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pdfInstructions for Application for Employment Authorization
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-765
OMB No. 1615-0040
Expires 02/28/2018
What Is the Purpose of Form I-765?
Certain foreign nationals who are in the United States may file Form I-765, Application for Employment Authorization, to
request employment authorization and an Employment Authorization Document (EAD). Other foreign nationals whose
immigration status authorizes them to work in the United States without restrictions may also use Form I-765 to apply to
U.S. Citizenship and Immigration Services (USCIS) for an EAD that shows such authorization. Review the Who May
File Form I-765 section of these Instructions to determine whether you should use Form I-765.
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Foreign nationals may also apply for a Social Security number and card on Form I-765 following the guidelines in the
Specific Instructions section of these Instructions, Part 2. Information About You, Item Numbers 13.a. - 17.b.
If you are a lawful permanent resident, a conditional permanent resident, or a nonimmigrant only authorized for
employment with a specific employer under 8 CFR 274a.12(b), do not use Form I-765.
Definitions
Employment Authorization Document (EAD): The EAD is the card (also known as Form I-688A, Form I-688B, Form
I-766, or any successor document) issued as evidence that the holder is authorized to work in the United States.
Initial EAD: An EAD issued to an eligible applicant for the first time under a specific eligibility category.
Renewal EAD: An EAD issued to an eligible applicant after 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 was lost, stolen, damaged,
or contains errors, such as a misspelled name.
NOTE: For more information regarding employment authorization documents, visit www.uscis.gov/greencard/
employment-authorization-document.
Who May File Form I-765?
You may file Form I-765 if you fall within one of the eligibility categories below. For some categories, employment
authorization is granted with your underlying immigration status (called “incident to status” employment authorization).
For example, asylees and refugees have employment authorization as soon as they obtain such status. In these cases, your
EAD is issued upon approval of your Form I-765, and the EAD is evidence of your employment authorization. For other
categories such as parolees or individuals with deferred action, USCIS must first approve your Form I-765 before you are
eligible to accept employment in the United States. Once your Form I-765 is approved, USCIS will issue your EAD. You
must type or print your eligibility category in Part 2., Item Number 27., on Form I-765. Enter only one category number
on the application. For example, if you are a refugee applying for an EAD, type or print “(a)(3)” in Item Number 27.
Please note that a person with a pending application for an immigration benefit or request might have a different
category number than the person who was already granted the benefit or request. For example certain pending
asylum applicants are category “(c)(8),” but a person already granted asylum is category “(a)(5).”
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Asylee/Refugee Categories (and their Spouses and Children)
1. Refugee--(a)(3). If an initial Form I-765 was not already prepared for you before your arrival as a refugee in the
United States, or if you are requesting to renew your EAD, file Form I-765 with a copy of one of the following: your
stamped Form I-94, Arrival-Departure Record; your Final Notice of Eligibility for Resettlement (approval letter); or
your Form I-797 Notice approving your derivative refugee status based on a Form I-730, Refugee/Asylee Relative
Petition (if approved while in the United States).
NOTE: If you were admitted as a refugee and have applied under the Immigration and Nationality Act (INA) section
209 to adjust to lawful permanent resident status using Form I-485, Application to Register Permanent Residence or
Adjust Status, file Form I-765 under category (a)(3) as a refugee. Do not file Form I-765 under eligibility category
(c)(9) as an INA section 245 adjustment applicant.
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2. Paroled as a Refugee--(a)(4). File Form I-765 with a copy of your Form I-94, passport, or travel document.
Commonwealth of the Northern Mariana Islands (CNMI), and other humanitarian or significant public benefit
parolees (such as Cuban Family and Haitian Family Reunification Parole programs), should file under the category
(c)(11), not as a refugee under (a)(4).
3. Asylee (Granted Asylum)--(a)(5). File Form I-765 with a copy of one of the following: your stamped Form I-94
indicating asylee status; a USCIS Asylum approval letter; an order granting asylum signed by an Executive Office for
Immigration Review (EOIR) immigration judge (IJ); or a Form I-797 Notice approving your derivative asylee status
based on a Form I-730 (if approved while in the United States).
NOTE: If you are an asylee and have applied under INA section 209 to adjust to lawful permanent resident status
using Form I-485, file Form I-765 under category (a)(5) as an asylee. Do not file Form I-765 under eligibility category
(c)(9) as an INA section 245 adjustment applicant.
4. Granted Withholding of Deportation or Removal--(a)(10). File Form I-765 with a copy of the EOIR IJ’s signed
order granting withholding of deportation or removal.
5. Pending Asylum and Withholding of Removal Applicants and Applicants for Pending Asylum under the ABC
Settlement Agreement--(c)(8). If you have a pending Form I-589, Application for Asylum and for Withholding
of Removal, refer to Special Filing Instructions for Those With Pending Asylum Applications--(c)(8) in the
Required Documentation section of these Instructions.
Nationality Categories
1. Citizen of Micronesia, the Marshall Islands, or Palau--(a)(8). File Form I-765 with evidence 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.
2. Deferred Enforced Departure (DED)--(a)(11). File Form I-765 with evidence of your identity and nationality.
If you are without nationality, submit evidence of your residence in the last country in which you habitually resided.
You should also state your basis for claiming that you are covered by DED and provide evidence (if available) for
your claim.
3. Temporary Protected Status (TPS)--(a)(12) and (c)(19). File Form I-765 with your Form I-821, Application for
Temporary Protected Status, or evidence that we accepted or approved your initial Form I-821. Include evidence of
your nationality and identity as required by the Form I-821 Instructions. If an EOIR IJ or the Board of Immigration
Appeals (BIA) granted TPS, and you are requesting your first EAD or are re-registering for the first time, you must
submit a copy of the EOIR IJ or BIA order that granted TPS with your Form I-765 (such as a copy of your Form I-821
that the EOIR 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, re-designation, or extension for your
country. Please check the USCIS website at www.uscis.gov/tps for procedures to register or re-register for TPS,
including obtaining an EAD, if your country has been designated for TPS.
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If your non-expired TPS EAD is lost, stolen, or damaged, file Form I-765 with required fees to request a replacement.
Include a copy of your approval notice for TPS (if you have been approved) or a copy of your previous Form I-797
Notice for Form I-821 if your TPS application is still pending.
A. Category (a)(12) EAD: We may issue you a category (a)(12) EAD if your TPS application was approved, you
requested an EAD, and you were not previously issued a category (c)(19) EAD that runs through the current TPS
designation, re-designation, or extension period for your country.
Re-registration for TPS: File your Form I-765, Form I-821, and a letter indicating that this application is for
TPS re-registration. Include a copy (front and back) of your last available TPS document (for example, an EAD,
Form I-94, passport, or travel document, or a Form I-797 Notice).
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NOTE: To re-register for TPS, you must file Form I-821; however, you do not need to file Form I-765 if you do
not want an EAD.
B. Category (c)(19) EAD: A category (c)(19) EAD is a temporary benefit under TPS under 8 CFR Part 244 . We
may issue you a category (c)(19) EAD if you have a pending Form I-821, and you are prima facie eligible for
TPS.
4. Nicaraguan Adjustment and Central American Relief Act (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 (Pursuant to Section 203 of Public Law 105-100
(NACARA)), to determine if you are eligible to apply for NACARA 203 relief.
If you are eligible to apply for NACARA 203 relief with USCIS, you may file Form I-765 together with your Form
I-881. See our website at www.uscis.gov/I-881 for the most current information on where to file Form I-881. If
you are eligible to file Form I-881 with EOIR, or if you have already filed Form I-881 with USCIS or EOIR, see the
Where to File section of these Instructions.
If you are filing for an EAD related to your NACARA application, you may be eligible for a fee waiver under
8 CFR 103.7(c)(3)(xi).
5. 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.
Foreign Students Categories
1. F-1 Student Seeking Optional Practical Training (OPT) in a Position Directly Related to Major Area of Study
NOTE: If you are an F-1 student filing for initial or extension of OPT, please note that your OPT and your
employment authorization will be automatically terminated if you change educational program levels or transfer to
another school. Working in the United States without authorization may result in your removal from the United States
or denial of re-entry. Consult your Designated School Official (DSO) for additional details.
A. Pre-Completion OPT--(c)(3)(A). File Form I-765 up to 90 days before being enrolled for one full academic
year, provided that the period of employment will not start before you have completed one full academic year.
The one full academic year need not necessarily have been completed while you were in F-1 status; if you
completed the one-year requirement while in another valid nonimmigrant status and you are now in valid F-1
status, you are eligible to apply for OPT. Include evidence of having been lawfully enrolled on a full-time basis
for one full academic year at a college, university, conservatory, or seminary approved by the U.S. Immigration
and Customs Enforcement (ICE) Student and Exchange Visitor Program (SEVP) for attendance by F-1 foreign
students. Also, include all previously used Student and Exchange Visitor Information System (SEVIS) numbers
and evidence of any previously authorized curricular practical training (CPT) or OPT and academic level at which
each was authorized. You must include a Certificate of Eligibility of Nonimmigrant (F-1) Student Status (Form
I-20) endorsed by the DSO before filing Form I-765.
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B. Post-Completion OPT--(c)(3)(B). File Form I-765 up to 90 days before, but no later than 60 days after, your
program end date. Use Part 6. Additional Information to provide all previously used SEVIS numbers and
evidence of any previously authorized CPT or OPT and the academic level at which it was authorized.
NOTE: You must file your Form I-765 within 30 days of the date that your DSO enters the recommendation for
OPT into your SEVIS record. If you fail to do so, we will deny your OPT request.
C. 24-Month Extension for STEM Students (Students With a Degree in Science, Technology, Engineering,
or Mathematics)--(c)(3)(C). File Form I-765 up to 90 days before the expiration of your current OPT, if you
are requesting a 24-month STEM extension. Include evidence the degree that is the basis for the STEM OPT
extension is in one of the degree programs currently listed on the STEM Designated Degree Program List.
Additionally, submit the employer’s 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 24-month STEM OPT extension. You must provide this information in Part 2., Item Numbers 28.a. - 28.c.,
of Form I-765. You must include a copy of the Form I-20 endorsed by the DSO within 60 days before filing Form
I-765.
