I-765ws Toc

I765WS-FRM-TOC-Comp-OMBReview-05222018.docx

Application for Employment Authorization

I-765WS TOC

OMB: 1615-0040

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TABLE OF CHANGES – FORM

Form I-765WS, Form I-765 Worksheet

OMB Number: 1615-0040

05/22/2018


Reason for Revision: Comprehensive Revision.


Legend for Proposed Text:

  • Black font = Current text

  • Purple font = Standard language

  • Red font = Changes



Current Page Number and Section

Current Text

Proposed Text

Page 1

If you are applying for employment authorization under the (c)(14), Deferred Action, or (c)(33), Consideration of Deferred Action for Childhood Arrivals, categories, you must complete this worksheet so that USCIS can determine whether you have an economic need to work. In the spaces provided, please indicate your current annual income, your current annual expenses, and the total current value of your assets. It is not necessary to submit supporting documentation, though it will be accepted and reviewed if you choose to submit it. You do not need to include other household members' financial information to establish your own economic necessity.


If you are applying for employment authorization under the (c)(14), Deferred Action, or (c)(33), Consideration of Deferred Action for Childhood Arrivals, categories, you must complete this worksheet so we can determine whether you have an economic need to work. In the spaces provided, indicate your current annual income, your current annual expenses, and the total current value of your assets. Supporting evidence is not required, but U.S. Citizenship and Immigration Services (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.

Page 1, Part 1. Full Name

Part 1. Full Name


1.a. Family Name (Last Name)

1.b. Given Name (First Name)

1.c. Middle Name


Part 1. Your Full Name


[No change]


Page 1, Part 2. Financial Information

Part 2. Financial Information


2. My current annual income is:

3. My current annual expenses are:

4. The total current value of my assets is:

Part 2. Financial Information


1. My current annual income is:

2. My current annual expenses are:

3. The total current value of my assets is:


Page 1, Part 3. Explanation

Part 3. Explanation


If you would like to provide an explanation regarding your current financial information or your economic need for employment authorization, please use the space below.

[Fillable field]

Part 3. Explanation


If you would like to provide an explanation regarding your current financial information or your economic need for employment authorization, use the space below.

[Fillable field]




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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleTABLE OF CHANGE – FORM I-687
Authorjdimpera
File Modified0000-00-00
File Created2021-01-21

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