I am requesting:
- Mark 1. Initial Request or Mark 2. Renewal Request
Full Legal Name:
- Fill out 3.a., 3.b., and 3.c.
I got married and changed my name, what should I put on the application?
Write your name exactly as it appears on your birth certificate unless you legally changed your name. If you have two last names, include both and use a hyphen (-) between the names, if appropriate.
U.S. Mailing Address
- Fill out 4.a., 4.b., 4.c., 4.d., 4.f., and 4.e.
What does In Care of Name mean?
This is if you will be receiving mail to an address where you do not reside, it will let the person know the correspondence is for you.
Removal Proceedings Information
- 5. Mark Yes or No
(If you answer No, skip to question 6)
- Mark one of the following: 5.a., 5.b., 5.c., 5.d., or 5.e. (Extra space is provided on part 8 if 5.e.) (provide a copy of the voluntary departure document.)
- 5.f. Most Recent Date of Proceedings by month, day, and year.
- 5.g. Location (Address)
I don’t know if I ever had a voluntary departure, or if I ever had removal proceedings.
Call 1-800-898-7180, press “1” for English, or “2” for Spanish, Enter your A-number if your number is in the system, this means you probably had a deportation case at some time. Press “3” to know if a judge ordered a deportation (removal) against you. If you have a deportation order, please consult an attorney for further questions.
Information About You (Continued Pg. 2)
Other Information
- Fill out 6. (If any), 7. (If any) (Do not include false SSN), 8. (month, day, year), 9., 10.a., 10.b.,11., 12., and 13.
What is an alien registration number?
Alien Registration Numbers are identification numbers for non-citizens. It’s a way for the U.S. government to keep track of all the different immigration forms and petitions that a person might file over the years. Every immigrant gets a unique number, which they keep for life. If you have not had contact with immigration officials then you probably don’t have an Alien Registration Number (A Number).I don’t have a SSN, what should I enter?
If you do not have a SSN you can leave that space blank. ( do not put a false SSN )I do not identify as the gender I was born as, what should I put?
If you do not identify with a specific gender, please provide the gender that you were assigned at birth as reflected on your birth certificate.I have lost my SSN, can I get a new one?
You can get an original Social Security card or a replacement card if yours is lost or stolen. There is no charge for a Social Security card. This service is free.I was too young when I came to this country, where can I find where I was born?
If you have your birth certificate, there should be a section with the City/Town name, time, and name country of birth.What is the current country of residency? Is it where I was born?
The country you are currently living in.I have been living with my partner for 10 years. Can I still mark it as married?
To mark this section, you have to be legally married.
Other Names Used (If Applicable)
- Fill out 14.a., 14.b., and 14.c.
(If you have used more than one name this includes nicknames, aliases, and maiden name, there is extra space provided on Part 8)
Processing Information
- Fill out 15 – 20 as close to your appearance as possible. *Note, weight should be in pounds, and height in feet and inches.
I don’t know the difference between Latino or Hispanic. How do I know I’m selecting the correct one?
Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Part 2. Residency and Travel Information
- Mark 1. Yes or No
- Fill out 2.a. – 5.e. List your most recent address. (Additional space available on Part 8)
If I’m renewing and still have the same address do I need to fill out the rest?
No, you will just need to post the same address from your previous application.I’m renewing but I recently moved should I keep the same address as my previous application?
You can put your current address as your most recent address, and put your previous address on the following address, you do not have to put all the addresses from previous applications, only your new address, and previous address.For initial applicants I don’t know my other addresses, what should I do?
If you do not remember the dates you resided in a particular address, you could try contacting the gas or power company you used at the time to see if they have records of when you began and ended service. If you do not remember every address you have resided incense entry, do your best to provide as much information as you can. You should also consider attaching an explanation on a separate piece of paper describing why it is difficult for you to remember your addresses.
Travel Information
If you have not exited the United States since June 15, 2007, skip to question 8.
For Initial: List all the times you exited the United States since June 15, 2007. *Note additional space on Part 8
For Renewal: List only the times you exit (if) the United States since you last applied for I-182D and application was approved.
- Fill out 8. If you left the U.S. without advance parole since August 15th, 2012
- Fill out 9.a., 9.b., 9.c., and 10.
My passport is expired, can I still list it there?
Yes, this also is a good form of identificationWhat is a Border Crossing Card?
A Border Crossing Card (BCC) is an identity document as well as a B1/B2 visa that allows entry into the United States by Mexican citizens. As a standalone document, the BCC allows Mexican citizens to visit the border areas of the U.S. when entering by land or sea directly from Mexico for less than 72 hours.
Part 3. For Initial Request Only (If you are renewing, please skip to part 4).
- Fill out 4, 5.a. 5.b. 5.c. in any of these applies to you.
If you entered the United States without proper documents and never acquired status, then the best answer is “No Lawful Status.” If you entered on a visa or with parole and your status or parole expired before June 15, 2012, you may write “Status Expired” or “Parole Expired.” Note that if you entered on a “duration of status” visa, special rules apply. Do not write that you were “EWI” on June 15, 2012.
Education Information
If you are currently in college, you should write “High School Graduate” to confirm that you graduated from high school. Provide details of the School you attended to including your graduation date/ diploma or the last date you attended school if you are still currently in high school.
Military Service
(If you were never part of the U.S. Armed Forces or U.S. Coast Guard please, skip to Part 4)
- 9. Mark Yes or No
- Fill out 9.a. – 9.d. If you answered “Yes” to Item Number 9, then you must provide details about your service, including branch, service dates, and type of discharge in the spaces provided.