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NOTE: If you are applying for a STEM OPT extension based on a previously earned STEM degree, you must
also include a copy of your prior STEM degree and evidence that the institution is currently accredited by the U.S.
Department of Education and certified by the SEVP.
D. 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 copy of the Form I-20 with the employment
page completed by the DSO certifying eligibility for employment.
E. F-1 Student Seeking Off-Campus Employment Due to Severe Economic Hardship--(c)(3)(iii). File Form
I-765 with a copy of the Form I-20 that includes the employment page completed by the DSO certifying eligibility
for off-campus employment due to severe economic hardship caused by unforeseen circumstances beyond your
control. Include evidence that:
(1) You have been in F-1 status for one full academic year;
(2) You are in good standing as a student;
(3) You are carrying a full course of study;
(4) Acceptance of employment will not interfere with your carrying a full course of study;
(5) The employment is necessary to avoid severe economic hardship due to unforeseen circumstances beyond
your control; and
(6) On-campus employment is unavailable or is not sufficient to meet the needs that have arisen due to the
unforeseen circumstances.
F. J-2 Spouse or Minor Child of an Exchange Visitor--(c)(5). File Form I-765 with a copy of Form DS-2019,
evidence the J-1 principal foreign national is currently maintaining status, and evidence any income from this
employment authorization will not be used to support the J-1 principal foreign national. Also, provide evidence
you are currently maintaining status and include evidence of all previously authorized periods of J-2 employment.
G. M-1 Student Seeking Post-Completion OPT After Completing Studies--(c)(6). File Form I-765 with a copy of
the Form I-20 endorsed by the DSO certifying eligibility for employment together with Form I-539, Application
to Change/Extend Nonimmigrant Status, if applicable, completed according to the Form I-539 Instructions. We
must receive the completed forms before, but not more than 90 days before, your program end date. If applicable,
your Form I-539 must request an extension of stay that covers the requested period of post-completion OPT and a
30-day departure period.
NOTE: You may request one month of OPT for every four months of full-time study you have completed as an
M-1 student.
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Categories for Eligible Dependents of Employees of Diplomatic Missions, International Organizations, or NATO
1. 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). DOS will forward all favorably endorsed applications directly to USCIS for adjudication.
2. Dependent of G-1, G-3, or G-4 Nonimmigrant--(c)(4). Submit Form I-765 together with Form I-566 through your
international organization to DOS. The United Nations (UN) and UN missions located in New York City should
submit such applications to the U.S. Mission to the UN (USUN). DOS or USUN will forward all favorably endorsed
applications directly to USCIS for adjudication.
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3. Dependent of NATO-1 Through NATO-6--(c)(7). If you are a dependent of a North Atlantic Treaty Organization
(NATO) nonimmigrant who is stationed at Supreme Allied Command Transformation (SACT), NATO/HQ, submit
Form I-765 with Form I-566 to:
USLO to NATO/HQ SACT
7857 Blandy Road, Suite 200
Norfolk, VA 23551-2491
If you are a dependent of a NATO nonimmigrant who is stationed outside of NATO/HQ SACT, submit Form I-765
with Form I-566 to the Defense Attaché’s Office at the embassy of the NATO member that employs the foreign
national. For more details on NATO member embassy contacts and on documents required, visit the DOS website
www.state.gov/ofm under the topic “Dependent Work Authorization.”
If you have questions regarding the process or document requirements, email [email protected].
Employment-Based Nonimmigrant Categories
1. B-1 Nonimmigrant Who Is the Personal or Domestic Servant of a Nonimmigrant Employer--(c)(17)(i). File
Form I-765 with:
A. Evidence of your lawful B nonimmigrant status (for example, your Form I-94, passport, or other travel
document);
B. Evidence that your employer is a B, E, F, H, I, J, L, M, O, P, Q, or TN nonimmigrant;
C. Evidence you worked for the employer for at least one year 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;
D. Evidence you have either worked for this employer as a personal or domestic servant for at least one year, or
evidence you have at least one year of experience as a personal or domestic servant; and
E. Evidence establishing you have a residence abroad that you have no intention of abandoning.
2. B-1 Nonimmigrant Domestic Servant of a U.S. Citizen--(c)(17)(ii). File Form I-765 with:
A. Evidence of your lawful B nonimmigrant status (for example, your Form I-94, passport, or other travel
document);
B. Evidence that your employer is a U.S. citizen;
C. Evidence that your employer has a permanent home abroad or is stationed outside the United States and is
temporarily visiting the United States, OR evidence that your employer’s current assignment in the United States
will not be longer than four years; and
D. Evidence that your employer has employed you as a domestic servant abroad for at least six months before your
admission to the United States.
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3. B-1 Nonimmigrant Employed by a Foreign Airline--(c)(17)(iii). File Form I-765 with:
A. Evidence of your lawful B nonimmigrant status (for example, your Form I-94, passport, or other travel
document); and
B. A letter from the airline fully describing your duties and stating 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.
4. Spouse of an E-1 Treaty Trader, E-2 Treaty Investor, or E-3 Specialty Occupation Professional from
Australia--(a)(17). File Form I-765 with:
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A. Evidence of your lawful E nonimmigrant status (for example, your Form I-94, passport, or other travel document);
and
B. Evidence of your spouse’s lawful E nonimmigrant status (for example, a copy of your spouse’s Form I-94,
passport, or other travel document) and your marriage certificate.
NOTE: Other relatives or dependents of E nonimmigrants in E status are not eligible for employment
authorization and cannot file under this category.
5. Spouse of an L-1 Intracompany Transferee--(a)(18). File Form I-765 with:
A. Evidence of your lawful L nonimmigrant status (for example, your Form I-94, passport, or other travel document);
and
B. Evidence of your spouse’s lawful L nonimmigrant status (for example, a copy of your spouse’s Form I-94,
passport, or other travel document) and your marriage certificate.
NOTE: Other relatives or dependents of L nonimmigrants in L status are not eligible for employment
authorization and cannot file under this category.
6. Spouse of an E-2 Commonwealth of Northern Mariana Islands (CNMI) Investor--(c)(12). File Form I-765 with
the required evidence listed under Special Filing Instructions for Spouses of E-2 CNMI Investors in the Required
Documentation section of these Instructions.
NOTE: If you are the spouse of a principal E-2 CNMI investor who obtained status on the basis of a Foreign Retiree
Investment Certification, you are not eligible for employment authorization and cannot file under this category.
7. Spouse of an H-1B Nonimmigrant--(c)(26). File Form I-765 along with documentation of your current H-4
admission or extension of stay. You must also submit documentation establishing either your spouse is the beneficiary
of an approved Form I-140, Immigrant Petition for Alien Worker, or your spouse received H-1B status based on the
American Competitiveness in the Twenty-First Century Act (AC21) sections 106(a) and (b). For your convenience,
you may file Form I-765 with Form I-539. However, we will not process your Form I-765 (except filing fees), until
after we have adjudicated your Form I-539. You may also file Form I-765 at the same time as your Form I-539 and
your H1-B spouse’s Form I-129, Petition for a Nonimmigrant Worker. Please see the USCIS website at
www.uscis.gov/I-765 for the most current information on where to file this benefit request.
A. Proof of Your Status. Submit a copy of your current Form I-797 Notice for Form I-539, or Form I-94 showing
your admission as an H-4 nonimmigrant or your most recent approved extension of stay; and
B. Proof of Relationship to the Principal H-1B. Submit a copy of your marriage certificate. If you cannot submit
a copy of your current Form I-797 Notice, Form I-94, or marriage certificate, we will consider secondary evidence
of your relationship.
C. Basis for Work Authorization. Acceptable documentation includes:
(1) Approved Form I-140. Submit evidence the H-1B principal is the beneficiary of an approved Form I-140.
You may show this by submitting a copy of your spouse’s Form I-797 Notice for Form I-140; or
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(2) H-1B Principal Received AC21 106(a) and (b) Extension. Submit evidence that your spouse has been
admitted or granted an extension of stay under AC21 sections 106(a) and (b). You may show this by
submitting copies of your spouse’s passports, prior Form I-94s, and current and prior Form I-797 Notices for
Form I-129. In addition, submit evidence to establish one of the following bases for the H-1B extension of
stay.
(a) Based on Filing of a Permanent Labor Certification Application. Submit evidence your spouse is the
beneficiary of a Permanent Labor Certification Application that was filed at least 365 days prior to the
date the period of admission authorized under AC21 sections 106(a) and (b) took effect. You may show
this by submitting a print out from the Department of Labor’s (DOL) website or other correspondence
from DOL showing the status of your spouse’s Permanent Labor Certification Application. If DOL
certified the Permanent Labor Certification, you must also submit a copy of Form I-797 Notice for Form
I-140 establishing the Form I-140 was filed within 180 days of DOL certifying the Permanent Labor
Certification; or
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(b) Based on a Pending Form I-140. If the preference category sought for the principal H-1B spouse does
not require a Permanent Labor Certification Application with DOL, submit evidence your spouse’s Form
I-140 was filed at least 365 days prior to the date the period of admission authorized under AC21 sections
106(a) and (b) took effect. You may show this by submitting a copy of the Form I-797 Notice for Form
I-140.
(c) Secondary Evidence. If you do not have the evidence listed in Items (a) or (b) above, you may ask us
to consider secondary evidence in support of your application for employment authorization as an H-4
spouse. For example, in establishing the Basis for Employment Authorization as described in Items (1)
and (2), you may submit the receipt number of your spouse’s most current Form I-129 extension of stay
or Form I-140 approved on your spouse’s behalf.
Failure to provide the evidence listed above or secondary evidence may result in the delay or denial
of your Form I-765. For additional information on secondary evidence, see Evidence in the General
Instructions section of these Instructions.
8. Principal Beneficiary of an Approved Employment-Based Immigrant Petition Facing Compelling
Circumstances--(c)(35). File Form I-765 with documents showing that you are eligible for an initial grant or a
renewal of employment authorization under the (c)(35) eligibility category.
