I-765 Online Filing

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I-765-063 83C
Mock Deck v5.2.4

File a Form

File a Form page
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Application Overview

Overview page 1
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Overview page 2
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Getting Started

Basis of eligibility page
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Basis of eligibility page continued
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Basis of eligibility page continued
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Basis of eligibility page continued
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Basis of eligibility page continued
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Reason for applying page
You must complete all fields with an asterisk (*) to submit
this form.
[Question] What is your reason for applying? *
[Radio options]
- Initial permission to accept employment
- Replacement of lost, stolen, or damaged employment
authorization document or correction of my
employment authorization document NOT DUE to US
Citizenship and Immigration Services error
- Renewal of my permission to accept employment
[Question] Have you previously filed Form I-765?
[Radio options] Yes/No

Preparer and interpreter information page
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Preparer and interpreter information page continued
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Preparer information page
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Interpreter information page
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About You

Your name page
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Your name page continued
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Your contact information page
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Your contact information page continued
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Describe yourself page
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sex?

When and where you were born page
You must complete all fields with an asterisk (*) to submit
this form.
[Question] What is your country of birth?
[Dropdown/Text input]
[Question] What is your state or province of birth?
[Text input]
[Question] What is your city, town, or village of birth?
[Text input]
[Q] What is your date of birth?
[date input]

Your immigration information page
You must complete all fields with an asterisk (*) to submit
this form.
[Question] What are your countries of citizenship or
nationality?
[instructions] List all countries where you are currently a
citizen or national.
[Dropdown/Text and a small table]
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Other information page
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--[Q] What is your U.S. Social Security number (SSN)?
[checkbox] I do not have or know my U.S. Social Security
number.
[text input]
[help text] Provide a 9-digit Social Security number.
[Q] Have you EVER been arrested for and/or convicted of
any crime?
[Radios] Yes/No

Evidence

2 x 2 photo of you page
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Form I-94 or Passport page
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Employment Authorization Document page
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Previously authorized CPT or OPT page
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Form I-20 page
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College degree page
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Institution accreditation page
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EOIR or BIA order page
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Proof of identity or nationality page
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Form I-821 page
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Form I-821D page
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Form I-765WS page
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Form I-589 page
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Proof of appeal page
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BIA remand order page
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Criminal history page
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Additional Information

Additional information page
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Additional information page continued
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Review and Submit

Review your application page
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Review your application page continued
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Your application summary page
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Preparer's statement page
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options.]
--[H] Preparer’s certification and signature
Your preparer must read and agree to the certification
below.

By my signature, I certify, under penalty of perjury, that
I prepared this application at the request of the
applicant. The applicant then reviewed this completed
application and informed me that he or she
understands all of the information contained in, and
submitted with, his or her application, including the
Applicant's Certification, and that all of this
information is complete, true, and correct. I
completed this application based only on information
that the applicant provided to me or authorized me to
obtain or use.

By my signature, I certify, under penalty of perjury, that I
prepared this application at the request of the applicant.
The applicant then reviewed this completed application
and informed me that he or she understands all of the
information contained in, and submitted with, his or her
application, including the Applicant's Certification, and
that all of this information is complete, true, and correct. I
completed this application based only on information that
the applicant provided to me or authorized me to obtain or
use.
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Preparer signature page
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Interpreter statement page

By my signature, I certify, under penalty of perjury,
that I prepared this application at the request of
the applicant. The applicant then reviewed this
completed application and informed me that he or
she understands all of the information contained
in, and submitted with, his or her application,
including the Applicant's Certification, and that
all of this information is complete, true, and
correct. I completed this application based only
on information that the applicant provided to me
or authorized me to obtain or use.

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--By my signature, I certify, under penalty of perjury, that I
prepared this application at the request of the applicant.
The applicant then reviewed this completed application
and informed me that he or she understands all of the
information contained in, and submitted with, his or her
application, including the Applicant's Certification, and
that all of this information is complete, true, and correct. I
completed this application based only on information that
the applicant provided to me or authorized me to obtain or
use.
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Interpreter signature page
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Your statement page
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Your statement page continued
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Your certification page

I understand that USCIS may require me to appear for an
appointment to take my biometrics (fingerprints,
photograph, and/or signature) and, at that time, if I am
required to provide biometrics, I will be required to sign an
oath reaffirming that:
1. I reviewed and provided or authorized all of the
information in my application;
2. I reviewed and understood all of the information
contained in, and submitted with, my application; and
3. All of this information was complete, true, and correct at
the time of filing.

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--I understand that USCIS may require me to appear for an
appointment to take my biometrics (fingerprints,
photograph, and/or signature) and, at that time, if I am
required to provide biometrics, I will be required to sign an
oath reaffirming that:
1. I reviewed and provided or authorized all of the
information in my application;
2. I reviewed and understood all of the information
contained in, and submitted with, my application; and
3. All of this information was complete, true, and correct at
the time of filing.
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Pay and Submit page
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Pay and Submit (Concurrent filing) page
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Finish and continue to I-907 (Concurrent filing) page
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Payment successful page
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Payment failed page (Option 1)
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Payment failed page (Option 2)
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