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I-765-056 Discretionary EADs NPRM Revision v0.0.2

ICR 202607-1615-006 · OMB 1615-0040 · Object 171423100.

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File Type	application/pdf
File Title	I-765-056 Discretionary EADs NPRM Revision v0.0.2
Author	Microsoft Office User
Last Modified By	Microsoft® Excel® for Microsoft 365
File Modified	2026-08-04
File Created	2026-08-04
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Primary Navigation: A section of the form that contains several pages.
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Conditional Logic: Indicates whether the question or subquestion only applies if you meet certain criteria.
Paper Form Question: The number in the paper form associated with the question.
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Field Type: The interaction method for a user to select or input data (ex. Text input field, Dropdown menu, Radio buttons).
Instructional Text: Text input that appears directly below a question and provides instructions for answering the question.
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Notes: Internal notes for the myUSCIS teams to provide insight and explanations.
Page breaks are indicated by a bold horizontal line.

myUSCIS Copydeck: Interactive Forms
Form Number and Name
OMB Number
Form Edition Date:
Form Expiration Date:
Baseline Copydeck:

Form I-765, Application for Employment Authorization
1615-0040
8/21/2025
8/31/2027
I-765 Production Copy Deck v6.0.4

Revision Key
Description
• All original (old) text is black.
• All revised (new) text is red.
Example
• All original text is black.
• Any text that is removed from original
column is shown with a strikethrough and in
red.

Original
1. Oranges
2. Bananas
3. Apple
4. Pineapple

Revised
1. Oranges
2. Bananas
3. Apple
4. Pineapple

Copy Deck Version

Heading

Instructional Text

Field Type

File a Form

Body Text

Link

Select the form you want to file online. For some forms you will have the option to either fill out your form
online or upload a completed form. Once you start, we will automatically save your information for 30 days, or
from the last time you worked on the form.

[External link]
https://www.uscis.gov/feewaiver

CTA

Notes

Fee waiver: If the form you want to file is eligible for a fee waiver, and you would like to request one, you must
file by paper. You must file a paper version of both the Form I-912, Request for Fee Waiver and the form for the
specific benefit you are requesting. You can review the fee waiver guidance at You can review the fee waiver
guidance at www.uscis.gov/feewaiver.
Select the form you want to file online.
What is your eligibility category?

If your eligibility category is not listed in the drop down
menu, you can submit a paper form by mail.

Combo box

I-765, Application for Employment Authorization

Combo box

(a)(12) Temporary Protected Status Granted
(c)(3)(A) Student Pre-Completion OPT
(c)(3)(B) Student Post-Completion OPT
(c)(3)(C) STEM Extension
(c)(8) Pending Asylum and Withholding of Removal Applicants and Applicants for Asylum under the ABC
Settlement Agreement
(c)(9) Adjustment Applicant under Section 245
(c)(11) Parole
(c)(11) Afghan Parole
(c)(11) Ukraine Parole
(c)(19) Temporary Protected Status Pending
(c)(33) Consideration of Deferred Action for Childhood Arrivals

[External link]
https://www.uscis.gov/i-765

Use this form to request employment authorization and an Employment Authorization Document (EAD) if your
immigration status allows you to work in the United States.
Concurrent filing available
You can file Form I-907, Request for Premium Processing Service, if you are filing under one of the eligible
categories.

Start form

If you request premium processing, we will present Form I-907 for you to complete after you sign Form I-765.
This will allow you to pay for and submit both forms at the same time.

File a Form

Heading

Sub-Heading

Conditional Logic

Revisions

I-765, Application For
Employment Authorization

Body Text

Revisions

Alert

Required?

Link

Revisions

CTA

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.

Notes

Revisions

Form I-765 instructions, "What Is
the Purpose of Form I-765" - page
1

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.
Learn more about employment authorization.

Before You Start Your
Application

Eligibility

[External link]
https://www.uscis.gov/i-765
[External link]
https://www.uscis.gov/humanitarian/temporaryprotected-status

You may apply online if your eligibility category is:
• (a)(12) - Temporary Protected Status (You are submitting an initial Form I-821 or you have an approved Form I-821);
• (c)(3)(A) - F-1 student, pre-completion OPT;
• (c)(3)(B) - F-1 student, post-completion OPT;
• (c)(3)(C) - F-1 student, 24-month extension for STEM students (students holding a degree in science, technology, engineering, or mathematics);
• (c)(8) - Applicants for Asylum under the ABC Settlement Agreement;
• (c)(8) – Application for Employment Authorization Based on Pending Form I-589, Application for Asylum or for Withholding of Removal;
• (c)(11) - Parole;
• (c)(19) - Temporary Protected Status (You have a pending Form I-821); or
• (c)(33) - Consideration of Deferred Action for Childhood Arrivals (DACA).

[External link]
www.ucsis.gov/i-765

All other applicants must submit a paper Form I-765.
Note: You can file Form I-907, Request for Premium Processing Service, if you are filing under one of the eligible categories. If you request premium processing, we will present Form I-907 for you to complete after you sign Form I-765. This will allow you to pay
for and submit both forms at the same time.
Please review the specific filing instructions if you are filing Form I-765 under one of the following eligibility categories:
Discretionary EAD Categories

If you are applying for a discretionary EAD under 8 CFR 274a.12(c) (that is, other than under (c)(8), (c)(19), (c)(20), (c)(21), (c)(22), (c)(24), and (c)(25)), please review the Special Filing Instructions for those applying for Employment Authorization under 8 CFR
section 274a.12(c) before submitting Form I-765.

[External link]
https://www.uscis.gov/sites/default/files/docume
nt/forms/i-765instr.pdf

[accordion]

F1 Students Seeking Optional
Practical Training (OPT)

Form I-765 instructions,
"Who May File Form I765" - pages 1-17

(c)(3)(A) eligibility category: Submit Form I-765 up to 90 days before being enrolled as an F-1 foreign student for one full academic year at an educational institution approved by U.S. Immigration and Customs Enforcement (ICE) and Student and Exchange Visitor
Program (SEVP). Your period of employment will not start before you have completed one full academic year. If you completed the one-year requirement while in another valid nonimmigrant status and you are now in valid F-1 status, you are still eligible to apply
for OPT.

Form I-765 instructions, "Who
May File Form I-765"- pages 6-8

[moved to row above due
to the addition of a new
row]

[accordion]
(c)(3)(B) eligibility category: Submit Form I-765 up to 90 days before, but no later than 60 days after your program end date. You must submit your application within 30 days of the date that your designated school official (DSO) enters the recommendation for
OPT into your Student and Exchange Visitor Information System (SEVIS) record. If you fail to do so, we will deny your OPT request.
(c)(3)(C) eligibility category: Submit Form I-765 application up to 90 days before your current OPT expires, but you must submit within 60 days of the DSO's approval of STEM OPT.
Note: If you are an F-1 student filing for initial or extension of OPT, 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 DSO for additional details.