A. Initial Application: If this is your first application for compelling circumstances employment authorization
under the (c)(35) eligibility category, and an immigrant visa number is not yet available to you, you may be
eligible if:
(1) You have NOT filed Form I-485;
(2) You have a Form I-140 approved on your behalf;
(3) You are in the United States in a valid E-3, H-1B, H-1B1, O-1, or L-1 nonimmigrant status; and
(4) You face compelling circumstances.
See Item C. Supporting Evidence by Principal below for more information regarding what documents to
submit with your application, including additional requirements where you have been convicted of certain
crimes.
B. Renewal Application: If you already have employment authorization under the (c)(35) eligibility category, you
may be eligible for renewal if:
(1) You have a Form I-140 approved on your behalf;
(2) You face compelling circumstances and an immigrant visa is not authorized for issuance based on your
priority date according to the relevant Final Action Date in the Department of State Visa Bulletin in effect on
the date the application for a renewal of employment authorization is filed; OR
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The difference between your priority date and the Final Action Date for your preference category and country
of chargeability is one year or less according to the Department of State Visa Bulletin in effect on the date
your renewal application is filed. This means that your priority date cannot be more than one year earlier
or one year later than the Department of State cut-off date in the Visa Bulletin applicable to your preference
category and country of chargeability in effect on the date your renewal application is filed. If this is the basis
for your renewal application, you are not required to show compelling circumstances; AND
(3) You file your renewal application on Form I-765 with USCIS before your current employment authorization
expires. You are not required to be in a valid nonimmigrant status when you file your renewal application.
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See Item C. Supporting Evidence by Principal below for more information regarding what documents to
submit with your application, including additional requirements where you have been convicted of certain
crimes.
C. Supporting Evidence by Principal
(1) Proof You Are in the United States in E-3, H-1B, H-1B1, O-1, or L-1 Nonimmigrant Status. For initial
applications, submit a copy of your Arrival-Departure Record (Form I-94) showing your admission as an E-3,
H-1B, H-1B1, O-1, or L-1 nonimmigrant, or a copy of your current Form I-797 Notice for Form I-129.
(2) Proof of Your Approved Form I-140. For initial and renewal applications, submit a copy of a Form I-797
Notice for Form I-140 showing the Immigrant Petition has been approved on your behalf.
(3) Evidence You Are Facing Compelling Circumstances While You Wait for Your Immigrant Visa to
Become Available. For initial and, if applicable, renewal applications based on compelling circumstances,
USCIS will review the documents you provide to determine, in its discretion, whether you have established
compelling circumstances. USCIS makes this discretionary determination on a case-by-case basis according
to the documents submitted and the totality of the record. You should submit any credible evidence you
believe supports your claim of compelling circumstances.
(4) Secondary Evidence. If you do not have the evidence listed in Items (1) or (2) above, you may ask us to
consider secondary evidence in support of your application for employment authorization. For additional
information on secondary evidence, see Evidence in the General Instructions section of these Instructions.
(5) Proof of Arrests and Conviction. For initial and renewal applications, you must submit documentation
of any arrests and/or convictions. If you were ever convicted of a felony or two or more misdemeanors,
you cannot be granted employment authorization under this eligibility category. USCIS will make the
determination as to whether your crimes fall into either of these categories. You must, however, provide
information and any supporting documentation on all crimes which you were convicted of so USCIS can
make an appropriate decision. Provide certified copies of all arrest reports, court dispositions, sentencing
documents, and any other relevant documents.
NOTE: USCIS may, in its discretion, deny your application if you have been arrested and/or convicted of
any crime.
D. Traffic Violations and Arrests
Do not select the “Yes” box for Part 2., Item Number 30., on the application or submit documentation if you
only have had minor traffic violations. Minor traffic violations do NOT include violations that are alcohol- or
drug-related. If you were ARRESTED for any traffic offense, select the “Yes” box for Item Number 30. on the
application and provide arrest and disposition documentation so USCIS can properly assess whether your arrest
and/or conviction may impact your employment authorization eligibility.
NOTE: Provide the conviction and disposition documentation even if your records were sealed, expunged,
or otherwise cleared. You must provide the documentation even if anyone, including a judge, law enforcement
officer, or attorney told you that you no longer have a record or that you do not have to disclose the information.
Failure to provide the evidence listed above or secondary evidence may result in the delay or denial of your
application for employment authorization.
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9. Spouse or Unmarried Child of a Principal Beneficiary of an Approved Employment-Based Immigrant
Petition--(c)(36). File Form I-765 along with supporting documentation for an initial grant or a renewal of
employment authorization under the (c)(36) eligibility category. You may file your application WITH your spouse’s
or parent’s application under (c)(35). You may file your application while your spouse’s or parent’s application under
(c)(35) is PENDING or AFTER your spouse’s or parent’s application has been approved by USCIS. If filing with
your spouse’s or parent’s application, USCIS will not adjudicate your Form I-765 until after USCIS has adjudicated
your spouse’s or parent’s Form I-765 first.
A. Initial Application: If this is your first application for employment authorization under the (c)(36) eligibility
category, you may be eligible if:
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(1) You are the spouse or unmarried child of an individual who is filing or who has been approved for compelling
circumstances employment authorization under (c)(35) (See Proof of Relationship to the Principal
Beneficiary of the Approved Form I-140 section below);
(2) Your spouse’s or parent’s application for compelling circumstances employment authorization under (c)(35)
has been approved or is pending with USCIS (not required if you are filing your application at the same time
as your spouse’s or parent’s application under (c)(35)); and
(3) You were in a valid nonimmigrant status when your spouse or parent applies for initial employment
authorization under the (c)(35) eligibility category.
See Item C. Supporting Evidence by Spouse or Unmarried Child below for more information regarding
what documents to submit with your application, including additional requirements if you have been
arrested or convicted.
B. Renewal Application: You may be eligible to renew your application under the (c)(36) eligibility category if:
(1) You file Form I-765 before your current employment authorization expires;
(2) You are the spouse or unmarried child of an individual who is filing or who has been approved for compelling
circumstances employment authorization under (c)(35) (See Proof of Relationship to the Principal
Beneficiary of the Approved Form I-140 below); and
(3) Your spouse’s or parent’s application for compelling circumstances employment authorization under (c)(35)
has been approved or is pending with USCIS (not required if you are filing your application at the same time
as your spouse’s or parent’s renewal application under (c)(35)).
You are not required to be in a valid nonimmigrant status when you file your renewal application.
See Item C. Supporting Evidence by Spouse or Unmarried Child below for more information regarding
what documents to submit with your application, including additional requirements if you have been
arrested or convicted.
C. Supporting Evidence by Spouse or Unmarried Child
(1) Proof of Your Nonimmigrant Status. For initial applications only, submit a copy of your Arrival-Departure
Record (Form I-94) showing your admission as a nonimmigrant, a copy of your current Form I-797 Notice for
Form I-129, or a copy of your current Form I-797 Notice for Form I-539.
(2) Proof of Relationship to the Principal Beneficiary of the Approved Form I-140. For initial and renewal
applications, if you are applying as the spouse of a principal beneficiary of an approved Form I-140, submit
a copy of the marriage certificate and if applicable, copies of documents showing the legal termination of
all other marriages by you or your spouse. If you are applying as the child of a principal beneficiary of an
approved Form I-140, submit a copy of your birth certificate or other documents to demonstrate you qualify as
the principal beneficiary’s child. If you cannot submit a copy of your marriage certificate or birth certificate,
USCIS will consider secondary evidence.
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(3) Proof the Spouse or Parent Principal Beneficiary was Granted or has Applied for Employment
Authorization Under Eligibility Category (c)(35). For initial and renewal applications, if you submit your
Form I-765 after your spouse or parent receives employment authorization under eligibility category (c)(35),
submit a copy of your spouse’s or parent’s employment authorization document or submit a copy of your
spouse’s or parent’s Form I-797 Notice for Form I-765.
If your spouse’s or parent’s application under (c)(35) is pending when you file your Form I-765, submit a
copy of your spouse’s or parent’s Form I-797 Notice for the pending Form I-765. USCIS will not adjudicate
your Form I-765 until USCIS has adjudicated your spouse’s or parent’s Form I-765.
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(4) Secondary Evidence. If you do not have the evidence listed in Items (1), (2), or (3) above, you may ask us
to consider secondary evidence in support of your application for employment authorization. For additional
information on secondary evidence, see Evidence in the General Instructions section of these Instructions.
(5) Proof of Arrests and Convictions. For initial and renewal applications, you must submit documentation
of any arrests and/or convictions. If you were ever convicted of a felony or two or more misdemeanors
committed, you cannot be granted employment authorization under this eligibility category. USCIS will
make the determination as to whether your crimes fall into either of these categories. You must, however,
provide information and any supporting documentation on all crimes which you were convicted of so USCIS
can make an appropriate decision. Provide certified copies of all arrest reports, court dispositions, sentencing
documents, and any other relevant documents.
NOTE: USCIS may, in its discretion, deny your application if you have been arrested and/or convicted of
any crime.
D. Traffic Violations and Arrests
Do not select the “Yes” box for Part 2., Item Number 31.b., on the application or submit documentation if you
only have had minor traffic violations. Minor traffic violations do NOT include violations that are alcohol- or
drug-related. If you were ARRESTED for any traffic offense, select the “Yes” box for Item Number 31.b. on
the application and provide arrest and disposition documentation so USCIS can properly assess whether your
arrest and/or conviction may impact your employment authorization eligibility.
NOTE: Provide the conviction and disposition documentation even if your records were sealed, expunged,
or otherwise cleared. You must provide the documentation even if anyone, including a judge, law enforcement
officer, or attorney, told you that you no longer have a record or that you do not have to disclose the information.
Failure to provide the evidence listed above or secondary evidence may result in the delay or denial of your
application for employment authorization.
Department of State Visa Bulletin. USCIS will adjudicate all applications for initial or renewal employment
authorization according to the Visa Bulletin in effect on the date the application is filed. To see the current Visa
Bulletin, please go to www.state.gov/travel and click the link to the Visa Bulletin.
Priority Dates. For more information about priority dates, please visit our Visa Availability and Priority Date website
at www.uscis.gov.
Filing Location. Please see the USCIS website at www.uscis.gov/i-765 for the most current information on where to
file your application for initial or renewal employment authorization under the (c)(35) or (c)(36) eligibility categories.
