,
to request a replacement.

D. LIFE Family Unity--(a)(14). If you are applying
for initial employment authorization under Family
Unity provisions of section 1504 of the LIFE Act
Amendments, or an extension of such authorization,
you should not use this form. Obtain and complete
Form I-817, Application for Family Unity Benefits. If
you are applying for a replacement EAD that was
issued under LIFE Act Amendments Family Unity
provisions, file Form I-765 with the required evidence
listed in the "Required Document" section of these
instructions.

E. V-1, V-2, or V-3 Nonimmigrant--(a)(15). If you
have been inspected and admitted to the United States
with a valid V visa, file this application along with
evidence of your admission, such as copies of your
Form I-94, passport, and K visa. If you have been
granted V status while in the United States, file this
application along with evidence of your V status, such
as an approval notice. If you are in the United States
but you have not yet filed an application for V status,
you may file this application at the same time as you
file your application for V status. USCIS will
adjudicate this application after adjudicating your
application for V status.

7. EAD Applicants Who Have Filed for Adjustment
of Status
A. Adjustment Applicant--(c)(9). File Form I-765
with a copy of the receipt notice or other evidence that
your Form I-485, Application for Permanent
Residence or Adjust Status, is pending. You may file
Form I-765 together with your Form I-485.

B. Adjustment Applicant Based on Continuous
Residence Since January 1, 1972--(c)(16). File
Form I-765 with your Form I-485, Application for
Permanent Residence; a copy of your receipt notice; or
other evidence that the Form I-485 is pending.
Form I-765 Instructions (Rev. 08/20/10) Y Page 4

DRAFT
C. Renewal EAD for National Interest Waiver
Physicians: If you are filing for a renewal EAD based
on your pending adjustment status and an approved
National Interest Waiver Physician petition, you must
also include evidence of your meaningful progress
toward completing the national interest waiver
obligation. Such evidence includes documentation of
employment in any period during the previous 12
months (e.g., copies of W-2 forms). If you did not
work as a national interest waiver physician during any
period of the previous 12 months, you must explain
and provide a statement of future intent to work in the
national interest waiver employment.

8. Other Categories
A. N-8 or N-9 Nonimmigrant--(a)(7). File Form
I-765 with the required evidence listed in the
"Required Document" section of these instructions.

B. Granted Withholding of Deportation or
Removal (a)(10). File Form I-765 with a copy of the
Immigration Judge's order. It is not necessary to apply
for a new EAD until 90 days before the expiration of
your current EAD.

C. Applicant for Suspension of Deportation--(c)
(10). File Form I-765 with evidence that your Form
I-881, Application for Suspension of Deportation, or
EOIR-40, is pending.

D. Paroled in the Public Interest--(c)(11). File Form
I-765 if you were paroled into the United States for
emergent reasons or reasons strictly in the public
interest.

E. Deferred Action--(c)(14). File Form I-765 with a
copy of the order, notice, or document placing you in
deferred action and evidence establishing economic
necessity for an EAD.

F. Final Order of Deportation--(c)(18). File Form
I-765 with a copy of the order of supervision and a
request for employment authorization that may be
based on but not limited to the following:
1. Existence of a dependent spouse and/or children in
the United States who rely on you for support;
2. Existence of economic necessity to be employed; and
3. Anticipated length of time before you can be
removed from the United States.

G. LIFE Legalization Applicant--(c)(24). We
encourage you to file File Form I-765 together with
your Form I-485, Application to Register Permanent
Residence or Adjust Status, to facilitate processing.
However, you may file Form I-765 at a later date with
evidence that you were a CSS, LULAC, or Zambrano
class member applicant before October 1, 2000, and
with a copy of the receipt notice or other evidence that
your Form I-485 is pending.

H. T-1 Nonimmigrant--(a)(16). If you are applying
for initial employment authorization as a T-1
nonimmigrant, file Form I-765 only if you did not
request an employment authorization document when
you applied for T nonimmigrant status. If you have
been granted T nonimmigrant status and this is a
request for a renewal or replacement of an
employment authorization document, file Form I-765
along with evidence of your T nonimmigrant status,
such as an approval notice.

I. T-2, T-3, or T-4 Nonimmigrant--(c)(25). File
Form I-765 with a copy of your T-1 (principal alien's)
approval notice and proof of your relationship to the
T-1 principal.