Temporary Protected Status (TPS)

(a)(12) and (c)(19) eligibility categories: Submit Form I-765 with your Form I-821 application or with evidence that we accepted or approved your initial Form I-821. 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. For more information, review our instructions for TPS applicants.

[External link]
www.uscis.gov/tps

(c)(8) eligibility category: File Form I-765 if you have a pending Form I-589, Application for Asylum and Withholding of Removal. Please review the Special Filing Instructions for those with Pending Asylum Applications before submitting Form I-765.

[External link]
https://www.uscis.gov/sites/default/files/docume
nt/forms/i-765instr.pdf

[accordion]
Pending Asylum and Withholding of
Removal Applicants and Applicants
for Asylum under the ABC
Settlement Agreement
[accordion]

Pending Asylum Applications
(c)(8) eligibility category: 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:
• Failure to appear at your interview or fingerprint appointment;
• Failure to receive and acknowledge your asylum decision in person (if required);
• A request to reschedule your interview for a later date;
• A request to transfer your case to a new asylum office or interview location, including when the transfer is based on a new address;
• A request to provide additional evidence after your interview; and
• 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.
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.
Asylum application under the ABC Settlement Agreement
(c)(8) eligibility category: 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.
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:
1. Type “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 “(c)(8)” in the Eligibility Category of the application.
3. Select the “Salvadoran or Guatemalan national eligible for benefits under the ABC settlement agreement ” box 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:
• You pay the filing fee;
• You have a complete pending asylum application on file; and
• 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.

Parole
[accordion]

(c)(11) eligibility category: 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 pursuant to INA 212(d)(5) (such (c)(11) eligibility category: File Form I-765 along with supporting documentation for an initial grant or a renewal of employment authorization under the (c)(11) eligibility category.
as Cuban Family and Haitian Family Reunification Parole programs).
For Initial Applications: If this is your first application for employment authorization under the (c)(11) eligibility category, you must file Form I-765 with:
Note: If you are in expedited removal under INA 235(b)(1)(A) or in expedited removal and have a pending credible fear determination under 8 CFR 208.30, you are not eligible for an initial EAD under the (c)(11) eligibility category.
• A copy of your valid, unexpired 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.
• Form I-765WS, Form I-765 Worksheet to demonstrate 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 current value of
your assets. Provide this financial information on Form I-765WS and submit supporting evidence. If you would also like to provide an explanation, complete Part 3. Explanation of the worksheet.
For Renewal Applications: If you are applying for a renewal of your employment authorization under the (c)(11) eligibility category, you must file Form I-765 with:
• All the forms and documents listed under For Initial Applications, and
• Your employer or an employer's name you are seeking employment with as listed in E-Verify along with the E-Verify Company Identification Number or an E-Verify Client Company Identification Number for your current employer (if the employer is using an
employer agent to create its E-Verify cases). You must provide this information in the About You section.
Note: If you are in expedited removal under INA 235(b)(1)(A) or in expedited removal and have a pending credible fear determination under 8 CFR 208.30, you are not eligible for an initial EAD under the (c)(11) eligibility category.

Consideration of Deferred Action
for Childhood Arrivals

(c)(33) eligibility category: You must submit Form I-765 with Form I-821D or with proof that you previously filed Form I-821D.

[accordion]
Fee

We will automatically calculate the cost for you before you submit your application. For specific information about fees applicable to this form, see Form G-1055. There is an additional fee for Premium Processing Service.
Fee waiver: If you are requesting a fee waiver, you cannot file online. You must file a paper version of both the Form I-912, Request for Fee Waiver and Form I-765, Application for Employment Authorization. You can review the fee waiver guidance at
www.uscis.gov/feewaiver.
Refund Policy: USCIS does not refund fees, regardless of any action we take on your application, petition or request, or how long USCIS takes to reach a decision. By continuing this transaction, you acknowledge that you must submit fees in the exact amount
and that you are paying the fees for a government service.

[External link]
https://www.uscis.gov/g-1055

Form I-765 instructions, "What Is
the Filing Fee"- page 6

[External link]
https://www.uscis.gov/forms/filing-fees/additionalinformation-on-filing-a-fee-waiver

Previously approved refund policy
language for digital forms

Please refer to the instructions for the form(s) you are filing for additional information or you may call the USCIS Contact Center at 800-375-5283. For TTY (deaf or hard of hearing) 800-767-1833.
Documents you may need

Most applicants must upload:

Form I-765 instructions,
"Required Documentation" pages 25-26

• A copy of your Form I-94, Nonimmigrant Arrival-Departure Record (front and back), a printout of your electronic Form I-94 from www.cbp.gov/i94, passport, or other travel document.
• 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.
• A color passport-style photograph of yourself taken recently.
We will automatically inform you which documents and additional evidence you may need to provide as you fill out your application. These recommendations for additional information will be based on the information you provide in the application, such as your
personal history and circumstances.
Any document containing foreign language submitted to USCIS must be accompanied by a full English language translation that the translator has certified as complete and accurate, and by the translator's certification that he or she is competent to translate
from the foreign language into English.

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, petition, or request. 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.
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 the declared 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.

After You Submit Your
Application

Completing Your Form
Online

Track your case online

After you submit your form, you can track its status through your USCIS account. Sign in to your account often to check your case status and read any important messages from USCIS.

Respond to requests for information

If we need more information from you, we will send you a Request for Evidence (RFE) or Request for Information (RFI). You can respond to our request and upload your documents through your USCIS account.

Receive your 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. 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. If USCIS cannot approve your application, you will receive a written notice explaining the basis of your denial.

Filing online

Submitting your form online is the same as mailing in a completed paper form. They both gather the same information.

Complete the Getting Started section first

You should answer all questions in the Getting Started section first so we can best customize the rest of your online form experience.

Provide as many responses as you can

You should provide as many responses as you can. Incomplete fields or sections and missing information can slow down processing of your case after you submit your form.

We will automatically save your responses

We will automatically save your information when you select next to go to a new page or navigate to another section of the form. We will save your information for 30 days from today, or from the last time you worked on the form.

How to continue filling out your form

After you start your form, you can sign in to your account to continue where you left off.

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.

Form I-765 instructions, "DHS
Privacy Notice" - page 30

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.

Form I-765 instructions, "DHS
Privacy Notice" - page 30

DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number, and any requested evidence may delay a final decision or result in a rejection or denial of your application.

Form I-765 instructions, "DHS
Privacy Notice" - page 30

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.
Paperwork Reduction Act

Security Reminder

[External link]
www.dhs.gov/privacy

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 collection of biometrics is estimated to require 1 hour and 10 minutes. 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:

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 4.48 hours 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 collection of biometrics is estimated to require 1 hour and 10 minutes. The public reporting burden for the collection of information for Form I-765WS is estimated at 1 hour 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
Office of Policy and Strategy, Regulatory Coordination Division
5900 Capital Gateway Drive, Mail Stop #2140
Camp Springs, MD 20588-0009

Do not mail your completed I-765 application to this address.

