The I 765 form is a document used to apply for an employment authorization visa. This form is necessary for individuals who want to work in the United States but are not citizens or permanent residents. The process of completing and filing this form can seem daunting, but with the right instructions it can be a relatively easy process. In this blog post, we will give you a step-by-step guide on how to complete the I 765 form, as well as provide some helpful tips to make the application process as smooth as possible.
Below are some details you might want to go over prior to starting dealing with the i 765 form.
Question | Answer |
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Form Name | I 765 Form |
Form Length | 7 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min 45 sec |
Other names |
Application For Employment Authorization |
USCIS |
Department of Homeland Security |
Form |
OMB No. |
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U.S. Citizenship and Immigration Services |
Expires 07/31/2022 |
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For
USCIS
Use
Only
Authorization/Extension |
Fee Stamp |
Valid From |
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Authorization/Extension
Valid Through
Alien Registration Number A-
Action Block
Remarks
To be completed by an attorney or Board of Immigration Appeals (BIA)- accredited representative (if any).
Select this box if Form |
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is attached. |
USCIS Online Account Number (if any) |
►START HERE - Type or print in black ink. Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been married and the question asks, “Provide the name of your current spouse”), type or print “N/A” unless otherwise directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many children do you have” or “How many times have you departed the United States”), type or print “None” unless otherwise directed.
Part 1. Reason for Applying
I am applying for (select only one box):
1.a.
1.b.
Other Names Used
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 6. Additional Information.
2.a. Family Name
(Last Name)
2.b. Given Name
(First Name)
2.c. Middle Name
1.c.
Part 2. Information About You
Your Full Legal Name
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
3.a. Family Name (Last Name)
3.b. Given Name (First Name)
3.c. Middle Name
4.a. Family Name (Last Name)
4.b. Given Name (First Name)
4.c. Middle Name
Form |
Page 1 of 7 |
Part 2. Information About You (continued)
Your U.S. Mailing Address
5.a. In Care Of Name (if any)
5.b. Street Number
and Name
5.c. Apt. Ste. Flr.
5.d. City or Town
5.e. State |
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5.f. ZIP Code |
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6.Is your current mailing address the same as your physical
address? |
Yes |
No |
NOTE: If you answered “No” to Item Number 6., provide your physical address below.
U.S. Physical Address
7.a. Street Number
and Name
7.b. Apt. Ste. Flr.
7.c. City or Town
7.d. State |
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7.e. ZIP Code |
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Other Information
8.Alien Registration Number
► A-
9.USCIS Online Account Number (if any)
►
10. Gender |
Male |
Female |
11.Marital Status
Single Married Divorced Widowed
12.Have you previously filed Form
Yes No
13.a. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you?
Yes No
NOTE: If you answered “No” to Item Number 13.a., skip to Item Number 14. If you answered “Yes” to Item Number 13.a., provide the information requested in Item
Number 13.b.
13.b. Provide your Social Security number (SSN) (if known).
►
14.Do you want the SSA to issue you a Social Security card? (You must also answer “Yes” to Item Number 15., Consent for Disclosure, to receive a card.)
Yes No
NOTE: If you answered “No” to Item Number 14., skip to Part 2., Item Number 18.a. If you answered “Yes” to Item Number 14., you must also answer “Yes” to Item
Number 15.
15.Consent for Disclosure: I authorize disclosure of information from this application to the SSA as required for the purpose of assigning me an SSN and issuing me a
Social Security card. |
Yes |
No |
NOTE: If you answered “Yes” to Item Numbers
14.- 15., provide the information requested in Item Numbers 16.a. - 17.b.
Father's Name
Provide your father's birth name.
16.a. Family Name
(Last Name)
16.b. Given Name
(First Name)
Mother's Name
Provide your mother's birth name.
17.a. Family Name
(Last Name)
17.b. Given Name
(First Name)
Your Country or Countries of Citizenship or Nationality
List all countries where you are currently a citizen or national. If you need extra space to complete this item, use the space provided in Part 6. Additional Information.
18.a. Country
18.b. Country
Form |
Page 2 of 7 |
Part 2. Information About You (continued)
Information About Your Eligibility Category
Place of Birth
List the city/town/village, state/province, and country where you were born.
19.a. City/Town/Village of Birth
19.b. State/Province of Birth
19.c. Country of Birth
20. Date of Birth (mm/dd/yyyy)
Information About Your Last Arrival in the United States
21.a. Form
►
21.b. Passport Number of Your Most Recently Issued Passport
21.c. Travel Document Number (if any)
21.d. Country That Issued Your Passport or Travel Document
21.e. Expiration Date for Passport or Travel Document (mm/dd/yyyy)
22.Date of Your Last Arrival Into the United States, On or
About (mm/dd/yyyy)
23.Place of Your Last Arrival Into the United States
24.Immigration Status at Your Last Arrival (for example,
25.Your Current Immigration Status or Category (for example,
26.Student and Exchange Visitor Information System (SEVIS) Number (if any)
►N-
27.Eligibility Category. Refer to the Who May File Form
Enter the appropriate letter and number for your eligibility category below (for example, (a)(8), (c)(17)(iii)).
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28.(c)(3)(C) STEM OPT Eligibility Category. If you entered the eligibility category (c)(3)(C) in Item Number 27., provide the information requested in Item Numbers 28.a. - 28.c.
28.a. Degree
28.b. Employer's Name as Listed in
28.c. Employer's
29.(c)(26) Eligibility Category. If you entered the eligibility category (c)(26) in Item Number 27., provide the receipt number of your
►
30.(c)(8) Eligibility Category If you entered the eligibility category (c)(8) in Item Number 27., provide the information requested in Item Numbers 30.a. - 30.g.