J. U-1 Nonimmigrant--(a)(19). If you are applying
for initial employment authorization as a U-1
nonimmigrant, file Form I-765 only if you did not
request an employment authorization document when
you applied for U nonimmigrant status. If you have
been granted U nonimmigrant status and this is a
request for a renewal or replacement of an
employment authorization document, file Form I-765
along with evidence of your U nonimmigrant status,
such as an approval notice.

K. U-2, U-3, U-4, or U-5--(a)(20). If you obtained U
nonimmigrant status while in the United States, you
must submit a copy of the approval notice for your U
nonimmigrant status. If you were admitted to the
United States as a U nonimmigrant, you must submit a
copy of your passport with your U nonimmigrant visa.

Required Documentation
All applications must be filed with the documents required
below in addition to the particular evidence required for the
category listed in "Who May File This Form I-765?" with fee,
if required.

Form I-765 Instructions (Rev. 08/20/10) Y Page 5

DRAFT
If you are required to show economic necessity for your
category, submit a list of your assets, income, and expenses.
Assemble the documents in the following order:
1. Your application with the filing fee. See "What Is the
Filing Fee?" for details.
2. If you are mailing your application to USCIS, you must
also submit:
A. A copy of Form I-94, Arrival-Departure Record (front
and back), if available. If you are filing Form I-765
under the(c) (9) category, Form I-94 is not required.
B. A copy of your last EAD (front and back). If no prior
EAD has been issued, you must submit a copy of a
Federal Government-issued identity document, such as a
passport showing your picture, name, and date of birth; a
birth certificate with photo ID; a visa issued by a foreign
consulate; or a national ID document with photo and/or
fingerprint. The identity document photocopy must
clearly show the facial features of the applicant and the
biographical information.
C. You must submit two identical color photographs of
yourself taken within 30 days of filing your application.
The photos must have a white to off-white background,
be printed on thin paper with a glossy finish, and be
unmounted and unretouched.
The passport-style photos must be 2” by 2”. The
photos must be in color with full face, frontal view on a
white to off-white background. Head height should
measure 1” to 1 3/8” from top to bottom of chin, and
eye height is between 1 1/8” to 1 3/8” from bottom of
photo. Your head must be bare unless you are wearing
a headdress as required by a religious order of which
you are a member. Using pencil or felt pen, lightly
print your name and Alien Receipt Number on the back
of the photo.

Any delay in processing the asylum application that is caused
by you, including unexcused failure to appear for
fingerprinting and other biometric capture, will not be counted
as part of that 150 days. If you fail to appear for your asylum
interview or for a hearing before an immigration judge, you
will be ineligible for an EAD. If you have received a
recommended approval for a grant of asylum, you do not need
to wait the 150 days and may apply for an EAD immediately
upon receipt of your recommended approval. If you file Form
I-765 early, it will be denied. File Form I-765 with:
1. A copy of the USCIS acknowledgement mailer which was
mailed to you; or
2. Other evidence that your Form I-589 was filed with
USCIS; or
3. Evidence that your Form I-589 was filed with an
Immigration Judge at the Executive Office for Immigration
Review (EOIR); or
4. Evidence that your asylum application remains under
administrative or judicial review.
Asylum applicant (with a pending asylum application) who
filed for asylum and for withholding of deportation prior
to January 4, 1995, and is NOT in exclusion or deportation
proceedings.
You may file Form I-765 at any time; however, it will only be
granted if USCIS finds that your asylum application is not
frivolous. File Form I-765 with:
1. A complete copy of your previously filed Form I-589;
2. A copy of your USCIS receipt notice; or
3. A copy of the USCIS acknowledgement mailer; or
4. Evidence that your Form I-589 was filed with EOIR; or
5. Evidence that your asylum application remains under
administrative or judicial review; or
6. A copy of the USCIS acknowledgement mailer.

Special Filing Instructions for Those With Pending
Asylum Applications ((c)(8))

Asylum Applicant (with a pending asylum application) who
filed for asylum on or after January 4, 1995. You must wait at
least 150 days following the filling of your asylum claim before
you are eligible to apply for an EAD.