OMB No. 1615-0040
Expires: 08/31/2027

If you do not work on your application for more than 30 days, we will delete your data in order to prevent storing personal information indefinitely.

Form I-765 instructions,
"Processing Information" - page
29

Form I-765 instructions, "DHS
Privacy Notice" - page 31

Form I-765 instructions,
"Paperwork Reduction Act" page 31

Start

Application Overview

Primary Nav

Secondary Nav

Getting Started

Basis of eligibility

Revisions

Tertiary nav

Conditional Logic

Revisions

Paper Form Revisions
Question

Question

Revisions

Sub-Question

Revisions

Field Type

Revisions

Instructional Text

Revisions

Helper Text

Revisions

Alert

Revisions

Required?

Links

Notes

You mus t compl ete a l l fi el ds wi th a n a s teri s k (*) to s ubmi t thi s form.
[a l ert - a l wa ys di s pl a ys ]

[External link]
Al wa ys di s pl a ys
https://www.uscis.gov/sites/def
ault/files/document/forms/i765instr.pdf

[h] You ca n fi l e your reques t onl i ne onl y for certa i n el i gi bi l i ty ca tegori es

[b] If your el i gi bi l i ty ca tegory does not a ppea r on the drop-down l i s t, you mus t fi l e a pa per Form I765. If you s ubmi t onl i ne a nd a re not el i gi bl e for one of the l i s ted ca tegori es , your a ppl i ca ti on
ma y be deni ed.
2.27

Wha t i s your el i gi bi l i ty ca tegory?

(a )(12) Tempora ry Protected Sta tus Gra nted
(c)(3)(A) Student Pre-Compl eti on OPT
(c)(3)(B) Student Pos t-Compl eti on OPT
(c)(3)(C) STEM Extens i on
(c)(8) Pendi ng As yl um a nd Wi thhol di ng of Remova l
Appl i ca nts a nd Appl i ca nts for As yl um under the ABC
Settl ement Agreement
(c)(11) Pa rol e
(c)(11) Afgha n Pa rol e
(c)(11) Ukra i ne Pa rol e
(c)(19) Tempora ry Protected Sta tus Pendi ng
(c)(33) Cons i dera ti on of Deferred Acti on for Chi l dhood
Arri va l s

Combo box

Yes

[yel l ow a l ert]
(i f 2.27 = a 12)

[yel l ow a l ert]
[h] You mus t fi l e Form I-821

[b] Ba s ed on the el i gi bi l i ty ca tegory you s el ected a nd your A-number, you ma y be a TPS a ppl i ca nt
or reci pi ent a nd mus t fi l e Form I-821 before you fi l e Form I-765. If you a re not a TPS reci pi ent,
a mend your el i gi bi l i ty ca tegory before proceedi ng.

(i f 2.27 = c19)

If you a re a TPS a ppl i ca nt or reci pi ent, upl oa d evi dence tha t we a ccepted or a pproved your Form I821, otherwi s e, we wi l l reject your a ppl i ca ti on a nd you wi l l not recei ve a refund.
[yel l ow a l ert]

[yel l ow a l ert]
(i f 2.27 = c3a )

[h] Importa nt i nforma ti on rega rdi ng your Form I-20
[b] Do NOT s ubmi t thi s form unti l you recei ve a Form I-20 recommenda ti on from your DSO. We wi l l
deny your a ppl i ca ti on i f you do not i ncl ude your Form I-20 recommenda ti on when you s ubmi t Form
I-765. If you need to provi de Form I-765 to your DSO, pri nt or downl oa d thi s dra ft before you s ubmi t.
[yel l ow a l ert]

[yel l ow a l ert]
(i f 2.27 = c8)

[External link]
https://www.uscis.gov/sites/def
ault/files/document/forms/i765instr.pdf

[h] Speci a l fi l i ng i ns tructi ons for pendi ng a s yl um a ppl i ca ti ons
[b] You a re s ubject to a 150-da y wa i ti ng peri od a fter the fi l i ng of your a s yl um a ppl i ca ti on, before
you ca n a ppl y for a n EAD, a nd a n a ddi ti ona l 30-da y peri od before we ca n i s s ue you a n EAD, for a
tota l of 180 da ys . Lea rn more a bout s peci a l fi l i ng i ns tructi ons for a s yl um a ppl i ca ti ons .
[bl ue a l ert]
(i f 2.27 = c11)

[bl ue a l ert]
[h] You ca n now fi l e a n EAD a ppl i ca ti on a fter bei ng pa rol ed i nto the Uni ted Sta tes
[b] Purs ua nt to the Feb. 7, 2022 rul i ng i n As yl umworks et a l . v. Ma yorka s et a l ., credi bl e fea r
pa rol ees ma y fi l e a n EAD a ppl i ca ti on a t a ny ti me a fter bei ng pa rol ed i nto the Uni ted Sta tes , a nd
ma y s eek empl oyment a uthori za ti on under the (c)(11) ca tegory a t the ti me of fi l i ng.
[yel l ow a l ert]

[yel l ow a l ert]
(i f 2.27 = c33)

[h] You mus t fi l e Form I-821D or currentl y ha ve DACA
[b] Ba s ed on the EAD el i gi bi l i ty ca tegory you s el ected a nd your A-number, you ca nnot s ubmi t a
Form I-765, Appl i ca ti on for Empl oyment Authori za ti on unti l you ha ve fi l ed a n i ni ti a l or renewa l
Form I-821D, Cons i dera ti on for Deferred Acti on for Chi l dhood Arri va l s (DACA), or your reques t for
DACA (i ni ti a l or renewa l ) ha s been a pproved.
If you ha ve not yet fi l ed Form I-821D, return to the "Fi l e a Form" pa ge a nd s el ect "Form I-821D,
Cons i dera ti on of Deferred Acti on for Chi l dhood Arri va l s ." from the drop-down menu to fi l e your
reques t for DACA fi rs t. After you compl ete a nd pa y for your Form I-821D, you wi l l then be a bl e to
fi l e Form I-765 onl i ne. If you a l rea dy ha ve a Form I-821D pendi ng or were recentl y a pproved for
DACA, pl ea s e upl oa d your recei pt noti ce for your pendi ng Form I-821D or the deci s i on noti ce USCIS
i s s ued a pprovi ng your reques t for DACA.
If you conti nue to fi l e the Form I-765 a nd fa i l to provi de evi dence of a pendi ng or a pproved Form I821D, we wi l l reject your a ppl i ca ti on a nd you wi l l not recei ve a refund of the fi l i ng fee.
[moved to Informa ti on a bout
your el i gi bi l i ty ca tegory pa ge]

(i f 2.27 = c3c)

2.28.a

Wha t i s your degree?

Text i nput

[moved to Informa ti on a bout
your el i gi bi l i ty ca tegory pa ge]
[moved to Informa ti on a bout
your el i gi bi l i ty ca tegory pa ge]

(i f 2.27 = c3c)

2.28.b

Wha t i s your empl oyer's na me a s l i s ted i n E-Veri fy?

