Form I-765 TOC

TABLE OF CHANGES – FORM

Form I-765, Application For Employment Authorization

OMB Number: 1615-0040

10/28/2019

Reason for Revision: Asylum EAD NPRM

Legend for Proposed Text:

• Black font = Current text

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Expires 05/31/2020

Edition Date 5/31/2018

Current Page Number and Section	Current Text	Proposed Text
Pages 1-3, Part 2. Information About You	[page 3] … 26. Student and Exchange Visitor Information System (SEVIS) Number (if any) [new] Information About Your Eligibility Category 27. Eligibility Category. Refer to the Who May File Form I-765 section of the Form I-765 Instructions to determine the appropriate eligibility category for this application. Enter the appropriate letter and number for your eligibility category below (for example, (a)(8), (c)(17)(iii)). [Three fillable fields separated by parenthesis] (c)(3)(C) STEM OPT Eligibility Category. If you entered the eligibility category (c)(3)(C) in Item Number 27., provide the information requested in Item Numbers 28.a - 28.c. 28.a. Degree 28.b. Employer's Name as Listed in E-Verify 28.c. Employer's E-Verify Company Identification Number or a Valid E-Verify Client Company Identification Number 29. (c)(26) Eligibility Category. If you entered the eligibility category (c)(26) in Item Number 27., provide the receipt number of your H-1B spouse's most recent Form I-797 Notice for Form I-129, Petition for a Nonimmigrant Worker. 30. (c)(8) Eligibility Category. If you entered the eligibility category (c)(8) in Item Number 27., have you EVER been arrested for and/or convicted of any crime? Yes No NOTE: 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 Form I-765 Instructions for information about providing court dispositions. 31.a. (c)(35) and (c)(36) Eligibility Category. If you entered the eligibility category (c)(35) in Item Number 27., please provide the receipt number of your Form I-797 Notice for Form I-140, Immigrant Petition for Alien Worker. If you entered the eligibility category (c)(36) in Item Number 27., please provide the receipt number of your spouse's or parent's Form I-797 Notice for Form I-140. 31.b. If you entered the eligibility category (c)(35) or (c)(36) in Item Number 27., have you EVER been arrested for and/or convicted of any crime? Yes No 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 Form I-765 Instructions for information about providing court dispositions.	[page 3] … 26. Student and Exchange Visitor Information System (SEVIS) Number (if any) If you are filing under the (c)(8) eligibility category, provide the information requested in Item Numbers 27. - 29.d. 27. Did you enter the United States lawfully through a Port of Entry and were you admitted or paroled after inspection by an immigration officer? (If you answer “Yes,” you MUST provide evidence of your lawful entry.) Yes No 28. If you answered “No” to Item Number 27., did you present yourself to the Department of Homeland Security (DHS) within 48 hours of entry or attempted entry AND express an intention to seek asylum within the United States or express a fear of persecution or torture in your home country? Yes No If you answered “Yes” to Item Number 28., provide the following information: 29.a. Date You Presented Yourself to DHS (mm/dd/yyyy) 29.b. Location Where You Presented Yourself to DHS 29.c. Country of Claimed Persecution 29.d. Provide an explanation of why you did not enter the United States lawfully through a U.S. port of entry. If you need extra space to complete this section, use the space provided in Part 6. Additional Information. [fillable field] NOTE: Refer to the Special Filing Instructions for Those With Pending Asylum Applications (c)(8) section of the Form I-765 Instructions for more information. Information About Your Eligibility Category 30. Eligibility Category. Refer to the Who May File Form I-765 section of the Form I-765 Instructions to determine the appropriate eligibility category for this application. Enter the appropriate letter and number for your eligibility category below (for example, (a)(8), (c)(17)(iii)). [Three fillable fields separated by parenthesis] (c)(3)(C) STEM OPT Eligibility Category. If you entered the eligibility category (c)(3)(C) in Item Number 30., provide the information requested in Item Numbers 31.a. - 31.c. 31.a. Degree 31.b. Employer's Name as Listed in E-Verify 31.c. Employer's E-Verify Company Identification Number or a Valid E-Verify Client Company Identification Number 32. (c)(26) Eligibility Category. If you entered the eligibility category (c)(26) in Item Number 30., provide the receipt number of your H-1B spouse's most recent Form I-797 Notice for Form I-129, Petition for a Nonimmigrant Worker. 33. (c)(8) Eligibility Category. If you entered the eligibility category (c)(8) in Item Number 30., have you EVER been arrested for, and/or charged with, and/or convicted of any crime in any country? Yes No NOTE: If you answered “Yes” to Item Number 33., refer to Special Filing Instructions for Those With Pending Asylum Applications (c)(8) of the Form I-765 Instructions for information about providing court dispositions. 34.a. (c)(35) and (c)(36) Eligibility Category. If you entered the eligibility category (c)(35) in Item Number 30., please provide the receipt number of your Form I-797 Notice for Form I-140, Immigrant Petition for Alien Worker. If you entered the eligibility category (c)(36) in Item Number 30., please provide the receipt number of your spouse's or parent's Form I-797 Notice for Form I-140. 34.b. If you entered the eligibility category (c)(35) or (c)(36) in Item Number 30., have you EVER been arrested for and/or convicted of any crime? Yes No NOTE: If you answered “Yes” to Item Number 34.b., refer to Employment-Based Nonimmigrant Categories, Items 8. - 9., in the Who May File Form I-765 section of the Form I-765 Instructions for information about providing court dispositions.

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