Asylum applicant (with a pending asylum application) who
filed an initial request for asylum prior to January 4, 1995,
and is IN exclusion or deportation proceedings. If you filed
your Request for Asylum and Withholding of Deportation
(Form I-589) prior to January 4, 1995, and you are IN
exclusion or deportation proceedings, file your EAD
application with:
1. A date-stamped copy of your previously filed Form I-589;
or

Form I-765 Instructions (Rev. 08/20/10) Y Page 6

DRAFT
2. A copy of Form I-221, Order to Show Cause and Notice
of Hearing, or Form I-122, Notice to Applicant for
Admission Detained for Hearing Before Immigration
Judge; or
3. A copy of EOIR-26, Notice of Appeal, date stamped by
the Office of the Immigration Judge; or

1. (a)(3) Refugee;
2. (a)(4) Paroled as Refugee;
3. (a)(5) Asylee;
4. (a)(7) N-8 or N-9 nonimmigrant;

4. A date-stamped copy of a petition for judicial review or
for habeas corpus issued to the asylum applicant; or

5. (a)(8) Citizen of Micronesia, Marshall Islands, or Palau;

5. Other evidence that you filed an asylum application
with EOIR.

7. (a)(11) Deferred Enforced Departure;

Asylum application under the ABC Settlement
Agreement--(c)(8). If you are a Salvadoran or Guatemalan
national eligible for benefits under the ABC settlement
agreement, American Baptist Churches v. Thornburgh , 760
F. Supp. 976 (N.D. Cal. 1991), follow the instructions
contained in this section when filing your Form I-765.

6. (a)(10) Granted Withholding of Deportation;

8. (a)(16) Victim of Severe Form of Trafficking (T-1);
9. (a)(19) U-1 Nonimmigrant;
10. (c)(1), (c)(4), or (c)(7) Dependent of certain foreign
government, international organization, or NATO
personnel; or

You must have an asylum application (Form I-589) on file
either with USCIS or with an Immigration Judge in order to
receive work authorization. Therefore, submit evidence that
you have previously filed an asylum application when you
submit Form I-765. You are not required to submit this
evidence when you apply, but it will help USCIS process
your request efficiently.

11. (c)(8) Applicant for asylum. (An applicant filing under the
special ABC procedures must pay the fee.)

If you are renewing or replacing your EAD, you must pay the
filing fee.

2. (a)(10) Granted Withholding of Deportation;

Renewal EAD: If this is a renewal application and you are
applying under one of the following categories, a filing fee is
not required:
1. (a)(8) Citizen of Micronesia, Marshall Islands, or Palau;

3. (a)(11) Deferred Enforced Departure; or
Mark your application as follows:
1. Write "ABC" in the top right corner of your EAD
application. You must identify yourself as an ABC class
member if you are applying for an EAD under the ABC
settlement agreement.

4. (c)(l), (c)(4), or (c)(7) Dependent of certain foreign
government, international organization, or NATO
personnel;
5. (c)(9) or (c)(16) Adjustment applicant who applied after
July 30, 2007.

2. Write "(c)(8)" in Section 16 of the application.
You are entitled to an EAD without regard to the merits of
your asylum claim. Your application for an EAD will be
decided within 60 days if: (1) you pay the filing fee, (2) you
have a complete pending asylum application on file, and (3)
write "ABC" in the top right corner of your EAD application.
If you do not pay the filing fee for an initial EAD request,
your request may be denied if USCIS finds that your asylum
application is frivolous. However, if you cannot pay the filing
fee for an EAD, you may qualify for a fee waiver under 8 CFR
103.7(c).

Replacement EAD: If this is your replacement application,
and you are applying under one of the following categories, a
filing fee is not required:
1. (c)(l), (c)(4), or (c)(7) Dependent of certain foreign
government, international organization, or NATO
personnel.
NOTE: If you are requesting a replacement EAD under the
(c)(9) or (c)(16) Adjustment applicant who applied after July
30, 2007, then the full filing fee will be required; however, no
biometrics fee is required.

What Is the Filing Fee?
The filing fee for Form I-765 is $380.
Exceptions:

Initial EAD: If this is your initial application and you are
applying under one of the following categories, a filing fee is
not required:

Incorrect Card: No fee is required if you are filing only
because the card issued to you was incorrect due to a USCIS
administrative error. However, if the error was not caused by
USCIS, both application and biometrics fees are required.
You may be eligible for a fee waiver under 8 CFR 103.7(c).