Text i nput

(i f 2.27 = c3c)

2.28.c

Wha t i s your empl oyer's E-Veri fy compa ny i denti fi ca ti on
number or a va l i d E-Veri fy cl i ent compa ny i denti fi ca ti on
number?

[moved to Informa ti on a bout
your el i gi bi l i ty ca tegory pa ge]

[If 2.27 = (c)(8)]

3.6

Are you a Sa l va dora n or Gua tema l a n na ti ona l el i gi bl e for
benefi ts under the ABC s ettl ement a greement?

Yes /No

Ra di o

[moved to Informa ti on a bout
your el i gi bi l i ty ca tegory pa ge]

(i f 2.27 = c3a , c3b, or c3c)

Woul d you l i ke to reques t Premi um Proces s i ng Servi ce?

Yes /No

Ra di o

[moved to Informa ti on a bout
your el i gi bi l i ty ca tegory pa ge]

[bl ue a l ert]
[If 2.27 = c3a , c3b, or c3c]

Text i nput

Provi de a 4 to 7-di gi t empl oyer i denti fi ca ti on number.

Premi um Proces s i ng Servi ce gua ra ntees tha t USCIS wi l l ta ke one of
s evera l pos s i bl e a cti ons (i s s ue a n a pprova l noti ce, a deni a l noti ce, a
noti ce of i ntent to deny, or a reques t for evi dence or open a n
i nves ti ga ti on for fra ud or mi s repres enta ti on) on your Form I-765
wi thi n 30 da ys .
If you reques t premi um proces s i ng, you wi l l be a s ked to compl ete the
Form I-907 a fter you s i gn your Form I-765. You wi l l then be a bl e to pa y
[bl ue a l ert]
Form I-765 a nd Form I-907 wi l l be s ubmi tted together. After you s i gn the Form I-765, the form wi l l
be l ocked. You wi l l not be a bl e to ma ke a ny cha nges to the form once i t i s l ocked. You wi l l
i mmedi a tel y be di rected to the Form I-907 a nd wi l l be a bl e to pa y for a nd s ubmi t both forms a fter
you provi de your s i gna tures .

AND
[i f yes to premi um proces s i ng]
Reason for applying

You mus t compl ete a l l fi el ds wi th a n a s teri s k (*) to s ubmi t thi s form.
(i f 2.27 =
a 12/c3a
(i
f 2.27 =/c3b/c3c/c8/c19/c11)
a 12/c3a /c3b/c3c/c8/c11/c19/c33)

1.1.a
1.1.b

(i f 2.27 =
a 12/c3a /c3b/c3c/c8/c11/c19)

1.1.c
2.12

Wha t i s your rea s on for a ppl yi ng?

Ini ti a l permi s s i on to a ccept empl oyment
Repl a cement of l os t, s tol en, or da ma ged empl oyment
a uthori za ti on document or correcti on of my empl oyment
a uthori za ti on document NOT DUE to US Ci ti zens hi p a nd
Immi gra ti on Servi ces error
Renewa l of permi s s i on to a ccept empl oyment
Yes /No

Ha ve you previ ous l y fi l ed Form I-765?

Ra di o
Ra di o

Yes

Ra di o
Ra di o

Information about your
eligibility category

You mus t compl ete a l l fi el ds wi th a n a s teri s k (*) to s ubmi t thi s form.

[moved here from Ba s i s of
el i gi bi l i ty pa ge]
[moved here from Ba s i s of
el i gi bi l i ty pa ge]

(i f 2.27 = c3c)

2.28.a

Wha t i s your degree?

Text i nput

(i f 2.27 = c3c)

2.28.b

Wha t i s your empl oyer's na me a s l i s ted i n E-Veri fy?

Text i nput

[moved here from Ba s i s of
el i gi bi l i ty pa ge]

(i f 2.27 = c3c)

2.28.c

Wha t i s your empl oyer's E-Veri fy compa ny i denti fi ca ti on
number or a va l i d E-Veri fy cl i ent compa ny i denti fi ca ti on
number?

Text i nput

[If 2.27 = c11]

2.33.a

Wha t i s your empl oyer's na me a s l i s ted i n e-veri fy?

Text i nput

2.33.b

Wha t i s your empl oyer's E-Veri fy compa ny i denti fi ca ti on
number or a va l i d E-Veri fy cl i ent compa ny i denti fi ca ti on
number?

3.6

Are you a Sa l va dora n or Gua tema l a n na ti ona l el i gi bl e for
benefi ts under the ABC s ettl ement a greement?

Yes /No

Ra di o

Woul d you l i ke to reques t Premi um Proces s i ng Servi ce?

Yes /No

Ra di o

Provi de a 4 to 7-di gi t empl oyer i denti fi ca ti on number.

AND
[If 1.1.c]
[If 2.27 = c11]
AND
[If 1.1.c]
[If 2.27 = (c)(8)]

[moved here from Ba s i s of
el i gi bi l i ty pa ge]

(i f 2.27 = c3a , c3b, or c3c)

[moved here from Ba s i s of
el i gi bi l i ty pa ge]

[bl ue a l ert]
[If 2.27 = c3a , c3b, or c3c]

Text i nput

Provi de a 4 to 7-di gi t empl oyer i denti fi ca ti on number.

AND
[i f yes to premi um proces s i ng]
Preparer and interpreter
information

You mus t compl ete a l l fi el ds wi th a n a s teri s k (*) to s ubmi t thi s form.
Is s omeone a s s i s ti ng you wi th compl eti ng thi s
a ppl
i ca ti on?
Is
a prepa
rer a s s i s ti ng you wi th compl eti ng thi s
a ppl i ca ti on?
Is a n i nterpreter a s s i s ti ng you wi th compl eti ng thi s
a ppl i ca ti on?

Yes /No
Yes /No

Ra di o
Ra di o

Yes /No

Ra di o

5.1.b
5.1.a
5.2

Wha t i s your prepa rer's ful l na me?

Gi ven na me (fi rs t na me)
Fa mi l y na me (l a s t na me)

5.3.a .-5.3.h.

Wha t i s your prepa rer's ma i l i ng a ddres s ?

My prepa rer i s not pa rt of a bus i nes s or orga ni za ti on.
Country
Addres s l i ne 1
Addres s l i ne 2
Ci ty or town
Sta te/Provi nce

Text i nput
Text i nput
Text i nput
Checkbox
Combo box
Text i nput
Text i nput
Text i nput
Combo box

ZIP code/Pos ta l code

Text i nput

Da yti me phone number
Mobi l e tel ephone number
My prepa rer does not ha ve a mobi l e tel ephone number
Ema i l a ddres s
My prepa rer does not ha ve a n ema i l a ddres s .

Text i nput
Text i nput
Checkbox
Text i nput
Checkbox

(IF YES)
(IF YES)
Preparer information

(IF YES TO PREPARER QUESTION)

Wha t i s your prepa rer's bus i nes s or orga ni za ti on na me?

