TOC - Form I-765

I765-TOC-FRM-30Day-02152013.docx

Application for Employment Authorization

TOC - Form I-765

OMB: 1615-0040

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TOC - FORM

Form I-765, Application for Employment Authorization

02/15/2013


Reason for Revision

Provide more detailed information to help Deferred Action for Childhood Arrival requestors



Location


Current Text

Proposed Revised Text

Page 1,

Questions 1-17

3. Address in the United States (Street Number and Name)

(Apt. Number)

(Town or City)

(State/Country)

(ZIP Code)



11. Have you ever before applied for employment authorization form USCIS?


Yes (If “Yes”, complete below)

No



12. Date of Last Entry into the U.S. (mm/dd/yyyy)



14. Manner of Last Entry (Visitor, Student, etc.)

3. U.S. Mailing Address (Street Number and Name)

(Apt. Number)

(Town or City)

(State/Country)

(ZIP Code)



11. Have you ever before applied for employment authorization form USCIS?


Yes (Complete the following questions.)

No (Proceed to Question 12.)



12. Date of Last Entry into the U.S., on or about (mm/dd/yyyy)



14. Status at Last Entry (B-2 Visitor, F-1 Student, No Lawful Status, etc.)



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleExplanation of Change: 1615-0023
Authorrasloan
File Modified0000-00-00
File Created2021-01-30

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