Family-Based Nonimmigrant Categories
1. K-1 Nonimmigrant Fiancé(e) of U.S. Citizen or K-2 Dependent--(a)(6). File Form I-765 along with evidence of
your admission (for example, copies of your Form I-94, passport, or other travel document) and your K visa. You are
only authorized to work under this category during your 90 days in K-1 or K-2 status. You cannot renew this EAD.
If you submit subsequent EAD applications, other than for replacement of a lost, stolen, or damaged card or a card
that contains incorrect data, you must apply on a different basis. If you have a pending application for adjustment of
status, you should file under category (c)(9).
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2. K-3 Nonimmigrant Spouse of U.S. Citizen or K-4 Dependent--(a)(9). File Form I-765 along with evidence of your
admission (for example, copies of your Form I-94, passport, or other travel document) and your K visa.
3. Family Unity Program--(a)(13). If you are filing for initial or extension of family unity benefits, complete and
submit Form I-817, Application for Family Unity benefits, according to the filing instructions on Form I-817. We will
issue an EAD if we approve your Form I-817. No Form I-765 is necessary, unless you are filing for replacement of a
non-expired lost, stolen, damaged, or incorrect card.
4. LIFE Family Unity--(a)(14). If you are applying for initial employment authorization under section 1504 of the
LIFE Act Amendments, complete and submit Form I-817. We will issue an EAD if we approve your Form I-817; no
Form I-765 is necessary unless you are filing for replacement of a non-expired lost, stolen, damaged, or incorrect card.
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5. V-1, V-2, or V-3 Nonimmigrant--(a)(15). If you were granted V status or an extension of V status while in the
United States, file Form I-765 with evidence of your V status (for example, an approval notice, your Form I-94,
passport, or other travel document). If you are in the United States but you have not yet filed an application for V
status, you may file Form I-765 at the same time as you file your application for V status. We will adjudicate this
application after adjudicating your application for V status.
Adjustment of Status Categories
1. Adjustment Applicant under Section 245--(c)(9). File Form I-765 together with Form I-485, Application to
Register Permanent Residence or Adjust Status, or if filing separately, submit a copy of your I-485 receipt notice or
other evidence that your Form I-485 is pending.
NOTE: If you are an asylee or refugee and have applied to adjust to lawful permanent resident status on Form I-485,
file Form I-765 under category (a)(5) as an asylee or (a)(3) as a refugee. Do not file under eligibility category (c)(9).
You will need to pay the filing fee or obtain a fee waiver for Form I-765 if your Form I-485 is still pending with
USCIS and this is not your first EAD as a refugee or asylee and you did not pay the Form I-485 filing fee for any
reason.
2. Registry Applicant Based on Continuous Residence Since January 1, 1972--(c)(16). File Form I-765 together
with your Form I-485 or, if filing separately, submit a copy of your Form I-485 receipt notice or other evidence that
your Form I-485 is pending.
3. Renewal EAD for National Interest Waiver Physicians: If you are requesting a renewal EAD based on your
pending adjustment of status application and an approved National Interest Waiver Physician petition, you must
also include evidence of your meaningful progress toward completing the National Interest Waiver obligation (for
example, documentation of employment in any period during the previous year, such as copies of W-2 forms). If you
did not work as a National Interest Waiver Physician during any period of the previous year, you must explain why
and provide a statement of future intent to work as a physician in a qualifying location.
Other Categories
1. Legalization Temporary Resident Pursuant to INA Sections 245A or 210--(a)(2). File Form I-765 with a copy of
your approval notice for Form I-687, Application for Status as a Temporary Resident Under Section 245A of the INA,
or other evidence that your Form I-687 is approved; OR File Form I-765 with a copy of your approval notice for Form
I-700, Application for Status as a Special Agricultural Worker, or other evidence that your Form I-700 is approved.
2. N-8 or N-9 Nonimmigrant--(a)(7). File Form I-765 with evidence of your lawful N nonimmigrant status (for
example, your Form I-94, passport, or other travel document).
3. Applicant for Cancellation of Removal--(c)(10). File Form I-765 with evidence one of the following forms is
pending with EOIR: EOIR-42A or EOIR-42B.
4. Applicant for Legalization Pursuant to INA Section 210--(c)(20). File Form I-765 with a copy of your receipt
notice for Form I-700, Application for Status as a Temporary Resident Under Section 210 of the INA, or other
evidence that your Form I-700 is pending.
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5. Applicant for Legalization Pursuant to INA Section 245A--(c)(22). File Form I-765 with a copy of your receipt
notice for Form I-687, Application for Status as a Temporary Resident Under Section 245A of the INA, or Form
I-698, Application to Adjust Status from Temporary to Permanent Resident Under Section 245A of the INA, or other
evidence that your Form I-687 or I-698 is pending.
6. Parole--(c)(11). File Form I-765 with a copy of your Form I-94, passport, or other travel document showing you were
paroled into the United States for urgent humanitarian reasons or reasons of significant public benefit (such as Cuban
Family and Haitian Family Reunification Parole programs).
7. Deferred Action--(c)(14). File Form I-765 with a copy of the order, notice, or other document reflecting the grant
of deferred action and proof that you have an economic necessity to work. We will consider whether you have an
economic necessity to work by reviewing your current annual income, your current annual expenses, and the total
current value of your assets. Provide this financial information on Form I-765WS, Form I-765 Worksheet. If you
would like to provide an explanation, complete Part 3. Explanation of the worksheet. Supporting evidence is not
required, but USCIS will accept and review any documentation that you submit. You do not need to include other
household members’ financial information to establish your own economic necessity.
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8. Consideration of Deferred Action for Childhood Arrivals--(c)(33).
A. You must file Form I-765 with Form I-821D, Consideration of Deferred Action for Childhood Arrivals, if you
meet the guidelines described in the Form I-821D Instructions. Enter (c)(33) in Part 2., Item Number 27., as the
eligibility category under which you are applying.
(1) You must file Form I-765 Worksheet to demonstrate that you have an economic necessity to work. We will
consider whether you have an economic necessity to work by reviewing your current annual income, your
current annual expenses, and the total current value of your assets. Provide this financial information on
Form I-765WS. If you would like to provide an explanation, complete Part 3. Explanation of the worksheet.
Supporting evidence is not required, but USCIS will accept and review any documentation that you submit.
You do not need to include other household members’ financial information to establish your own economic
necessity.
(2) The filing fee for Form I-765 is based on the Consideration of Deferred Action for Childhood Arrivals
category and the associated biometric services fee cannot be waived. However, we may waive the collection
of certain biometrics.
9. Final Order of Deportation or Removal, including Deferral of Removal under the Convention Against
Torture--(c)(18). File Form I-765 with a copy of the EOIR IJ’s Order of Removal and Form I-220B, Order of
Supervision (if any). Additional factors that may be considered include, but are not limited to, the following:
A. Existence of a dependent spouse and/or children in the United States who rely on you for support;
B. Existence of economic necessity to be employed; and
C. Anticipated length of time before you can be removed from the United States.
10. LIFE Legalization Applicant--(c)(24). File Form I-765 with evidence that you were a Catholic Social Services
(CSS), League of United Latin American Citizens (LULAC), or Zambrano class member applicant before October 1,
2000 and a copy of the Form I-797 Notice or other evidence that your Form I-485 is pending.
11. T-1 Nonimmigrant--(a)(16). If you are filing Form I-914, Application for T Nonimmigrant Status, and request an
EAD as part of that application, you do not need to file Form I-765. If you are currently in T-1 nonimmigrant status
and did not request an EAD when you filed your Form I-914, you may file Form I-765 to request an EAD. If you
were granted T-1 nonimmigrant status and want to request a replacement of an EAD, file Form I-765 along with
evidence of your T-1 nonimmigrant status (for example, an approval notice).
If you have filed Form I-539 to extend your T-1 nonimmigrant status, you may file Form I-765 to request a renewal of
your EAD, along with evidence of your T nonimmigrant status (for example, an approval notice). You may file Form
I-765 together with Form I-539 or after we approve your Form I-539. If you file Form I-765 after we approve your
Form I-539, submit a copy of your I-539 approval notice.
Form I-765 Instructions 01/17/17 N
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12. T-2, T-3, T-4, T-5, or T-6 Nonimmigrant--(c)(25). File Form I-765 along with proof of your derivative T
nonimmigrant status. If you obtained derivative T nonimmigrant status while in the United States, you must
submit a copy of the approval notice for your T nonimmigrant status. If you were admitted to the United States as
a T nonimmigrant, you must submit a copy of your passport with your T nonimmigrant visa. If you were granted
derivative T nonimmigrant status and want to request replacement of an EAD, file Form I-765 along with evidence of
your derivative T nonimmigrant status (for example, an approval notice).
If you (or the T-1 principal foreign national) filed Form I-539 to extend your T-2, T-3, T-4, T-5, or T-6 nonimmigrant
status in conjunction with an extension of the principal T-1 nonimmigrant’s status, you may file Form I-765 to request
an initial or renewal EAD, along with evidence of your nonimmigrant status (for example, an approval notice or copy
of your passport with your T nonimmigrant visa). You may also file Form I-765 together with Form I-539 or after
we approve your Form I-539. If you file Form I-765 after we approve your Form I-539, submit a copy of your Form
I-539 approval notice.
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NOTE: Derivative family members of T-1 nonimmigrants living outside the United States are not eligible to receive
an EAD until they lawfully enter the United States. If you are a derivative family member who is outside the United
States, do not file Form I-765.
13. T Nonimmigrant Adjustment of Status--(c)(9). If you filed Form I-485 to adjust your status from a T-1, T-2, T-3,
T-4, T-5, or T-6 nonimmigrant to a lawful permanent resident, you may file Form I-765 together with Form I-485 if
you are seeking an EAD. You should also include evidence of your T nonimmigrant status (for example, an approval
notice or copy of your passport with your T nonimmigrant visa). If you file Form I-765 after filing Form I-485,
submit a copy of your Form I-485 receipt notice. While your Form I-485 is pending, we will extend T nonimmigrant
status until a decision is made on your Form I-485.