(If non-USA us e Provi nce a nd text
fi el d)
(If non-USA us e Pos ta l code a nd
remove hel p text)
5.4
5.5

Wha t i s your prepa rer's conta ct i nforma ti on?

5.6
Interpreter information

(IF YES TO INTERPRETER)

A prepa rer i s a nyone who compl etes or hel ps you compl ete a l l or pa rt
of your a ppl i ca ti on us i ng i nforma ti on a nd a ns wers tha t you provi de.
An i nterpreter i s a nyone who tra ns l a tes or hel ps you tra ns l a te a l l or
pa rt of your a ppl i ca ti on us i ng i nforma ti on a nd a ns wers tha t you
You mus t compl ete a l l fi el ds wi th a n a s teri s k (*) to s ubmi t thi s form.

Street number a nd na me
Apa rtment, s ui te, uni t, or fl oor

Provi de a 5 or 9-di gi t ZIP code.
Provi de a 10-di gi t phone number.
Provi de a 10-di gi t phone number.
Exa mpl e: us er@doma i n.com
You mus t compl ete a l l fi el ds wi th a n a s teri s k (*) to s ubmi t thi s form.

4.1.b
4.1.a
4.2
4.3

Wha t i s your i nterpreter's ful l na me?

My i nterpreter i s not pa rt of a bus i nes s or orga ni za ti on.
Country
Addres s l i ne 1
Addres s l i ne 2
Ci ty or town
Sta te/Provi nce

Text i nput
Text i nput
Text i nput
Checkbox
Combo box
Text i nput
Text i nput
Text i nput
Combo box

ZIP code/Pos ta l code

Text i nput

Provi de a 5 or 9-di gi t ZIP code.

Da yti me tel ephone number
Mobi l e tel ephone number
My i nterpreter does not ha ve a mobi l e tel ephone
number
Ema
i l a ddres s
My i nterpreter does not ha ve a n ema i l a ddres s .

Text i nput
Text i nput
Checkbox
Text i nput
Checkbox
Text i nput

Provi de a 10-di gi t phone number.
Provi de a 10-di gi t phone number.

Wha t i s your i nterpreter's bus i nes s or orga ni za ti on na me?
Wha t i s your i nterpreter's ma i l i ng a ddres s ?

(If non-USA us e Provi nce a nd text
fi el d)
(If non-USA us e Pos ta l code a nd
remove hel p text)
4.4
4.5

Gi ven na me (fi rs t na me)
Fa mi l y na me (l a s t na me)

Wha t i s your i nterpreter's conta ct i nforma ti on?

4.6
Wha t l a ngua ge i s your i nterpreter us i ng to i nterpret thi s
a ppl i ca ti on for you?

Street number a nd na me
Apa rtment, s ui te, uni t, or fl oor

Exa mpl e: us er@doma i n.com

Getting Started

Primary Nav

Secondary Nav

About You

Your name

Tertiary
Conditional Logic
nav

Revisions

Paper
Form
Question

Revisions

Question

Revisions

Sub-Question

Revisions

Field Type

Revisions

Instructional Text

Revisions

Helper Text

Revisions

Alert

Revisions

Required?

Notes

Revisions

You must complete all fields with an asterisk (*) to submit this form.
2.1.b

What is your current legal name?

2.1.c
2.1a
Have you used any other names since
birth?
(if yes)

2.2b
2.2c
2.2a

Given name (first name)

Text input

Middle name
Family name (last name)
Yes/No

Text input
Text input
Radio

Your current legal name is the name on your birth certificate, unless it changed
after birth by a legal action such as marriage or court order. Do not provide any
nicknames here.

Given name (first name)
Middle name
Family name (last name)

Text input
Text input
Text input

Daytime telephone number
Mobile telephone number (if any)
This is the same as my daytime
telephone number.
Email address
In care of name (if any)

Text input
Text input
Checkbox

Provide a 10-digit phone number.
Provide a 10-digit phone number.

Text input
Text input

Address line 1
Address line 2
City or town
State
ZIP code
Yes/No

Text input
Text input
Text input
Combo box
Text input
Radio

Example: [email protected]
We will use your current mailing address to contact you throughout the
application process. We may not be able to contact you if you do not provide a
complete and valid address. Please provide a U.S. address only.
Street number and name
Apartment, suite, unit, or floor

Address line 1
Address line 2
City or town
State
ZIP code

Text input
Text input
Text input
Combo box
Text input

Yes
Other names used may include nicknames, aliases, and maiden names.
Provide the other names you have used.

Your contact
information

CTA = +Add another name

You must complete all fields with an asterisk (*) to submit this form.
3.3
3.4

How may we contact you?

3.5
2.5.a

What is your current U.S. mailing address?

2.5.b
2.5.c
2.5.d
2.5.e
2.5.f
2.6
(if 2.6 = no)

Is your current mailing address the same as
your physical address?
Where in the United States do you live?

2.7.a
2.7.b
2.7.c
2.7.d
2.7.e

What is your sex?

Male
Female

Radio

2.12

What is your marital status?

Single
Married
Divorced
Widowed

Radio

2.19c
2.19b
2.19a
2.20

What is your country of birth?
What is your state or province of birth?
What is your city, town, or village of birth?
What is your date of birth?

2.18

What are your countries of citizenship or
nationality?

Dropdown

2.21.a

What is your Form I-94 Arrival-Departure
Record Number (if any)?
When did you last arrive in the United
States?

Text input

Yes
Yes
Yes

Street number and name
Apartment, suite, unit, or floor

Provide a 5 or 9-digit ZIP code.

Describe yourself
2.10

Yes

Provide a 5 or 9-digit ZIP code.

You must complete all fields with an asterisk (*) to submit this form.
Indicate whether you are male or female as provided on your birth certificate
issued at the time of birth or issued closest to the time of birth or in secondary
evidence you provided to USCIS, if applicable.

When and where
you were born

You must complete all fields with an asterisk (*) to submit this form.
Combo box
Text input
Text input
Date picker

MM/DD/YYYY

Yes

Your immigration
information

Required field

You must complete all fields with an asterisk (*) to submit this form.

2.22
2.23
2.24
2.21.b

Date of arrival (on or about)
Place of arrival
Status at last arrival

2.21.e
2.21.d
2.25
2.26

User will be able to input multiple countries (at least two
based on paper form). It will be a table or list.
CTA = '+ Add country'
Provide an 11-character I-94 Number.

List your arrival date, place of arrival, and status at arrival.

What is the passport number of your most
recently issued passport?
What is your travel document number (if
any)?
What is the expiration date of your
passport or travel document?
What country issued your passport or
travel document?
What is your current immigration status or
category?
What is your Student and Exchange Visitor
Information System (SEVIS) Number (if
any)?

2.21c

List all countries where you are currently a citizen or national.

Date picker
Combo box
Combo box
Text input
Text input

MM/DD/YYYY

Date picker

Country

Combo box
Combo box

N-

Text input

A-

Text input

I do not have or know my A-Number.

Checkbox

Use the "Additional Information" section to include all previously used SEVIS
numbers.