Form I-765 Instructions (Rev. 08/20/10) Y Page 7

DRAFT
Use the following guidelines when you prepare your check or
money order for the Form I-765 fee:
1. The check or money order must be drawn on a bank or
other financial institution located in the United States
and must be payable in U.S. currency; and
2. Make the check or money order payable to U.S.
Department of Homeland Security, unless:
A. If you live in Guam, make it payable to
Treasurer, Guam.
B. If you live in the U.S. Virgin Islands, make it
payable to Commissioner of Finance of the
Virgin Islands.
NOTE: If you filed Form I-485, Application to Register
Permanent Residence or Adjust Status, as of July 30, 2007, no
fee is required to also file a request for employment
authorization on Form I-765. You may file the I-765
concurrently with your I-485, or you may submit the I-765 at
a later date. If you file Form I-765 separately, you must also
submit a copy of your Form I-797C, Notice of Action, receipt
as evidence of the filing of Form I-485 as of July 30, 2007.
NOTE: Spell out U.S. Department of Homeland Security; do
not use the initials "USDHS" or "DHS."
Notice to Those Making Payment by Check. If you send us
a check, it will be converted into an electronic funds transfer
(EFT). This means we will copy your check and use the
account information on it to electronically debit your account
for the amount of the check. The debit from your account will
usually take 24 hours and will be shown on your regular
account statement.
You will not receive your original check back. We will
destroy your original check, but we will keep a copy of it. If
the EFT cannot be processed for technical reasons, you
authorize us to process the copy in place of your original
check. If the EFT cannot be completed because of insufficient
funds, we may try to make the transfer up to two times.

Where to File?
E-Filing Form I-765: Certain Form I-765 filings may be
electronically filed (e-filed) with USCIS. View our Web site
at www.uscis.gov for a list of who is eligible to e-file this
form and instructions.
Paper Filing of Form I-765:
Please note that the filing locations for the paper version of
this form are subject to change. Read the instructions
carefully to determine where you must send your paper
application.
If your response to Question 16 is
(a)(11), Deferred Enforced Departure (DED), mail your
application according to the most recent Federal Register
notice for your particular country's DED order. Please also
check the most recent Federal Register notice regarding DED
for your country for additional EAD filing instructions that
may apply in your case.
File at the USCIS Vermont Service Center if your
response to Question 16 is:
(a)(16), T-1 nonimmigrant victim of trafficking, or
(a)(19) U-1 nonimmigrant, or
(a)(20), U-2, U-3, U-4, or U-5 nonimmigrant immediate
family member of a U-1 victim of criminal activity, or
(c)(14), an alien who has been granted deferred action as a
surviving spouse or qualified child, or based on an approved
Form I-360 filed for a battered or abused spouse or child, or
(c)(25), T-2, T-3, T-4, or T-5 nonimmigrant, immediate family
member of a T-1 victim of severe form of trafficking in
persons.
USCIS Vermont Service Center

How to Check If the Fees Are Correct
The form fee on this form is current as of the edition date
appearing in the lower right corner of this page. However,
because USCIS fees change periodically, you can verify if the
fees are correct by following one of the steps below:
1. Visit our Web site at www.uscis.gov, select "Check Filing
Fee," and check the appropriate fee;

USCIS
Vermont Service Center
Attn: I-765
75 Lower Welden St.
St. Albans, VT 05479-0001
If your response to Question 16 is:

2. Review the Fee Schedule included in your form package, if
you called us to request the form; or
3. Telephone our National Customer Service Center at
1-800-375-5283 and ask for the fee information.

(a)(12) or (c)(19) and you have already filed Form I-821,
Application for Temporary Protected Status (TPS), you must
include a copy of Form I-797C Notice of Action,

Form I-765 Instructions (Rev. 08/20/10) Y Page 8

DRAFT
showing that your initial Form I-821 was accepted or
approved. File your Form I-765 according to the
instructions in the Federal Register Notice for your
particular country’s TPS designation.
(a)(12) or (c)(19) and you are initially filing or
reregistering for TPS you must file Form I-765 with
Form I-821 according to the instructions in the Federal
Register Notice for your particular country’s TPS
designation. This includes an application for a lost,
stolen, or mutilated EAD.
File at the USCIS Chicago Lockbox facility if your
response to Question 16 is:
(a)(10), an alien granted withholding of deportation or
removal; or
(c)(9) AND you filed your Form I-485 with the USCIS
Chicago Lockbox facility, and your Receipt Number
begins with “MSC.” You must include a copy of the
I-797C, Notice of Action, which shows your Form I-485
was accepted; or