14. U-1 Nonimmigrant--(a)(19). If you are currently residing in the United States and your Form I-918, Petition for U
Nonimmigrant Status, is approved, you will receive employment authorization incident to status and USCIS will send
you an EAD as evidence of that authorization. You do not need to file Form I-765. If you resided outside the United
States when your Form I-918 was approved, you must file Form I-765 with USCIS when you enter the United States.
You must submit a copy of your passport with your U nonimmigrant visa.
If we granted your U nonimmigrant status and you want to request a replacement of an EAD, file Form I-765 along
with evidence of your U nonimmigrant status (for example, an approval notice).
If you have filed Form I-539 to extend your U-1 nonimmigrant status, you may file Form I-765 to request a renewal
of your EAD, along with evidence of your U-1 nonimmigrant status (for example, an approval notice). You may file
Form I-765 together with Form I-539, or after we approve your Form I-539. If you file Form I-765 after we approve
your Form I-539, submit a copy of your I-539 approval notice.
NOTE: U-1 nonimmigrants living outside the United States are not eligible to receive an EAD until they lawfully
enter the United States. If you have an approved Form I-918 but are outside the United States, do not file Form I-765
until you have entered the United States.
NOTE: If the statutory cap is reached within a fiscal year and USCIS uses the waiting list process described at
8 CFR 214.14(d)(2), U-1 petitioners for U nonimmigrant status in the United States can file Form I-765 to apply for
an EAD based on deferred action ((c)(14)). An application for employment authorization based on deferred action
can only be approved after DHS has issued deferred action in your case, regardless of when Form I-765 is filed.
15. U-2, U-3, U-4, or U-5--(a)(20). You may file Form I-765 at the same time as Form 918, Supplement A, Petition for
Qualifying Family Member of U-1 Recipient, or you may file Form I-765 at a later time. If USCIS has granted you
derivative U nonimmigrant status, file Form I-765 along with proof of your derivative U nonimmigrant status. If
you obtained derivative U nonimmigrant status while in the United States, you must submit a copy of the approval
notice for that 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.
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If you (or the principal U-1 nonimmigrant) filed Form I-539 to extend your U-2, U-3, U-4, or U-5 nonimmigrant
status, you may file Form I-765 to request an initial or renewal EAD, along with evidence of your nonimmigrant
status (for example, an approval notice or copy of your passport with your U nonimmigrant visa). You may file Form
I-765 together with Form I-539 or after we approve your Form I-539. If you file Form I-765 after we approve your
Form I-539, submit a copy of your Form I-539 approval notice.
NOTE: Derivative family members of U-1 nonimmigrants living outside the United States are not eligible to receive
an EAD until they lawfully enter the United States. If you are a derivative family member who is outside the United
States, do not file Form I-765.
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NOTE: If the statutory cap is reached within a fiscal year and USCIS uses the waiting list process described at
8 CFR 214.14(d)(2), derivative family members of U-1 petitioners for U nonimmigrant status in the United States can
file Form I-765 to apply for an EAD based on deferred action ((c)(14)). An application for employment authorization
based on deferred action can only be approved after DHS has issued deferred action in your case, regardless of when
Form I-765 is filed.
16. U Nonimmigrant Adjustment of Status--(c)(9). If you filed Form I-485 to adjust your status from a U-1, U-2, U-3,
U-4 or U-5 Nonimmigrant to a lawful permanent resident, you may file Form I-765 along with Form I-485 if you are
seeking an EAD. You should also include evidence of your U nonimmigrant status (for example, an approval notice
or copy of your passport with your U nonimmigrant visa). If you file Form I-765 after filing your Form I-485, submit
a copy of your Form I-485 receipt notice. While your Form I-485 is pending, we will extend your U nonimmigrant
status until we make a decision on your Form I-485.
17. VAWA Self-Petitioners--(c)(31). If you are the principal beneficiary or derivative child of an approved VAWA selfpetition, you are eligible for work authorization. If you are filing a Form I-360 VAWA self-petition, and request an
initial EAD as the principal beneficiary of the self-petition, you do not need to file Form I-765. Principal beneficiaries
of an approved VAWA self-petition seeking a renewal or replacement EAD and derivative children seeking an EAD
must use Form I-765. File Form I-765 with evidence of the principal beneficiary’s approved Form I-360 VAWA selfpetition (for example, a copy of the VAWA self-petition approval notice).
18. A-3 or G-5 Nonimmigrant--(c)(14). If you have filed a pending civil action against your employer because your
employer violated the terms of your employment contract or conditions of your employment, you may file Form I-765
to request deferred action and receive work authorization. File Form I-765 with a copy of the civil complaint filed in
court and proof of lawful admission into the United States in A-3 or G-5 status (for example, a copy of your passport
with your A-3 or G-5 nonimmigrant visa). If you are requesting renewal after your initial employment authorization
is granted, file Form I-765 with evidence that the civil case is still pending (for example, a recent court docket update).
General Instructions
USCIS provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should
use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not
have Internet access, you may call the USCIS National Customer Service Center at 1-800-375-5283 and ask that we mail
a form to you. For TTY (deaf or hard of hearing) call: 1-800-767-1833.
Signature. Each application must be properly signed and filed. For all signatures on this application, USCIS will not
accept a stamped or typewritten name in place of a signature. If you are under 14 years of age, your parent or legal
guardian may sign the application on your behalf. A legal guardian may also sign for a mentally incompetent person.
Validity of Signatures. USCIS will consider a photocopied, faxed, or scanned copy of the original, handwritten signature
valid for filing purposes. The photocopy, fax, or scan must be of the original document containing the handwritten, ink
signature.
Filing Fee. Each application must be accompanied by the appropriate filing fee. (See the What Is the Filing Fee section
of these Instructions.)
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Biometric Services Fee. If you file this application with USCIS, you do not need to include a biometric services fee
at the time you submit your application. If you are later notified that you must submit biometrics, you will receive a
biometric services appointment notice with instructions on how to submit the additional biometric services fee. If you
file this application with an agency other than USCIS, please check with that agency to determine if and when you must
submit a biometric services fee.
Evidence. At the time of filing, you must submit all evidence and supporting documents listed in the Required
Documentation section of these Instructions. If you do not have and cannot get a required document, you must
demonstrate this and provide secondary evidence. If secondary evidence does not exist or is unavailable, you must
demonstrate both the unavailability of the required document and the relevant secondary evidence and submit two or more
sworn affidavits by people not named on this application who have direct knowledge of the event and circumstances.
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Biometric Services Appointment. USCIS may require that you appear for an interview or provide biometrics
(fingerprints, photograph, and/or signature) at any time to verify your identity, obtain additional information, and conduct
background and security checks, including a check of criminal history records maintained by the Federal Bureau of
Investigation (FBI), before making a decision on your application or petition. After USCIS receives your application
and ensures it is complete, we will inform you in writing if you need to attend a biometric services appointment. If an
appointment is necessary, the notice will provide you the location of your local or designated USCIS Application Support
Center (ASC) and the date and time of your appointment or, if you are currently overseas, instruct you to contact a U.S.
Embassy, U.S. Consulate, or USCIS office outside the United States to set up an appointment.
If you are required to provide biometrics, at your appointment you must sign an oath reaffirming that:
1. You provided or authorized all information in the application;
2. You reviewed and understood all of the information contained in, and submitted with, your application; and
3. All of this information was complete, true, and correct at the time of filing.
If you fail to attend your biometric services appointment, USCIS may deny your application.
Copies. You should submit legible photocopies of documents requested, unless the Instructions specifically state that you
must submit an original document. USCIS may request an original document at the time of filing or at any time during
processing of an application or petition. If USCIS requests an original document from you, it will be returned to you after
USCIS determines it no longer needs your original.
NOTE: If you submit original documents when not required or requested by USCIS, your original documents may be
immediately destroyed after we receive them.
Translations. If you submit a document with information in a foreign language, you must also submit a full English
translation. The translator must sign a certification that the English language translation is complete and accurate, and that
he or she is competent to translate from the foreign language into English. The certification must include the translator’s
signature. DHS recommends the certification contain the translator’s printed name, the signature date, and the translator’s
contact information.
How To Fill Out Form I-765
1. Type or print legibly in black ink.
2. If you need extra space to complete any item within this application, use the space provided in Part 6. Additional
Information or attach a separate sheet of paper. Type or print your name and Alien Registration Number (A-Number)
(if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer
refers; and sign and date each sheet.
3. Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been
married and the question asks, “Provide the name of your current spouse”), type or print “N/A” unless otherwise
directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many
children do you have” or “How many times have you departed the United States”), type or print “None” unless
otherwise directed.
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Specific Instructions
Part 1. Reason for Applying.
You must select one Item Number that best describes your reason for applying:
Item Number 1.a. Inital permission to accept employment.
Item Number 1.b. Replacement of a lost, stolen, or damaged EAD, or correction of your EAD not due to USCIS error.
NOTE: Replacement (correction) of an employment authorization document due to USCIS error does not require a
new Form I-765 and filing fee. Refer to Replacement for Card Error in the What Is the Filing Fee section of these
Instructions for further details.
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Item Number 1.c. Renewal of your permission to accept employment. If you select Item Number 1.c., attach a copy of
your previous EAD.
Part 2. Information About You
Item Numbers 1.a. - 1.c. Your Full Legal Name. Provide your full legal name as shown on your birth certificate or
legal change of name document in the spaces provided.
Item Numbers 2.a. - 4.c. Other Names Used. Provide all other names you have ever used, including aliases, maiden
name, and nicknames. If you need extra space to complete this section, use the space provided in Part 6. Additional
Information.
Item Numbers 5.a. - 5.f. Your U.S. Mailing Address. You must provide a valid mailing address in the United States.
You may list a valid U.S. residence, APO, or commercial address. You may also list a U.S. Post Office address (PO Box)
if that is how you receive your mail. If your mail is sent to someone other than yourself, please include an “In Care Of
Name” as part of your mailing address. If your U.S. mailing address is in a U.S. territory and it contains an urbanization
name, list the urbanization name in the “In Care Of Name” space provided. We will send your EAD to this address. Do
not use the attorney’s or other legal representative’s address.