Other information

Provide a 10, 11, or 12-digit SEVIS number.

You must complete all fields with an asterisk (*) to submit this form.
(if c11 this question
is required)

2.8

What is your A-Number?

(if c11 hide this
checkbox)
[yellow alert]
(if 2.27 = a12)

Provide a 7, 8, or 9-digit number. If the A-Number is fewer than 9 digits, the
system will automatically add zero(s) after the "A" and before the first digit so
there is a total of 9 digits, for example: A-001234567.

Conditionally required
for c11

[yellow alert]
[h] You must file Form I-821

[b] Based on the eligibility category you selected and your A-number, you
may be a TPS applicant or recipient and must file Form I-821 before you file
Form I-765. If you are not a TPS recipient, amend your eligibility category
before proceeding.

(if 2.27 = c19)

If you are a TPS applicant or recipient, upload evidence that we accepted or
approved your Form I-821, otherwise, we will reject your application and
you will not receive a refund.
2.9

What is your USCIS Online Account
Number?

2.13b

What is your U.S. Social Security number
(SSN)?

2.30

Have you EVER been arrested for and/or
convicted of any crime?

Text input

I do not have or know my USCIS
Online Account Number.

[If 2.27 = (c)(8)]

[If 2.27 = c3a, c3b,
c3c, c8, c11, or c33]

[blue alert]
[if 2.27 = c8]
AND

2.32

Providing your unique USCIS Online Account Number (OAN) helps us manage your
account. You may already have an OAN if you previously filed certain paper forms
and received an Account Access Notice in the mail. You can find the OAN at the top
of the notice; it is not the same as an A-Number.

Provide a 12-digit Online Account Number.

Checkbox
Text input

I do not have or know my U.S. Social
Security number.
Yes/No

Have you EVER committed, been arrested
for, charged with, indicted for, or convicted
of any criminal act?

Provide a 9-digit Social Security number.

Checkbox
Radio

Yes/No

[External link]
https://www.uscis.gov/sites/default/files/document/f
orms/i-765instr.pdf

USCIS will make the determination as to whether your convictions meet the
definition of aggravated felony. Learn more about arrests and convictions for
Application for Employment Authorization.
Radio

For traffic violations and arrests, do not select "Yes" 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 "Yes" and provide arrest and disposition documentation so USCIS
can properly assess whether your arrest and/or conviction may affect your
employment authorization eligibility.

[blue alert]
[body]
Refer to the Special Instructions for Those With Pending Asylum
Applications (c)(8) for information about providing court dispositions.

[External link]
https://www.uscis.gov/sites/
default/files/document/forms
/i-765instr.pdf

[blue alert]
[body]
Refer to the Special Instructions for Those Applying for Employment
Authorization under 8 CFR section 274a.12(c) for information about
providing court dispositions, arrest reports, sentencing documents, and any
other relevant documents, including criminal records that have been sealed
or expunged.

[External link]
https://www.uscis.gov/sites/
default/files/document/forms
/i-765instr.pdf

[2.32 = YES]
[blue alert]
[if 2.27 = c3a, c3b,
c3c, c11, or c33]
AND
[2.32 = YES]

About You

Primary Nav

Secondary Nav

Revisions

Conditional Logic

Revisions

Paper Form

Revisions

Evidence Title

Revisions

Field Type

Revisions

Evidence
2" x 2" photo of you

(if all)

Form I-765 instructions, "Required
Documentation" - pages 25-26

2" x 2" Photo Of You

Instructional Text

Revisions

Document type Revisions

You must complete all fields with an asterisk (*) to submit this form.
Upload a recent color photograph of yourself that measures 2 inches by 2 inches, with your face measuring 1 inch to 1 3/8 inch from your chin to the top of your head.
Your eyes should be between 1 1/8 inch and 1 3/8 inch from the bottom of the photo.

Upload

If you need help understanding the photo requirements or want to resize, rotate, or crop your photo, you can use the Department of State's photo composition tools.
Please note that we cannot approve your application without your photo.

Form I-94 or passport

(if all)

Form I-765 instructions, "Required
Documentation" - page 25

Form I-94, Arrival And Departure
Record Or Passport

Upload

File Requirements

Revisions

Alerts

• Clear and readable
• Accepted file formats: JPG, JPEG, or PNG
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than one document at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file

Make sure your whole face is visible, you are facing the camera directly, and the background is white or off-white. Your head must be bare, unless contrary to your
religious beliefs.

Upload a copy of one of the following:
• Your Form I-94, Arrival-Departure Record (front and back);
• A printout of your electronic Form I-94 ; or
• Your passport or other travel document.
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 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.

Required?

Links
[External link]
https://travel.state.gov/content/travel/en/usvisas/visa-information-resources/photos.html

[External link]
https://www.cbp.gov/travel/internationalvisitors/i-94
[External link]
www.uscis.gov/i-102
[External link]
https://www.uscis.gov/sites/default/files/docu
ment/forms/i-765instr.pdf

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 ArrivalDeparture Record, with USCIS. USCIS does charge a fee for this service. For specific information about fees applicable to this form, see Form G-1055.
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.
Learn more about Primary and Secondary evidences .
Upload a copy of your last Employment Authorization document (EAD) (front and back). If you were not previously issued an EAD, you must upload 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.

Employment Authorization Document

(if all)

Form I-765 instructions, "Required
Documentation" - page 25

Employment Authorization Document
Or Government ID

Upload

Proof of enrollment

(if c3a)

Form I-765 instructions, "Who May
File Form I-765"- page 7

Proof Of Enrollment

Upload

Upload 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.

Previously authorized CPT or OPT

(if c3a or c3b)

Form I-765 instructions, "Who May
File Form I-765"- pages 7-8

Previously Authorized CPT Or OPT

Upload

Upload evidence of any previously authorized CPT or OPT and the academic level at which it was authorized.

Form I-20

(if c3a, c3b, c3c)

Form I-765 instructions, "Who May
File Form I-765"- pages 7-8

I-20, Certificate Of Eligibility For
Nonimmigrant Student Status

Upload

Upload a copy of the Form I-20, Certificate of Eligibility for Nonimmigrant Student Status endorsed by the Designated School Official (DSO). For the (c)(3)(B) eligibility
category, your DSO must have entered the recommendation for OPT into your SEVIS record within 30 days of you submitting Form I-765. If you fail to do so, we will
deny your OPT request. For the (c)(3)(C) eligibility category, the Form I-20 must have been endorsed by the DSO within 60 days of submitting Form I-765.

(if c3a, c3b, c3c show alert)

[yellow alert]
[Header:] Important information regarding your
Form I-20
[Body:] Do NOT submit this form until you receive
a Form I-20 recommendation from your DSO. We
will deny your application if you do not include
your Form I-20 recommendation when you submit
Form I-765. If you need to provide Form I-765 to
your DSO, print or download this draft before you
submit.

College degree

(if c3c)

Form I-765 instructions, "Who May
File Form I-765"- page 8

College Degree

Upload

Upload evidence that 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 or a copy of your prior STEM degree.

