I765-FRM-TOC-AC21 Final-11012016

I765-FRM-TOC-AC21 Final-11012016.docx

Application for Employment Authorization

I765-FRM-TOC-AC21 Final-11012016

OMB: 1615-0040

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TABLE OF CHANGES – FORM

Form I-765, Application For Employment Authorization

OMB Number: 1615-0040

11/01/2016


Reason for Revision: AC21 NPRM. Incorporated non-substantive change to the form – added data labels to “Other Names Used” field. PDF was reformatted to make more customer-friendly.


Current Page Number and Section

Current Text

Proposed Text

Page 1

[Page 1]


2. Other Names Used (include Maiden Name)…






18. (c)(26) Eligibility Category. If you entered…




















[Page 1]


2. Other Names Used (include Maiden Name) (Family Name) (First Name) (Middle Name)



[Page 2]


[no change]



19. (c)(35) and (c)(36) Eligibility Category


a. If you entered the eligibility category (c)(35) or (c)(36) in Question 16 above, please provide the receipt number of the Form I-140 beneficiary's Form I-797 Notice of Approval for Form I-140.


b. Have you EVER been arrested for and/or convicted of any crime? Y/N


NOTE:  If you answered “Yes” to Item Numbers 19.b. refer to Item Number 5., Item H. or Item I. in the Who May File Form I-765 section of these Instructions for information about providing court dispositions.




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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleTABLE OF CHANGE – FORM I-687
Authorjdimpera
File Modified0000-00-00
File Created2021-01-23

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