Form I-765V TOC

TABLE OF CHANGES – FORM

Form I-765V, Application for Employment Authorization for Abused Nonimmigrant Spouse

OMB Number: 1615-0137

05/19/2020

Reason for Revision: Biometrics Rule

Project Phase: NPRM

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 1/31/2019

Edition Date 1/19/2017

Current Page Number and Section	Current Text	Proposed Text
Pages 1-2, Part 1. Information About You	[page 1] … 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 7. Additional Information. …	[page 1] … 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 8. Additional Information. …
New		[page 2] Part 2. Biographic Information 1. Ethnicity (Select only one box) Hispanic or Latino Not Hispanic or Latino 2. Race (Select all applicable boxes) White Asian Black or African American American Indian or Alaska Native Native Hawaiian or Other Pacific Islander 3. Height Feet__ Inches __ 4. Weight Pounds _ ­_ _ 5. Eye Color (Select only one box) Black Blue Brown Gray Green Hazel Maroon Pink Unknown/Other 6. Hair Color (Select only one box) Bald (No hair) Black Blond Brown Gray Red Sandy White Unknown/Other
Pages 2-3, Part 2. Information About Your Spouse	[page 2] Part 2. Information About Your Spouse … [page 3] 8. Your Spouse's Nonimmigrant Status (Select only one box) … Other (Use the space provided in Part 7. Additional Information)	[page 2] Part 3. Information About Your Spouse … [page 3] 8. Your Spouse's Nonimmigrant Status (Select only one box) … Other (Use the space provided in Part 8. Additional Information)
Page 3, Part 3. Marriage Information	[page 3] Part 3. Marriage Information …	[page 3] Part 4. Marriage Information …
Pages 3-4, Part 4. Applicant's Statement, Contact Information, Declaration, Certification, and Signature	[page 3] Part 4. Applicant's Statement, Contact Information, Declaration, Certification, and Signature … 1.b. The interpreter named in Part 5. read to me every question and instruction on this application and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything. 2. At my request, the preparer named in Part 6., [Fillable Field], prepared this application for me based only upon information I provided or authorized. …	[page 3] Part 5. Applicant's Statement, Contact Information, Declaration, Certification, and Signature … 1.b. The interpreter named in Part 6. read to me every question and instruction on this application and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything. 2. At my request, the preparer named in Part 7., [Fillable Field], prepared this application for me based only upon information I provided or authorized. …
Page 4, Part 5. Interpreter's Contact Information, Certification, and Signature	[page 4] Part 5. Interpreter's Contact Information, Certification, and Signature … I am fluent in English and [Fillable Field], which is the same language specified in Part 4., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer. …	[page 4] Part 6. Interpreter's Contact Information, Certification, and Signature … I am fluent in English and [Fillable Field], which is the same language specified in Part 5., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer. …
Pages 4-5, Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant	[page 4] Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant …	[page 4] Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant …
Page 6, Part 7. Additional Information	[page 6] Part 7. Additional Information …	[page 6] Part 8. Additional Information …

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