Institution accreditation

(if c3c)

Form I-765 instructions, "Who May
File Form I-765"- page 8

Institution Accreditation

Upload

Upload evidence that the institution that granted your STEM degree is currently accredited by the U.S. Department of Education and certified by the Student Exchange
and Visitor Program (SEVP), if this STEM OPT extension is based on a previously earned STEM degree.

Proof of identity and nationality

(if a12/c19)

Form I-765 instructions, "Who May
File Form I-765" page 6

Proof Of Identity And Nationality

Upload

Upload proof of your identity and nationality. Examples of documents you may submit include copies of your:
• Passport (cover to cover);
• Birth certificate accompanied by photo identification; or
• Any national identity document from your country of origin that includes your photo and/ or fingerprint.

EOIR or BIA order

(if a12/c19)

Form I-765 instructions, "Who May
File Form I-765" page 6

Proof of Temporary Protected Status
Granted By EOIR Immigration Judge
Or Board Of Immigration Appeals

Upload

If you are submitting a first-time re-registration with USCIS following an Immigration Judge or Board of Immigration Appeals decision granting your TPS application,
upload a copy of the TPS decision order.

Form I-821

(if a12/c19)

Form I-765 instructions, "Who May
File Form I-765" page 6

I-821, Application For Temporary
Protect Status

Upload

If you previously filed Form I-821, upload evidence that we accepted or approved your initial Form I-821.

Form I-821D

(if c33)

I-821D, Consideration Of Deferred
Action For Childhood Arrivals (DACA)

Upload

If you previously filed Form I-821D, upload evidence that you have a pending or approved Form I-821D.

Form I-765WS

(if c33)

Form I-589

(if c8)

Proof of appeal

(if c8) and (if renewal)

BIA remand order

(if c8)

Criminal history

(if c8) and (if yes to convicted of
crime)

(if c11 or c33)

(if c8) and (if yes to convicted of
crime)

I-765WS, Worksheet

Download, complete, and upload Form I-765WS so that we can determine whether you have an economic need for work.

Form I-765 instructions, "Additional
Evidence requirement for category
Form I-765 instructions, "Additional
Evidence requirement for category
(c)(8) applicants" page 4

I-589, Application For Asylum And
Withholding Of Removal
Proof Of Appeal

Upload

Form I-765 instructions, "Additional
Evidence requirement for category
(c)(8) applicants" page 4

Board Of Immigration Appeals
Remand Order

Upload

If your Form I-589 has been remanded to an EOIR IJ for further adjudication of your underlying asylum claim, upload:
• A copy of the BIA decision and order remanding your case to the EOIR IJ; and
• Evidence that your asylum claim remains under review by the EOIR IJ.

Form I-765 instructions, "Additional
Evidence requirement for category
(c)(8) applicants" page 4-5

Criminal History

Upload

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.

(if c8) and (if 2.32 = YES)

(if c3a, c3b, c3c, c11, and c33)
AND
(if 2.32 = YES)

Form I-765 WS,
Worksheet
Pay stub
Internal Revenue Service
transcript
Form W-2
Form 1099
Appraised value of home
Utility bills
Credit card statements
Bank statements
Alimony
Child support
Dividends

USCIS uses the evidence you submit with your application to determine your eligibility for employment authorization. You are not required to submit this evidence, but
it will help us process your request more efficiently.
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:
• Timely appealed the EOIR IJ’s decision on your Form I-589 to the BIA and the appeal remains pending; and
• 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.

Upload

AND

Criminal history

Download, complete, and upload Form I-765WS so that we can determine whether you have an economic need for work. Supporting evidence must be submitted with
your Form I-765 WS, Worksheet. Supporting evidence includes, but is not limited to, pay stubs, an Internal Revenue Service (IRS) transcript for the most recent tax year,
Form W-2 or Form 1099 for the most recent tax year, evidence of the value of your assets such as the appraised value of your home, utility bills, credit card
statements, bank statements, and evidence of your claimed income including alimony, child support, and dividends.

Criminal History

Upload

[External link]
https://studyinthestates.dhs.gov/stem-opthub/eligible-cip-codes-for-the-stem-optextension

[External link]
https://www.uscis.gov/sites/default/files/docu
ment/forms/i-765ws.pdf

• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file

NOTE: USCIS may, in its discretion, deny your application if you have been arrested and/or convicted of any crime.

Form I-765 instruction, "Special
Filing Instructions for Those
Applying For Employment
Authorization under 8 CFR section
274a.12(c)" page 25

• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file
• Clear and readable
• Accepted file formats: JPG, JPEG, PDF, TIF or TIFF
• No encrypted or password-protected files
• If your documents are in a foreign language, upload a full English
translation and the translator's certification with each original
document.
• Upload no more than five documents at a time
• Accepted file name characters: English letters, numbers, spaces,
periods, hyphens, underscores, and parentheses
• Maximum size: 12MB per file

For initial and renewal applications filed under 8 CFR § 274a.12(c) (except for 8 CFR section 274a.12(c)(19), (c)(20), (c)(21), (c)(22), (c)(24), and (c)(25)), you are
required to submit evidence of any arrests and/or convictions. USCIS will make the determination as to whether your arrests and/or convictions affect your eligibility
to receive employment authorization. Provide information and any supporting documentation on all crimes you have committed, been arrested for, charged with
(without disposition), indicted for, or were convicted of, or for any agreement or program that you ever entered into that imposed some form of punishment, penalty, or
a restraint on liberty, so USCIS can make an appropriate decision. For example, if you were ever in a pretrial diversion program, under house arrest, participated in
anger management or substance abuse programs, paid restitution or fines, those would constitute a punishment, penalty, or restraint on liberty, even if you were
never formally sentenced or incarcerated. Provide a certified copy of all arrest reports, court dispositions, sentencing documents, and any other relevant documents,
even if those records were sealed and/or expunged.
Note: Employment authorization under 8 CFR section 274a.12(c)(19), (c)(20), (c)(21), (c)(22), (c)(24), and (c)(25)) is discretionary, and USCIS will not grant an EAD
unless we determine that you warrant a favorable exercise of discretion.

Arrest Report
Court Disposition
Sentencing Document
Other

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.

Evidence

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You must complete all fields with an asterisk (*) to submit this form.
You may provide additional information for your application.

Add additional
information

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If you need to provide any additional information for any of your answers to the questions in this form, enter it
into the space below. You should include the questions that you are referencing.
If you do not need to provide any additional information, you may leave this section blank.

Additional Information

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Review and Submit

Review your application

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Check your application before you submit

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Please review your ${formType} and check it for accuracy and completeness before you submit it.
We encourage you to provide as many responses as you can throughout the ${formType}. Missing
or incomplete information may slow down the review process after you submit your ${formType}.
You can return to this page to review your ${formType} as many times as you want before you
submit it.