30.a. Have you EVER been arrested for, and/or charged with, and/or convicted of any crime in any country?
Yes No
NOTE: If you answered “Yes” to Item Number 30.a.,
refer to Special Filing Instructions for Those With
Pending Asylum Applications (c)(8) of the Form
30.b. Did you enter the United States lawfully through a U.S. port of entry and were you inspected and admitted or paroled after inspection by an immigration officer? (If you answer “Yes,” you MUST provide evidence of your lawful entry.)
Yes |
No |
30.c. If you answered “No” to Item Number 30.b., did you present yourself to the Secretary of Homeland Security or his or her delegate (DHS) within 48 hours of entry or attempted entry AND express an intention to seek asylum within the United States or express a fear of persecution
or torture in your home country?
Yes No
Form |
Page 3 of 7 |
Part 2. Information About You (continued)
If you answered “Yes” to Item Number 30.c., provide the following information:
30.d. Date you presented yourself to DHS
30.e. Location where you presented yourself to DHS
30.f. Country of claimed persecution
30.g. Provide an explanation for why you did not enter the United States lawfully through a U.S. port of entry. If you need extra space to complete this item, use the space provided in Part 6. Additional Information.
NOTE: Refer to the Special Filing Instructions for Those With Pending Asylum Applications (c)(8) section of the Form
31.a. (c)(35) and (c)(36) Eligibility Category. If you entered the eligibility category (c)(35) in Item Number 27., please provide the receipt number of your Form
27., please provide the receipt number of your spouse's or parent's Form
►
31.b. If you entered the eligibility category (c)(35) or (c)(36) in Item Number 27., have you EVER been arrested for
and/or convicted of any crime? |
Yes |
No |
NOTE: If you answered “Yes” to Item Number 31.b.,
refer to
the Form
Part 3. Applicant's Statement, Contact
Information, Declaration, Certification, and
Signature
NOTE: Read the Penalties section of the Form
Applicant's Statement
NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2.
1.a. |
I can read and understand English, and I have read |
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and understand every question and instruction on this |
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application and my answer to every question. |
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1.b. |
The interpreter named in Part 4. read to me every |
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question and instruction on this application and my |
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answer to every question in |
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a language in which I am fluent, and I understood |
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everything. |
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2. |
At my request, the preparer named in Part 5., |
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prepared this application for me based only upon |
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information I provided or authorized. |
Applicant's Contact Information
3.Applicant's Daytime Telephone Number
4.Applicant's Mobile Telephone Number (if any)
5.Applicant's Email Address (if any)
6. Select this box if you are a Salvadoran or Guatemalan national eligible for benefits under the ABC settlement agreement.
Applicant's Declaration and Certification
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.
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.
Form |
Page 4 of 7 |
Part 3. Applicant's Statement, Contact Information, Declaration, Certification, and
Signature (continued)
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.
Part 4. Interpreter's Contact Information, Certification, and Signature
Interpreter's Mailing Address
3.a. Street Number
and Name
3.b. Apt. Ste. Flr.
3.c. City or Town
3.d. State |
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3.e. ZIP Code |
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3.f. Province
3.g. Postal Code
3.h. Country
Applicant's Signature
7.a. Applicant's Signature
7.b. Date of Signature (mm/dd/yyyy)
NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the Instructions, USCIS may deny your application.
Interpreter's Contact Information
4.Interpreter's Daytime Telephone Number
5.Interpreter's Mobile Telephone Number (if any)
6.Interpreter's Email Address (if any)
Part 4. Interpreter's Contact Information, Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Full Name
1.a. Interpreter's Family Name (Last Name)
1.b. Interpreter's Given Name (First Name)
2.Interpreter's Business or Organization Name (if any)
Interpreter's Certification
I certify, under penalty of perjury, that: |
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I am fluent in English and |
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which is the same language specified in Part 3., 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.
Interpreter's Signature
7.a. Interpreter's Signature
7.b. Date of Signature (mm/dd/yyyy)
Form |
Page 5 of 7 |
Part 5. Contact Information, Declaration, and Signature of the Person Preparing this Application, If Other Than the Applicant
Provide the following information about the preparer.
Preparer's Full Name
1.a. Preparer's Family Name (Last Name)
1.b. Preparer's Given Name (First Name)
2.Preparer's Business or Organization Name (if any)
Preparer's Mailing Address
3.a. Street Number
and Name
3.b. Apt. Ste. Flr.
3.c. City or Town
3.d. State |
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3.e. ZIP Code |
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3.f. Province
3.g. Postal Code
3.h. Country
Preparer's Contact Information
4.Preparer's Daytime Telephone Number
5.Preparer's Mobile Telephone Number (if any)
6.Preparer's Email Address (if any)
Preparer's Statement
7.a. I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant's consent.
7.b. I am an attorney or accredited representative and my
representation of the applicant in this case
extends |
does not extend beyond the |
preparation of this application.
NOTE: If you are an attorney or accredited representative, you need to submit a completed Form
Preparer's Certification
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.
Preparer's Signature
8.a. Preparer's Signature
8.b. Date of Signature (mm/dd/yyyy)
Form |
Page 6 of 7 |
Part 6. Additional Information
If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
2.
3.a. Page Number 3.b. Part Number 3.c. Item Number
3.d.
4.a. Page Number 4.b. Part Number 4.c. Item Number
4.d.
5.a. Page Number 5.b. Part Number 5.c. Item Number
5.d.
6.a. Page Number 6.b. Part Number 6.c. Item Number
6.d.
7.a. Page Number 7.b. Part Number 7.c. Item Number
7.d.
Form |
Page 7 of 7 |