For Express mail and courier deliveries:
USCIS
Attn: FBAS
131 South Dearborn-3rd Floor
Chicago, IL 60603-5517
If your response to Question 16 is:
(a)(14), an alien granted family unity benefits under Section
1504 of the LIFE Act, or
(a)(15), any alien in V nonimmigrant status, or
(c) (22), if you have a pending I-687 (Legalization
application) or if you filed a completed Legalization
application pursuant to Section 245A of the Act (and Section
245(a) 8 Code of Federal Regulations), or
(c)(24), an alien who has filed for adjustment of status under
Section 1104 of the LIFE Act.
Mail to the address below:

(c)(10) AND you are not eligible to apply for NACARA
203 relief with USCIS, but you are eligible for other
deportation or removal relief; or

USCIS Chicago Lockbox

(c)(11), an alien paroled into the United States
temporarily for emergency reasons, or reasons deemed
strictly in the public interest; or

USCIS
P.O. Box 7219
Chicago, IL 60680-7219

(c)(14), an alien who has been granted deferred action,
with the exception of those categories filed at the USCIS
Vermont Service Center; or

For Express Mail and courier service:

(c)(16), an alien who has filed an application for creation
of record of lawful admission for permanent residence;
or
(c)(18), an alien against whom a final order of
deportation or removal exists and who is released on an
order of supervision.

For U.S. Postal Service:

USCIS
Attn: VKL
131 South Dearborn- 3rd Floor
Chicago, IL 60603-7219
If your response to Question 16 is:
(c)(1), alien spouse or unmarried dependent child, son, or
daughter of a foreign government official,

Mail to the address below:
USCIS Chicago Lockbox

(c)(4), eligible dependent of a G-1, G-3, or G-4 nonimmigrant, or

For U.S. Postal Service:

(c)(7), Dependent of a NATO 1 through NATO 7

USCIS
P.O. Box 805887
Chicago, IL 60680-4120

Submit your application through your principal's sponsoring
organization and your application will be reviewed and
forwarded by DOS, USUN, or NATO/SACLANT to the
Nebraska Service Center following certification of your
eligibility for an employment authorization document.

Form I-765 Instructions (Rev. 08/20/10) Y Page 9

DRAFT
For all other Form I-765s, file at the USCIS Phoenix or
Dallas Lockbox facilities based on where you live. See chart
below.
NOTE: If you are filing Form I-765 together with Form
I-485, mail your applications to the address you will use to file
the Form I-485.
If you are filing Form I-765 alone because you have already
filed Form I-485 and it is pending, file your application at the
USCIS Phoenix or Dallas Lockbox facilities based on where
you live. You must include a copy of the I-797C, Notice of
Action showing that your application was accepted.
USCIS Phoenix or Dallas Lockbox
If you live in :

File your application at:

Alaska, Arizona,
California, Colorado,
Guam, Hawaii, Idaho,
Illinois, Indiana, Iowa,
Kansas, Michigan,
Minnesota, Missouri,
Montana, Nebraska,
Nevada, North Dakota,
Ohio, Oregon, South
Dakota, Utah,
Washington, Wisconsin,
Wyoming, or Commonwealth
of the Northern Mariana
Islands

USCIS Phoenix Lockbox
For U.S. Postal Service (USPS)
deliveries:
USCIS
PO Box 21281
Phoenix, AZ 85036

Alabama, Arkansas,
Connecticut, Delaware,
District of Columbia,
Florida, Georgia,
Kentucky, Louisiana,
Maine, Maryland,
Massachusetts,
Mississippi, New
Hampshire, New
Jersey, New Mexico,
New York, North
Carolina, Pennsylvania,
Puerto Rico, Rhode
Island, South Carolina,
Oklahoma, Tennessee,
Texas, Vermont,
Virginia, U.S. Virgin
Islands, or West
Virginia

USCIS Dallas Lockbox
For U.S. Postal Service (USPS)
Deliveries:
USCIS
PO Box 660867
Dallas, TX 75266

For Express mail and courier service
deliveries:
USCIS
Attn: AOS
1820 E. Skyharbor Circle S
Suite 100
Phoenix, AZ 85034

For Express mail and courier service
deliveries:
USCIS
Attn: AOS
2501 S. State Hwy. 121, Business
Suite 400
Lewisville, TX 75067

E-Notification
If you are filing your Form I-765 at one of the USCIS
Lockbox facilities, you may elect to receive an email and/
or text message notifying you that your application has
been accepted. You must complete Form G-1145, ENotification of Application/Petition Acceptance, and clip it
to the first page of your application. To download a copy of
Form G-1145, including the instructions, click on the link
www.uscis.gov “FORMS.”