NOTE: If you have a pending or approved Form I-360 VAWA self-petition, Form I-914, Application for T Nonimmigrant
Status, or Form I-918, Petition for U Nonimmigrant Status, and do not feel safe receiving correspondence regarding this
application at your residential address, provide a safe mailing address. You may provide a post office box (PO Box) or
the address of a friend, your attorney, a community-based organization that is helping you, or any other address where you
can safely and punctually receive mail. If an alternate or safe mailing address is not provided, USCIS may use the address
of your attorney or preparer, if any. If your safe mailing address is not the same as the address where you currently reside,
provide your U.S. physical address in Item Numbers 6.a. - 6.e.
Item Numbers 6. - 7.e. U.S. Physical Address. Type or print your physical address in the spaces provided.
Item Number 8. Alien Registration Number (A-Number) (if any). An Alien Registration Number, otherwise known
as an “A-Number,” is typically issued to people who apply for, or are granted, certain immigration benefits. In addition
to USCIS; ICE, U.S. Customs and Border Protection (CBP), EOIR, and the DOS may also issue an A-Number to certain
foreign nationals. If you were issued an A-Number, type or print it in the spaces provided. If you are renewing your
EAD, this number may be listed as the USCIS Number on the front of the card. If you have more than one A-Number, use
the space provided in Part 6. Additional Information to provide the information. If you do not have an A-Number or if
you cannot remember it, leave this space blank.
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Item Number 9. USCIS Online Account Number (if any). If you have previously filed an application or petition using
the USCIS online filing system (previously called USCIS Electronic Immigration System (USCIS ELIS)), provide the
USCIS Online Account Number you were issued by the system. You can find your USCIS Online Account Number by
logging in to your account and going to the profile page. If you previously filed certain applications or petitions on a
paper form through a USCIS Lockbox facility, you may have received a USCIS Online Account Access Notice issuing
you a USCIS Online Account Number. You may find your USCIS Online Account Number at the top of the notice. The
USCIS Online Account Number is not the same as an A-Number. If you were issued a USCIS Online Account Number,
enter it in the space provided.
Item Number 10. Gender. Select the box that indicates whether you are male or female.
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Item Number 11. Marital Status. Select the box that describes the marital status you have on the date you file Form
I-765.
Item Numbers 12. Previous Application for Employment Authorization from USCIS. If you have applied for
employment authorization in the past, select “Yes” for Item Number 12. Provide copies of your previous EADs, if
available.
Item Numbers 13.a. - 17.b. Questions regarding Social Security Number (SSN). Item Number 13.a. asks you if the
Social Security Administration (SSA) has ever officially issued you a Social Security card. If the SSA ever issued a Social
Security card to you in your name or a previously used name such as your maiden name, then you must enter the SSN
from your card in Item Number 13.b.
If your request for employment authorization is approved, the SSA may assign you an SSN and issue you a Social
Security card, or issue you a replacement card. If you want the SSA to assign you a Social Security number and issue you
a Social Security card, or issue you a new or replacement Social Security card, then answer “Yes” to both Item Number
14. and Item Number 15. You must also provide your father’s and mother’s family and given names at birth in Item
Numbers 16.a. - 17.b. SSA will use Item Numbers 16.a. -17.b. in issuing you a Social Security card.
You are not required to request an SSN using this application. Completing Item Numbers 14. - 17.b. is optional.
However, you must have an SSN properly assigned in your name to work in the United States.
NOTE: If your employer uses E-Verify to confirm new employees’ eligibility to legally work in the United States, the
information you provide on Form I-9, Employment Eligibility Verification, will be compared to data in SSA and DHS
databases. Employees must have an SSN in order for E-Verify to confirm their eligibility to legally work in the United
States.
Item Number 18.a. - 18.b. Country or Countries of Citizenship or Nationality. Type or print the name of the country
or countries where you are currently a citizen or national.
1. If you are stateless, type or print the name of the country where you were last a citizen or national.
2. If you are a citizen or national of more than one country, type or print the name of the foreign country that issued your
last passport.
Item Numbers 19.a. - 19.c. Place of Birth. Enter the name of the city, town, or village; state or province; and country
where you were born. Type or print the name of the country as it was named when you were born, even if the country’s
name has changed or the country no longer exists.
Item Number 20. Date of Birth. Enter your date of birth in mm/dd/yyyy format in the space provided. For example,
type or print October 5, 1967 as 10/05/1967.
Item Numbers 21.a. - 21.e. Form I-94 Arrival-Departure Record. If CBP or USCIS issued you a Form I-94, ArrivalDeparture Record, provide your Form I-94 number. The Form I-94 number also is known as the Departure Number on
some versions of Form I-94.
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NOTE: If you were admitted to the United States by CBP at an airport or seaport after April 30, 2013, CBP may have
issued you an electronic Form I-94 instead of a paper Form I-94. You may visit the CBP website at www.cbp.gov/i94 to
obtain a paper version of an electronic Form I-94. CBP does not charge a fee for this service. Some travelers admitted to
the United States at a land border, airport, or seaport, after April 30, 2013, with a passport or travel document, who were
issued a paper Form I-94 by CBP, may also be able to obtain a replacement Form I-94 from the CBP website without
charge. If your Form I-94 cannot be obtained from the CBP website, it may be obtained by filing Form I-102, Application
for Replacement/Initial Nonimmigrant Arrival-Departure Record, with USCIS. USCIS does charge a fee for this service.
Passport and Travel Document Numbers. If you used a passport or travel document to travel to the United States, enter
either the passport or travel document information in the appropriate space on the application, even if the passport or
travel document is currently expired.
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Item Number 22. Date of Your Last Arrival Into the United States, On or About. Provide the date on which you last
entered the United States in mm/dd/yyyy format.
Item Number 23. Place of Your Last Arrival Into the United States. Provide the location where you last entered the
United States.
Item Number 24. Immigration Status at Your Last Arrival. Provide the letter and number that correlates with your
status when you last entered the United States. For example, if you last entered the United States as a temporary visitor
for pleasure, B-2, type or print “B-2 visitor” in the space provided.
Item Number 25. Your Current Immigration Status or Category. Provide your current immigration status. For
example, if your current status is student academic, F-1, type or print “F-1 student” in the space provided.
Item Number 26. Student and Exchange Visitor Information System (SEVIS) Number (if any). If you were issued a
SEVIS number, enter it in the space provided.
Item Number 27. Eligibility Category. Refer to the list of the eligibility categories in the Who May File Form I-765
section of these Instructions. Find your eligibility category, and enter it in the space provided.
Item Numbers 28. - 28.c. (c)(3)(C) STEM OPT Eligibility Category. If you entered eligibility category (c)(3)(C) in
Item Number 27., provide your degree level and major (for example, Bachelor’s degree in English), your employer’s
name as listed in E-Verify, your employer’s E-Verify Company Identification Number, or a valid E-Verify Client Company
Identification Number in the spaces provided.
Item Number 29. (c)(26) Eligibility Category. If you entered eligibility category (c)(26) in Item Number 27., provide
the receipt number of your spouse’s most recent Form I-797 Notice for Form I-129, Petition for a Nonimmigrant Worker,
in the space provided.
Item Number 30. (c)(8) Eligibility Category. If you entered the eligibility category (c)(8) in Item Number 27., provide
an answer to the question “Have you have EVER been arrested for and/or convicted of any crime?” If you answered
“Yes” to Item Number 30., refer to Special Filing Instructions for Those With Pending Asylum Applications (c)(8) in
the Required Documentation section of the Instructions for information about providing court dispositions.
Item Number 31.a. - 31.b. (c)(35) and (c)(36) Eligibility Category. If you entered the eligibility category (c)(35) or
(c)(36) in Item Number 27., please provide the receipt number of your Form I-797 Notice for Form I-140 or the receipt
number of your spouse’s or parent’s Form I-797 Notice for Form I-140. Provide an answer to the question “Have you
EVER been arrested for and/or convicted of any crime?”
NOTE: If you answered “Yes” to Item Number 31.b., refer to Employment-Based Nonimmigrant Categories,
Items 8. - 9. in the Who May File Form I-765 section of the Instructions for information about providing court
dispositions.
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Part 3. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature
Item Numbers 1.a. - 7.b. Select the appropriate box to indicate whether you read this application yourself or whether
you had an interpreter assist you. If someone assisted you in completing the application, select the box indicating that you
used a preparer. Further, you must sign and date your application and provide your daytime telephone number, mobile
telephone number (if any), and email address (if any). Every application MUST contain the signature of the applicant (or
parent or legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.
Part 4. Interpreter’s Contact Information, Certification, and Signature
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Item Numbers 1.a. - 7.b. If you used anyone as an interpreter to read the Instructions and questions on this application to
you in a language in which you are fluent, the interpreter must fill out this section; provide his or her name, the name and
address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone
number (if any), and his or her email address (if any). The interpreter must sign and date the application.
Part 5. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than
the Applicant
Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your application, if other
than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should complete
both Part 4. and Part 5. If the person who completed this application is associated with a business or organization,
that person should complete the business or organization name and address information. Anyone who helped you
complete this application MUST sign and date the application. A stamped or typewritten name in place of a signature
is not acceptable. If the person who helped you prepare your application is an attorney or accredited representative,
he or she may also need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited
Representative, along with your application.
Part 6. Additional Information
Item Numbers 1.a. - 7.d. If you need extra space to provide any additional information within this application, use the
space provided in Part 6. Additional Information. If you need more space than what is provided in Part 6., you may
make copies of Part 6. to complete and file with your application, or attach a separate sheet of paper. Type or print your
name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to
which your answer refers; and sign and date each sheet.
We recommend that you print or save a copy of your completed application to review in the future and
for your records.
Required Documentation
You must submit all evidence requested in these Instructions with your application. If you fail to submit required
evidence, USCIS may reject or deny your application for failure to submit requested evidence or supporting documents in
accordance with 8 CFR 103.2(b)(1) and these Instructions.
You must file all applications with the documents required below, the particular evidence required for each category listed
in the Who May File Form I-765 section of these Instructions, and the appropriate filing fee, if required.
If you are required to show economic necessity for your category, submit a list of your assets, income, and expenses.