[Yellow alert]
(if c3a, c3b, c3c)

[Yellow alert]
[h] Important information regarding your Form I-20
[b] Do NOT submit this form until you receive a Form I-20
recommendation from your DSO. We will deny your
application if you do not include your Form I-20
recommendation when you submit Form I-765. If you need to
provide Form I-765 to your DSO, print or download this draft
before you submit.
Your fee

Your form filing fee is: [$XXX}

Exact fee will be pulled from ELIS

Refund Policy: USCIS does not refund fees, regardless of any action we take on your application,
petition, or request, or how long USCIS takes to reach a decision. By continuing this transaction, you
acknowledge that you must submit fees in the exact amount and that you are paying the fees for a
government service.
Alerts and warnings

You have one or more alerts and warnings based on the information you provided in your
application.

A red alert means you have incomplete responses or inconsistent data. You cannot submit your
application with any alerts.
A yellow warning means you may be missing information or may need to follow-up with us about
your responses. You can still submit your application, but some warnings may slow down the
review process after you submit your application.

Your application summary

A green alert means you have completed all required fields and responses.
Here is a summary of all the information you provided in your application.

Review the I-765 form information

Make sure you have provided responses for everything that applies to you before you submit your
application. You can edit your responses by going to each application section using the site
navigation.
We also prepared a draft case snapshot with your responses, which you can download below.
Preparer statement

(IF PREPARER)
5.7a

Preparer's statement

I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant's
consent.

Radio

You must complete all fields with an asterisk (*) to submit this form.
Your preparer must read the statements below and select the statement that applies to him or her.
If your preparer is an attorney or accredited representative whose representation extends beyond
preparation of this application, he or she may be obliged to submit a completed Notice of Entry of
Appearance as Attorney or Accredited Representative (G-28) with your application.

5.7b
5.7b
5.8a

Preparer's certification and signature

I am an attorney or accredited representative and my representation of the applicant in this case does not extend beyond the preparation of
this application.
I am an attorney or accredited representative and my representation of the applicant in this case extends beyond the preparation of this
application.
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 Declaration and 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.
As the applicant's preparer, you must sign on paper and provide your signature page to the applicant. Follow these steps:

Radio
Radio
Your preparer must read and agree to the certification below.

1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. Give the signed Preparer Signature page to the applicant
The applicant will need to scan and upload your completed signature page on the next screen.
Preparer Signature

(IF PREPARER)

Interpreter certification

(IF INTERPRETER)

Preparer's Signature
4.7a

Interpreter's certification and signature

Upload
I certify, under penalty of perjury, that: I am fluent in English and the language provided in the Getting Started section of this application, 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.
As the applicant's interpreter, you must sign on paper and provide your signature page to the applicant. Follow these steps:

You must complete all fields with an asterisk (*) to submit this form.
Scan and upload your preparer's completed signature page below.
You must complete all fields with an asterisk (*) to submit this form.
Your interpreter must read and agree to the certification below.

1. Download the Interpreter Signature page
2. Print the Interpreter Signature page
3. Read and sign the Interpreter Signature page
4. Give the signed Interpreter Signature page to the applicant
The applicant will need to scan and upload your completed signature page on the next screen.
Interpreter signature

(IF INTERPRETER)
Interpreter's Signature

Upload

Your statement

Your signature

(IF NO INTERPRETER)

3.1a

Applicant's statement

(IF PREPARER)

3.2

Applicant's statement regarding the preparer

(IF INTERPRETER)

3.1b

Applicant's statement regarding the interpreter

I can read and understand English, and have read and understand every question and instruction on this application, as well as my answer to
Checkbox
every question.
At my request, the preparer named in the Getting Started section of this application prepared this application for me based only upon the
Checkbox
information I provided or authorized.
The interpreter named in the Getting Started section of this application read to me every question and instruction on this application and my
Checkbox
answer to every question in the language I specified in the Getting Started section, a language in which I am fluent, and I understood everything.

(If "Your statement" is
complete)

You must complete all fields with an asterisk (*) to submit this form.
Scan and upload your interpreter's completed signature page below.
You must complete all fields with an asterisk (*) to submit this form.
You must read and agree to the statement below.
You must read and agree to the statement below.
You must read and agree to the statement below.

You must complete all fields with an asterisk (*) to submit this form.
Form I-765, "Applicant's
Applicant's Declaration and Certification
Declaration and Certification"
- pages 4-5

Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require
that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records
that USCIS may need to determine my eligibility for the immigration benefit that I seek.

You must read and agree to the certification below. If you knowingly and willfully falsify or conceal
a material fact or submit a false document with your application, we can deny your application and
may deny any other immigration benefit. You may also face criminal prosecution and penalties
provided by the law.

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other
entities and persons where necessary for the administration and enforcement of U.S. immigration law.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------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 understood all of the information contained in, and submitted with, my application; and
2. All of this information was complete, true, and correct at the time of filing.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized
by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is
complete, true, and correct.
I have read and agree to the applicant's statement
3.7a

Pay and submit

(If "Your Statement" and
"Your signature" pages are
complete)

Pay for and submit your application

Checkbox
You must provide your digital signature below by typing your full legal name. We may deny your
application if you do not completely fill out this application or fail to submit required documents.
We will record the date of your signature with your application.
The final step to submit your Form I-765, Application for Employment Authorization, is to pay the
required fee.

Yes

Required field

Exact fee will be pulled from ELIS

Your application fee is: [$XXX]
AND
(if standalone filing)

Refund policy: By continuing this transaction, you agree that you are paying for a government
service and that the filing fee, biometric services fee and all related financial transactions are final
and not refundable, regardless of any action USCIS takes on an application, petition, or request, or
how long USCIS takes to reach a decision. You must submit all fees in the exact amounts.

Review & Submit

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We will send you to Pay.gov — our safe, secure payment website — to pay your fees and submit
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Pay and submit

Here are the steps in the payment and submission process:
1. Provide your billing information on Pay.gov
2. Provide your credit card or U.S. bank account information
3. Submit your payment
When you have paid your fee, your application will be submitted.

Finish and continue to I-907

(If "Your Statement" and
"Your signature" are
complete)

Finish the I-765 and continue to the I-907

AND

Pay.gov will redirect you to a uscis.gov confirmation screen, which will include your receipt number.
Please keep a copy of your receipt number for your records. You can track the status of your
application through your USCIS online account.
By finishing this form, your Form I-765 will be locked and no further changes can be made. Please
make sure that the information on your Form I-765 is complete and accurate before continuing. If
you need to make any edits after finishing, you will need to create a new Form I-765.

Finish and continue

Next, you will continue to Form I-907. Once you complete Form I-907, you can pay for and submit
both forms at the same time.

(if user concurrently filed)
(Successful submission) (No
nav)

You have successfully submitted your Application for
Employment Authorization (I-765)

We will contact you if we have any questions or need additional information. You can track the
status of your application through your USCIS online account.

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You did not submit your Application for Employment
Authorization (I-765)

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Your payment failed or was canceled before it could be processed on Pay.gov.

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You can try again now to sign and submit your application or save your application and exit. We will
save your application for 30 days from when you started it.

Review & Submit