If your response to Question 16 is (c)(8) under the special
ABC filing instructions, and you are filing your Form I-589,
Application for Asylum, and this application together, mail
your applications to the filing location identified in the Form
I-589 instructions.
Otherwise, all other (c)(8) related applications will be filed
at the USCIS Phoenix or Dallas Lockbox facility based on
where you live. See filing chart.
Questions Regarding Form I-765
For additional information about Form I-765, including how
to file your application or filing locations not mentioned,
call the USCIS National Customer Service Center at
1-800-375-5283 or visit our Web site at www.uscis.gov.

Processing Information
Any Form I-765 that is not signed or accompanied by the
correct fee will be rejected with a notice that Form I-765 is
deficient. You may correct the deficiency and resubmit Form
I-765. An application or petition is not considered properly
filed until accepted by USCIS.

Initial processing
Once Form I-765 has been accepted, it will be checked for
completeness, including submission of the required initial
evidence. If you do not completely fill out the form, or file it
without required initial evidence, you will not establish a basis
for eligibility, and we may deny your Form I-765.

Requests for more information or interview
We may request more information or evidence, or we may
request that you appear at a USCIS office for an interview.
We may also request that you submit the originals of any
copy. We will return these originals when they are no longer
required.

Interim EAD
If you have not received a decision within 90 days of receipt
by USCIS of a properly filed EAD application or within 30
days of a properly filed initial EAD application based on an
asylum application filed on or after January 4, 1995, you may
obtain interim work authorization by appearing in person at
your local USCIS District Office. You must bring proof of
identity and any notices that you have received from USCIS in
connection with your application for employment
authorization.

Approval
If approved, your EAD will either be mailed to you or you
may be required to visit your local USCIS office to pick it up.

Denial
If your application cannot be granted, you will receive a
written notice explaining the basis of your denial.

Form I-765 Instructions (Rev. 08/20/10) Y Page 10

DRAFT

Penalties
If you knowingly and willfully falsify or conceal a material
fact or submit a false document with your Form I-765, we will
deny your Form I-765 and may deny any other immigration
benefit.
In addition, you will face severe penalties provided by law and
may be subject to criminal prosecution.

USCIS Forms and Information
To order USCIS forms, call our toll-free number at 1-800870-3676. You can also get USCIS forms and information on
immigration laws, regulations, and procedures by telephoning
our National Customer Service Center at 1-800-375-5283 or
visiting our Internet Web site at www.uscis.gov.

Paperwork Reduction Act
An agency may not conduct or sponsor an information
collection and a person is not required to respond to a
collection of information unless it displays a currently valid
OMB control number. The public reporting burden for this
collection of information is estimated at 3 hours and 25
minutes per response, including the time for reviewing
instructions and completing and submitting the form. Send
comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for
reducing this burden, to: U.S. Citizenship and Immigration
Services, Regulatory Products Division, 111 Massachusetts
Avenue, N.W., 3rd Floor, Suite 3008, Washington, DC
20529-2210. OMB No. 1615-0040. Do not mail your
application to this address.

As an alternative to waiting in line for assistance at your local
USCIS office, you can now schedule an appointment through
our Internet-based system, InfoPass. To access the system,
visit our Web site. Use the InfoPass appointment scheduler
and follow the screen prompts to set up your appointment.
InfoPass generates an electronic appointment notice that
appears on the screen.

Privacy Act Notice
We ask for the information on this form, and associated
evidence, to determine if you have established eligibility for
the immigration benefit for which you are filing. Our legal
right to ask for this information can be found in the
Immigration and Nationality Act, as amended. We may
provide this information to other government agencies. Failure
to provide this information, and any requested evidence, may
delay a final decision or result in denial of your Form.

Form I-765 Instructions (Rev. 08/20/10) Y Page 11