Provide this financial information on Form I-765WS, Form I-765 Worksheet. If you would like to provide an explanation,
complete Part 3. Explanation of the worksheet.
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Assemble the documents in the following order.
1. The appropriate filing fee, if applicable. See the What Is the Filing Fee section of these Instructions for details.
2. Your properly signed application.
3. You must submit the following documents.
A. A copy of at least one of the following documents: Form I-94, Arrival-Departure Record (front and back), a
printout of your electronic Form I-94 from www.cbp.gov/i94, passport, or other travel document. If you are filing
Form I-765 under the (c)(9) category, copies of any of the above are not required.
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B. A copy of your last EAD (front and back). If you were not previously issued an EAD, you must submit a copy
of a 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 your facial features and contain your
biographical information.
NOTE: If you are filing under the (c)(33) category, you are not required to submit additional documentation
beyond what you submit with Form I-821D under 2. What documents do you need to provide to prove identity
in the Evidence for Initial Requests Only section of the Form I-821D Instructions.
C. Photographs
You must submit two identical color passport-style photographs of yourself taken recently. 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 two identical passport-style photos must be 2 by 2 inches. The photos must be in color with a full face,
frontal view, on a white to off-white background. Head height should measure 1 to 1 3/8 inches from the top of
your hair to the bottom of your chin, and eye height is between 1 1/8 to 1 3/8 inches from the top of your eyes
to the bottom of photo. Your head must be bare unless you are wearing headwear as required by a religious
denomination of which you are a member. Using a pencil or felt pen, lightly print your name and A-Number (if
any) on the back of the photo.
Special Filing Instructions for Those With Pending Asylum Applications--(c)(8)
You are subject to a 150-day waiting period before you can apply for an EAD, and an additional 30-day period before we
can issue you an EAD, for a total of 180 days. The number of days a completed asylum application is considered pending
does not include any delays requested or caused by you while your application is pending with the USCIS asylum office
or with an EOIR IJ. (See 8 CFR 208.7.) This time period during which your asylum application is pending before we
may grant you an EAD is called the “180-day asylum EAD clock.” We may reject your Form I-765 if you file it before
the 150-day waiting period has elapsed. Some examples of delays that may be caused by you while your application is
pending with the USCIS Asylum Office include, but are not limited to:
1. Failure to appear at your interview or fingerprint appointment;
2. Failure to receive and acknowledge your asylum decision in person (if required);
3. A request to reschedule your interview for a later date;
4. A request to transfer your case to a new asylum office or interview location, including when the transfer is based on a
new address;
5. A request to provide additional evidence after your interview; and
6. Failure to provide a competent interpreter at your interview.
Additionally, if you fail to appear for your interview with a USCIS asylum office or for a hearing before an EOIR IJ, you
may be ineligible for an EAD.
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If you have received a Recommended Approval notice from the USCIS asylum office recommending a grant of asylum,
you do not need to wait 150 days and may apply for an EAD immediately upon receipt of this notice. Provide a copy of
your notice as evidence of your recommended approval with your Form I-765.
If you are a category (c)(8) applicant who has met the requisite 150-day waiting period to file Form I-765, not including
delays caused or requested by you, file your Form I-765 with the following evidence, where applicable.
1. If you filed your Form I-589 with USCIS, a copy of the following: the USCIS Acknowledgement of Receipt that
was mailed to you and your USCIS Asylum Interview Notice (scheduling, re-scheduling, or cancelling your asylum
interview); your Form I-797C Notice (ASC appointment notice) (for a biometrics appointment for your Form I-589);
or other evidence that you filed your Form I-589 with USCIS.
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2. If you lodged or filed your Form I-589 with EOIR, acknowledgement of receipt of your application or other available
evidence.
3. If an EOIR IJ has denied your asylum and withholding of removal relief, but you met the requisite 180-day waiting
period prior to the EOIR IJ’s decision in your case, evidence that you:
A. Timely appealed the EOIR IJ’s decision on your Form I-589 to the BIA and the appeal remains pending; and
B. If applicable, evidence that you timely appealed the BIA decision on your Form I-589 to a U.S. Court of Appeals
and that decision remains pending.
4. If your Form I-589 has been remanded to an EOIR IJ for further adjudication of your underlying asylum claim:
A. A copy of the BIA decision and order remanding your case to the EOIR IJ; and
B. Evidence that your asylum claim remains under review by the EOIR IJ.
5. Evidence of Arrests and Conviction. For initial and renewal applications, you are required to submit evidence
of any arrests and/or convictions. If you have been convicted of an aggravated felony, you cannot be granted
employment authorization under this eligibility category. USCIS will make the determination as to whether your
convictions meet the definition of aggravated felony. You must, however, provide information and any supporting
documentation on all crimes which you were convicted of so USCIS can make an appropriate decision. Provide a
certified copy of all arrest reports, court dispositions, sentencing documents, and any other relevant documents.
NOTE: USCIS may, in its discretion, deny your application if you have been arrested and/or convicted of any crime.
Asylum and Withholding of Deportation Applicants (with a pending Form I-589) who filed before January 4, 1995
You may file Form I-765 at any time; however, we will only grant your employment authorization if we find that your
asylum application is not frivolous. File Form I-765 with a copy of the following documents, where applicable:
1. Your date-stamped previously filed Form I-589;
2. If you filed your Form I-589 with the former Immigration and Naturalization Service (INS), an INS
Acknowledgement of Receipt;
3. A USCIS Asylum Interview Notice (scheduling, re-scheduling, or cancelling your asylum interview);
4. Form I-797 Notice, Fingerprint Notification (for a fingerprint appointment for your Form I-589);
5. If you filed your Form I-589 in exclusion or deportation proceedings, evidence that your Form I-589 was filed with
EOIR;
6. If you are currently in exclusion or deportation proceedings, 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
7. Evidence that your Form I-589 remains under administrative or judicial review.
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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), you are entitled to an EAD under the ABC settlement agreement. Follow the instructions contained in
this section when filing your Form I-765.
You must have filed your asylum application (Form I-589) with us (INS or USCIS) or with an EOIR IJ to receive an EAD.
Therefore, submit evidence that you have previously filed a complete asylum application when you submit Form I-765.
You are not required to submit this evidence when you apply, but it will help us process your request more efficiently.
If you are requesting an initial EAD under this category, you do not need to pay the filing fee. If you are requesting a
renewal or replacement EAD, you must pay the filing fee. Mark your application as follows:
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1. Type or print “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.
2. Type or print “(c)(8)” in Part 2., Item Number 27., of the application.
3. Select the box in Part 3., Item Number 6., of this application.
You are entitled to an EAD without regard to the merits of your asylum claim.
Your Form I-765 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. You correctly mark your application as described above. You must pay the filing fee for an initial EAD request. If
you cannot pay the filing fee for an EAD, you may apply for a fee waiver under 8 CFR 103.7(c).
Special Filing Instructions for Spouses of E-2 CNMI Investors--(c)(12)
Spouses of certain principal E-2 CNMI investors (E-2C) are eligible to seek employment in the CNMI. An EAD issued
under this category is only valid for employment in the CNMI.
To determine if you are eligible for an EAD under this section, you must determine what type of investor certificate was
issued by the CNMI to your spouse, the principal E-2 CNMI investor. If your spouse was issued either a Long-Term
Business Certificate or Foreign Investment Certificate, you may be eligible for an EAD under this category. If your
spouse was issued a Foreign Retiree Investment Certification, you are not eligible to receive an EAD under this category.
File Form I-765 with:
1. Documentation (such as a marriage certificate) establishing a legal marriage;
2. Documentation (such as divorce or death certificates) establishing the termination of any prior marriages of you and
your spouse (if applicable);
3. Documentation establishing that you reside in the CNMI;
4. Documentation establishing that your spouse has obtained E-2C status;
5. Documentation establishing that you have obtained E-2C status as a dependent; and
6. A copy of your spouse’s CNMI issued Long-Term Business Certificate or Foreign Investment Certificate.
What Is the Filing Fee?
The filing fee for Form I-765 is $410.
NOTE: The filing fee is not refundable, regardless of any action USCIS takes on this application. DO NOT MAIL
CASH. You must submit all fees in the exact amounts.
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Special Instructions for TPS Applicants. If you are requesting an EAD as an initial TPS applicant, you must pay
the Form I-765 filing fee, unless you are under 14 years of age or over 65 years of age. If you are a TPS beneficiary
requesting an EAD when filing for TPS re-registration, you must pay the Form I-765 filing fee, regardless of your age.
Special Instructions for Deferred Action for Childhood Arrivals--(c)(33). All requestors under this category must pay
the biometric services fee of $85. The biometric services fee and the filing fee for this application cannot be waived.
Special Instructions for Beneficiaries of an Approved Employment-Based Immigrant Petition--(c)(35) and Spouses
or Children of a Principal Beneficiary of an Approved Immigrant Petition--(c)(36). All applicants under these
categories must submit biometrics. An additional biometric services fee of $85 is required for applicants 14 to 79 years of
age, unless waived.
Exceptions
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Initial EAD. If this is your initial application and you are applying under one of the following categories, a filing fee is
not required for:
1. (a)(3) Refugee;
2. (a)(4) Paroled as Refugee;
3. (a)(5) Asylee;
4. (a)(7) N-8 or N-9 nonimmigrant;
5. (a)(8) Citizen of Micronesia, Marshall Islands, or Palau;
6. (a)(10) Granted Withholding of Deportation;
7. (a)(16) Victim of Severe Form of Trafficking (T-1 Nonimmigrant);
8. (a)(12) or (c)(19) Temporary Protected Status if you are filing an initial TPS application and you are under 14 years of
age or over 65 years of age. All applicants for TPS re-registration who want an EAD must pay the filing fee, unless
granted a fee waiver;
9. (a)(19) Victim of Qualifying Criminal Activity (U-1 Nonimmigrant);
10. (c)(1), (c)(4), or (c)(7) Dependent of certain foreign government, international organization, or NATO personnel;
11. (c)(8) Applicant for Asylum and Withholding of Deportation and Removal (an applicant filing under the special ABC
procedures must pay the filing fee);
12. (c)(9) or (c)(16) Any current Adjustment of Status or Registry applicant who filed Form I-485 on or after July 30,
2007, and paid the appropriate Form I-485 filing fee. If you file Form I-765 separately from your Form I-485, you
must also submit a copy of your Form I-797C Notice for Form I-485, as evidence of filing Form I-485 on or after July
30, 2007, and payment of the appropriate filing fee. If you did not pay the appropriate Form I-485 filing fee because
your filing fee was waived or you are exempt from paying it, you must pay the Form I-765 filing fee or request that
the filing fee be waived; and
13. (c)(31) VAWA Self-Petitioner.
