Form I-765WS PDF Details

If you are applying under those categories, complete the worksheet so USCIS can determine whether you have an economic need to work.

Financial information: in the spaces provided, indicate your current annual income, your current annual expenses, and the total current value of your assets.

Supporting evidence: it is not required, but USCIS will accept and review any documentation that you submit.

Household members: you do not need to include other household members' financial information to establish your own economic necessity.

Explanation: if you would like to provide an explanation, complete Part 3, Explanation.

QuestionAnswer
Form NameForm I-765WS
Form Length1 page
Fillable?Yes
Fillable fields13
Avg. time to fill out3 min
Edition08/21/25
Issuing agencyU.S. Citizenship and Immigration Services
Matches the agency's fileYes, checked October 2, 2026
Other namesI-765WS, I765WS, I-765 WS, Form I-765WS, USCIS I-765WS, Form I-765 Worksheet
Official sourceForm I-765WS (Rev 08/21/25), U.S. Citizenship and Immigration Services

How to Fill Out Form I-765WS

Form I-765WS at a glance

What it is: Form I-765 Worksheet is a form of the Department of Homeland Security, U.S. Citizenship and Immigration Services.

A filled-in Form I-765WS example: an applicant lists income, expenses and assets

Form I-765WS example filled out, example: an applicant lists income, expenses and assets
Ana Maria Sample completes Form I-765WS. Her annual income is 18,500, her expenses 14,250 and her assets 6,300. The picture shows the filled worksheet; its names and figures are sample values. Nothing goes in Explanation because she has nothing to add. Her figures are annual and current.

How to fill out Form I-765WS, box by box

Your Full Name

Form I-765WS example filled out, your Full Name

In Part 1, enter the Family Name (Last Name), the Given Name (First Name) and the Middle Name.

Financial Information

Form I-765WS example filled out, financial Information

In Part 2, in Box 1, enter your current annual income after the $.

In Box 2, enter your current annual expenses after the $.

In Box 3, enter the total current value of your assets after the $.

Explanation

Form I-765WS example filled out, explanation

If you would like to provide an explanation regarding your current financial information or your economic need for employment authorization, use the space in Part 3.

Common questions about Form I-765WS

What is form I-765 WS?

If you are applying for employment authorization under the (c)(14), Deferred Action, or (c)(33), Consideration of Deferred Action for Childhood Arrivals, categories, you must complete this worksheet so USCIS can determine whether you have an economic need to work. In the spaces provided, indicate your current annual income, your current annual expenses, and the total current value of your assets. Supporting evidence is not required, but U.S. Citizenship and Immigration Services (USCIS) will accept and review any documentation that you submit. You do not need to include other household members' financial information to establish your own economic necessity.

Sources

[1] Form I-765WS (Edition 08/21/25), Form I-765 Worksheet, U.S. Citizenship and Immigration Services (the Official source link on this page).

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