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  • Form I-765 Worksheet: Part 1. Full Name

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    ivanceja13
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    Purpose of Form Certain aliens who are temporarily in the United States may file this form to request an Employment Authorization Document (EAD). Other aliens who are authorized to work in the United States without restrictions must also use this form to apply for a document that shows such authorization. Number of Pages Form 1; Instructions 10. Edition Date 04/01/2013. (Previous editions, dated 05/27/08 or later, also accepted.) Where to File E-File Your Application: Applicants in certain eligibility categories may be eligible to file this form online. Mail a Paper Application: The filing address depends on the eligibility category you entered in Question 16. Please check the Filing Addresses for Form I-765 for a list of mailing addresses Filing Fee The filing fee for Form I-765 is $380. If you request consideration of deferred action for childhood arrivals, category (c)(33), you must also pay an $85 biometric services fee for a total of $465. There is no biometric services fee for any other employment category. Some filing types are fee exempt. See the form instructions for more information. Special Instructions If you are filing your application at a USCIS Lockbox facility: We recommend reading our Lockbox Filing Tips. To receive an e-Notification when your Form I-765 has been accepted, complete Form G-1145, E-Notification of Application/Petition Acceptance and clip it to the front of the first application in the package. Notes: To be considered for deferred action for childhood arrivals, you must file Form I-821D, Consideration of Deferred Action for Childhood Arrivals; Form I-765, Application for Employment Authorization; and Form I-765WS, Form I-765 Worksheet, with the correct fee or your request will be rejected and returned to you. You may not e-file your form I-765 if you are requesting consideration of deferred action for childhood arrivals. The 90-day period for reviewing Form I-765 filed together with Form I-821D begins if and when USCIS decides whether to defer action in your case. If you are an asylum applicant, you may be a member of a class action lawsuit (known as the ABT class action lawsuit) that addresses how USCIS and the Department of Justice calculate time credited to asylum applicants for eligibility to work in the United States. A settlement has been reached in this lawsuit. Please read the Class Notice regarding the settlement and the asylum web pages on uscis.gov for more information. This page can be found at http://www.uscis.gov/i-765

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    I-765WS

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    Purpose of Form Certain aliens who are temporarily in the United States may file this form to request an Employment Authorization Document (EAD). Other aliens who are authorized to work in the United States without restrictions must also use this form to apply for a document that shows such authorization. Number of Pages Form 1; Instructions 10. Edition Date 04/01/2013. (Previous editions, dated 05/27/08 or later, also accepted.) Where to File E-File Your Application: Applicants in certain eligibility categories may be eligible to file this form online. Mail a Paper Application: The filing address depends on the eligibility category you entered in Question 16. Please check the Filing Addresses for Form I-765 for a list of mailing addresses Filing Fee The filing fee for Form I-765 is $380. If you request consideration of deferred action for childhood arrivals, category (c)(33), you must also pay an $85 biometric services fee for a total of $465. There is no biometric services fee for any other employment category. Some filing types are fee exempt. See the form instructions for more information. Special Instructions If you are filing your application at a USCIS Lockbox facility: We recommend reading our Lockbox Filing Tips. To receive an e-Notification when your Form I-765 has been accepted, complete Form G-1145, E-Notification of Application/Petition Acceptance and clip it to the front of the first application in the package. Notes: To be considered for deferred action for childhood arrivals, you must file Form I-821D, Consideration of Deferred Action for Childhood Arrivals; Form I-765, Application for Employment Authorization; and Form I-765WS, Form I-765 Worksheet, with the correct fee or your request will be rejected and returned to you. You may not e-file your form I-765 if you are requesting consideration of deferred action for childhood arrivals. The 90-day period for reviewing Form I-765 filed together with Form I-821D begins if and when USCIS decides whether to defer action in your case. If you are an asylum applicant, you may be a member of a class action lawsuit (known as the ABT class action lawsuit) that addresses how USCIS and the Department of Justice calculate time credited to asylum applicants for eligibility to work in the United States. A settlement has been reached in this lawsuit. Please read the Class Notice regarding the settlement and the asylum web pages on uscis.gov for more information. This page can be found at http://www.uscis.gov/i-765

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    145 views1 page

    Form I-765 Worksheet: Part 1. Full Name

    Uploaded by

    ivanceja13
    Purpose of Form Certain aliens who are temporarily in the United States may file this form to request an Employment Authorization Document (EAD). Other aliens who are authorized to work in the United States without restrictions must also use this form to apply for a document that shows such authorization. Number of Pages Form 1; Instructions 10. Edition Date 04/01/2013. (Previous editions, dated 05/27/08 or later, also accepted.) Where to File E-File Your Application: Applicants in certain eligibility categories may be eligible to file this form online. Mail a Paper Application: The filing address depends on the eligibility category you entered in Question 16. Please check the Filing Addresses for Form I-765 for a list of mailing addresses Filing Fee The filing fee for Form I-765 is $380. If you request consideration of deferred action for childhood arrivals, category (c)(33), you must also pay an $85 biometric services fee for a total of $465. There is no biometric services fee for any other employment category. Some filing types are fee exempt. See the form instructions for more information. Special Instructions If you are filing your application at a USCIS Lockbox facility: We recommend reading our Lockbox Filing Tips. To receive an e-Notification when your Form I-765 has been accepted, complete Form G-1145, E-Notification of Application/Petition Acceptance and clip it to the front of the first application in the package. Notes: To be considered for deferred action for childhood arrivals, you must file Form I-821D, Consideration of Deferred Action for Childhood Arrivals; Form I-765, Application for Employment Authorization; and Form I-765WS, Form I-765 Worksheet, with the correct fee or your request will be rejected and returned to you. You may not e-file your form I-765 if you are requesting consideration of deferred action for childhood arrivals. The 90-day period for reviewing Form I-765 filed together with Form I-821D begins if and when USCIS decides whether to defer action in your case. If you are an asylum applicant, you may be a member of a class action lawsuit (known as the ABT class action lawsuit) that addresses how USCIS and the Department of Justice calculate time credited to asylum applicants for eligibility to work in the United States. A settlement has been reached in this lawsuit. Please read the Class Notice regarding the settlement and the asylum web pages on uscis.gov for more information. This page can be found at http://www.uscis.gov/i-765

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    of 1

    Form I-765WS 04/01/13 N Page 1 of 1

    Form I-765 Worksheet


    Department of Homeland Security
    U.S. Citizenship and Immigration Services
    USCIS
    Form I-765WS
    OMB No. 1615-0040
    Expires 04/30/2016
    Part 2. Financial Information
    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 that USCIS can determine whether you have an economic need
    to work. In the spaces provided, please indicate your current annual income, your current annual expenses, and the total current value
    of your assets. It is not necessary to submit supporting documentation, though it will be accepted and reviewed if you choose to
    submit it. You do not need to include other household members' financial information to establish your own economic necessity.
    2. My current annual income is:
    3. My current annual expenses are:
    4. The total current value of my assets is: $
    $
    $
    Part 3. Explanation
    If you would like to provide an explanation regarding your current financial information or your economic need for employment
    authorization, please use the space below.
    1.a. Family Name
    (Last Name)
    1.b. Given Name
    (First Name)
    1.c. Middle Name
    Part 1. Full Name

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