Renewal EAD. If this is a renewal application and you are applying under one of the following categories, a filing fee is
not required for:
1. (a)(8) Citizen of Micronesia, Marshall Islands, or Palau;
2. (a)(10) Granted Withholding of Deportation;
3. (c)(l), (c)(4), or (c)(7) Dependent of certain foreign government, international organization, or NATO personnel; and
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4. (c)(9) or (c)(16) Any current Adjustment of Status or Registry applicant who filed for adjustment of status on or after
July 30, 2007, and paid the appropriate Form I-485 filing fee of $930 or $985. If you file Form I-765 separately from
your Form I-485, you must also submit a copy of your Form I-797C Notice for Form I-485, as evidence of filing Form
I-485 on or after July 30, 2007, and payment of the appropriate form filing fee of $930 or $985 ($600 or $635 for an
accompanying minor). If you did not pay the appropriate Form I-485 filing fee because your filing fee was waived or
you are exempt from paying it, you must pay the Form I-765 filing fee or request that the filing fee be waived.
Replacement for Lost, Stolen, or Damaged EAD. If you are requesting a replacement EAD because your previously
issued card was lost, stolen, or damaged, but has not expired, you must pay the filing fee unless you have filed for
adjustment of status on or after July 30, 2007 and paid the Form I-485 filing fee. If you did not pay the Form I-485
filing fee because your filing fee was waived or you are exempt from paying it, you must pay the Form I-765 filing fee or
request that the filing fee be waived. See Form I-912 at www.uscis.gov/i-912.
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Replacement for Card Error
1. If the card we issued to you contains incorrect information that is not attributed to our error, you must submit a new
Form I-765 and filing fee, unless you have a pending Form I-485 and paid the Form I-485 filing fee. If you did not
pay the appropriate Form I-485 filing fee because your filing fee was waived or you are exempt from paying it, you
must pay the Form I-765 filing fee or request that the filing fee be waived. You must include the card containing the
error when you submit the new Form I-765.
2. If the card we issued to you contains incorrect information that is attributed to our error, you do not need to file a new
Form I-765 and filing fee. Instead, you must submit a letter explaining the error, along with the card containing the
error to the service center or National Benefits Center that approved your last Form I-765.
Payments by Check or Money Order
Use the following guidelines when you prepare your check or money order for the Form I-765 filing 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.
NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.”
NOTE: If you filed Form I-485 on or after July 30, 2007, and you paid the appropriate Form I-485 filing fee, no filing fee
is required to request employment authorization on Form I-765. You may file Form I-765 with Form I-485, or you may
submit Form 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 as evidence of filing Form I-485 on or after July 30, 2007 and paying the filing fee.
If you did not pay the appropriate Form I-485 filing fee because your filing fee was waived or you are exempt from paying
it, you must pay the Form I-765 filing fee or request that the filing fee be waived.
Notice to Those Paying by Check. If you send USCIS a check, we will convert it 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 your bank will show it on your regular
account statement.
You will not receive your original check back. We will destroy your original check, but will keep a copy of it. If USCIS
cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If
your check is returned as unpayable, we will re-submit the payment to the financial institution one time. If the check is
returned as unpayable a second time, we will reject your application and charge you a returned check fee.
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Payments by Credit Card
If you are filing your form at a USCIS Lockbox facility, you can pay your filing fee and biometric services fee
(if applicable) using a credit card. Please see Form G-1450, Authorization for Credit Card Transactions, at
www.uscis.gov/G-1450 for more information.
How To Check If the Fees Are Correct
Form I-765’s filing fee is current as of the edition date in the lower left corner of this page. However, because USCIS fees
change periodically, you can verify that the fee is correct by following one of the steps below.
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1. Visit the USCIS website at www.uscis.gov, select “FORMS,” and check the appropriate fee; or
2. Call the USCIS National Customer Service Center at 1-800-375-5283 and ask for fee information. For TTY (deaf or
hard of hearing) call: 1-800-767-1833.
Fee Waiver
You may be eligible for a fee waiver under 8 CFR 103.7(c). If you believe you are eligible for a fee waiver, complete
Form I-912, Request for Fee Waiver (or a written request), and submit it and any required evidence of your inability to
pay the filing fee with this application. You can review the fee waiver guidance at www.uscis.gov/feewaiver.
Where to File?
Please see our website at www.uscis.gov/I-765 or call our National Customer Service Center at 1-800-375-5283 for the
most current information about where to file this application. For TTY (deaf or hard of hearing) call: 1-800-767-1833.
If you are requesting an EAD as an initial TPS applicant or a TPS beneficiary, see the Form I-821 Instructions and
the most recent Federal Register notice regarding a TPS designation, re-designation, or extension for your country for
additional guidance and filing location. You can find information on countries designated for TPS on our website at
www.uscis.gov/tps.
Address Change
An applicant who is not a U.S. citizen must notify USCIS of his or her new address within 10 days of moving from
his or her previous residence. For information on filing a change of address, go to the USCIS website at
www.uscis.gov/addresschange or contact the USCIS National Customer Service Center at 1-800-375-5283. For TTY
(deaf or hard of hearing) call: 1-800-767-1833.
NOTE: Do not submit a change of address request to the USCIS Lockbox facilities because the Lockbox does not
process change of address requests.
Processing Information
You must have a United States address to file this application.
Initial processing. Once USCIS accepts your application, we will check it for completeness. If you do not completely
fill out this application, you will not establish a basis for your eligibility and USCIS may reject or deny your application.
Requests for More Information. USCIS may request that you provide more information or evidence to support your
application. We may also request that you provide the originals of any copies you submit. If we request an original
document from you, it will be returned to you after USCIS determines it no longer needs your original.
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Requests for Interview. We may request that you appear at a USCIS office for an interview based on your application.
At the time of any interview or other appearance at a USCIS office, we may require that you provide your biometrics to
verify your identity and/or update background and security checks.
Decision. The decision on Form I-765 involves a determination of whether you have established eligibility for the
immigration benefit you are seeking. USCIS will notify you of the decision in writing.
Approval. If your application is approved, we will either mail your EAD to you or we may require you to visit your local
USCIS office to pick it up.
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Denial. If USCIS cannot approve your application, you will receive a written notice explaining the basis of your denial.
USCIS Forms and Information
To ensure you are using the latest version of this application, visit the USCIS website at www.uscis.gov where you can
obtain the latest USCIS forms and immigration-related information. If you do not have Internet access, you may order
USCIS forms by calling the Forms Request Line at 1-800-870-3676. You may also obtain forms and information by
calling the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call:
1-800-767-1833.
Instead of waiting in line for assistance at your local USCIS office, you can schedule an appointment online at
www.uscis.gov. Select “Make an Appointment” and follow the screen prompts to set up your appointment. Once you
finish scheduling an appointment, the system will generate an appointment notice for you.
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.
SSA Privacy Act Statement
Sections 205(c) and 702 of the Social Security Act authorizes SSA to collect information to assign you an SSN and
issue a Social Security card. The information you furnish on this application is voluntary. However, failure to provide
the requested information may prevent SSA from issuing you an SSN and Social Security card. SSA will maintain the
information used to assign you an SSN and issue you a Social Security card in SSA’s system of records [Master Files of
Social Security Number (SSN) Holders and SSN Applications, 60-0058]. Complete lists of approved routine uses for the
information used to assign you an SSN and issue you a Social Security card are available in the System of Records Notice
60-0058, available at www.ssa.gov.
DHS Privacy Notice
AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the
Immigration and Nationality Act, 8 U.S.C. section 1324a, and 8 CFR 274a.13.
PURPOSE: The primary purpose for providing the requested information on this application is to determine eligibility
for certain aliens who are temporarily in the United States requesting an Employment Authorization Document. DHS uses
the information you provide to grant or deny the benefit you are seeking.
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DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information,
including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in
denial of your application.
ROUTINE USES: DHS may, where allowable under relevant confidentiality provisions, share the information you
provide on this application and any additional requested evidence with other Federal, state, local, and foreign government
agencies and authorized organizations. DHS follows approved routine uses, as described in the associated published
system of records notices [DHS/USCIS-001 – Alien File, Index, and National File Tracking System; DHS/USCIS-007 –
Benefit Information System; DHS/USCIS-010 – Asylum Information and Pre-Screening; and DHS/USCIS-017 Refugee
Case Processing and Security Screening Information System] and the published privacy impact assessments
[DHS/USCIS/PIA-016(a) Computer Linked Application Information Management System and Associated Systems;
DHS/USCIS/PIA-027 Asylum Division; DHS/USCIS/PIA-056 USCIS Electronic Immigration System; and
DHS/USCIS/PIA-068 Refugee Case Processing and Security Vetting], which you can find at www.dhs.gov/privacy.
DHS may also share this information as appropriate for law enforcement purposes or in the interest of national security.
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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 Office of Management and Budget (OMB) control number. The public
reporting burden for this collection of information is estimated at 4 hours and 30 minutes per response, including the time
for reviewing instructions, gathering the required documentation and information, completing the application, preparing
statements, attaching necessary documentation, and submitting the application. The public reporting burden for the
collection of information for Form I-765WS is estimated at 30 minutes per response, including the time for reviewing
instructions, gathering the required documentation and information, completing the application, preparing statements,
attaching necessary documentation, and submitting the application. 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 Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave NW,
Washington, DC 20529-2140; OMB No. 1615-0040. Do not mail your completed Form I-765 to this address.
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| File Type | application/pdf |
| File Title | Form I-765 Instructions |
| Subject | Instructions for Application for Employment Authorization |
| Author | FMB |
| File Modified | 2018-05-24 |
| File Created | 2018-05-24 |