Part 4. Criminal, National Security, and Public Safety Information
Fill out 1 – 7 with the appropriate response. All of these must be completed.I have marked yes to some of the questions, what else should I do?
Explain the circumstances on Part 8, read the form carefully to ensure you comply with the additional evidence requirements for these questions. If you have any legal questions, please consult an attorney or legal representative. If you are filing a Renewal request, and you have been arrested, indicted, and/or convicted of a criminal offense since the last time you filed for and received DACA, you must fill out the items that apply to you in this section (Part.4). You must also use Part 8. Additional Information to describe the circumstances and include a full explanation for any of the items you answered “yes” to in this section (Part.4).
Part 5. Statement, Certification, Signature and Contact Information of the Requestor
- Select Option 1.a. Or 1.b.
- If you selected 1.b. The information that will be needed is from the attorney, Board of Immigration Appeals (BIA)-accredited representative, or other individual who helped prepare this form for you to complete.
Requestor Certification
Fill out 2.a. And 2.b.What is a requestor certification?
When the applicant or the person helping the applicant fill this form comes to an agreement, by signing and dating this part will let them know that you fully understand their conditions, read carefully what you are agreeing before signing.
Requestors Contact Information
- Fill out 3. 4. 5.
- If you did not have an interpreter, skip to Part 7
Part 6. Contact Information, Certification, and Signature of Interpreter
- Interpreter Fill out 1.a. To 6.b.
NOTE: If you selected Item Number 1.b. in Part 5 (meaning somebody helped interpret the form for you), you must complete Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Request, If Other than the Requestor.
Part 7. Contact Information Declaration and Signature of the Person Preparing this Request other than the Requestor.
Enter If the person who completed this form is someone other than the person named in Part 1., including an attorney or BIA-accredited representative who provides pro bono assistance or an interpreter, he or she must complete this section of the form, provide his or her name, the name and address of the business or organization (if any), and his or her contact information.
Part 8. Additional Information
This section is to allow you to add additional information that you might not have had enough space on the previous pages. If this is still not enough space you are able to make more copies of Part. 8.
Form I-765 Worksheet
Download form I-765WS
Part 1. Your Full Name
- Fill out 1.a. – 1.c.
- This needs to be the same name as it appears on your birth certificate, or if you legally changed your name use your new legal name.
Part 2. Financial information
- This question asks for your annual income, if you do not work you can put 0, do not count your parents income or your spouse earns.
- What are your annual expenses? You can list your school expenses, phone bill, car payment, rent, and remember to multiply your expenses by 12 if they are monthly expenses.
- Add the total value amount of the things you own, if you own a home or car this has to be paid at full.
Part 3. Explanation
- This is a great opportunity to write a paragraph or two, explaining how having a work permit and being able to acquire a driver’s license would benefit you.
Form I-765 Application for Employment Authorization
Download form I-765
Part. 1 Reason for Applying
- Select only one of the following
- If you are applying for the first time you should mark the box “Initial Permission to Accept Employment.
Part. 2 Information About You
Full Legal Name
- 1.a. – 1.c. Enter your full legal name as it appears on your birth certificate or if you legally changed your name use your new legal name.
Other Names Used
- If you have used more than one name, this includes nicknames, name before marriage, alias. Fill out 2.a. – 4.c. If you need additional space continue on Part. 6.
Your Mailing Address
- Fill out 5.a. – 5.f.
- 6. Mark Yes or No
U.S Physical Address
- If you marked yes to 6. This means your mail will be delivered to the mailing address and not your physical address.
- Fill out 7.a. – 7.e.
Other Information
- Fill out 8, 9, and 13.b. (if any) leave blank if you do not have one.
- 10. – 15. Mark the box that applies to you
- If you have had no contact with any immigration officials then you probably don’t have an Alien Registration Number (A Number). In addition if you only had contact with immigration officials involved with a tourist visa, you will also not have a (A Number). If you have been in removals proceedings, or if you were allowed to work in the USA, then you probably do have one.
- Fill out 15.a. – 17.b.
Your Country or Countries of Citizenship or Nationality
- Fill out 18.a.
- This is asking for the country you were born in, there are individuals who might have more than one nationality or citizenship.
- If you have another nationality or citizenship Fill out 18.b.
Place of Birth
- Fill out 19.a. – 20 From the place you were born, you can find this information on your birth certificate.
Information About Your Last Arrival in the United States
- Fill out 21.a.- 21.e. (If any)
- Fill out 22 – 25 If you do not remember the exact date, you can write an approximate date. Note that this is asking about your most recent entry to the United States.
- 22. This would be the date of your last arrival, the last time you entered the United states
- 23. This would be the place of your last arrival, which city was your point of entry.
- 24. If you enter without inspection you should put “No Lawful Status” do not write Enter Without Inspection (EWI)
- 25. You can write DACA applicant
- Fill out 26 (if any)
Information About Your Eligibility Criteria
- 27 If you are applying for DACA write (c) (33), leave the last parentesis blank.
- 28 – 31.b. are if you are applying for categories other than DACA.
Part 3. Applicant’s Statement Contact Information, Declaration, Certification and Signature
Information About Your Eligibility Criteria
- Select one of the following boxes, this is agreeing that you fully understand and read English. If you have an interpreter or a preparer, their information will be needed on Part 4. Or Part 5.
Applicant’s Contact Information
- Fill out 3 – 5
- 6. Mark only if you have Guatemalan or Salvadoran nationality.
Applicant’s Declaration and Certification
- Read this section carefully, if you have any questions, please consult an attorney or a legal representative.
Applicant’s Signature
- Fill out 7.a. – 7.b. By signing and dating the declaration, meaning you understand and agree. (or Legal guardian)
Part 4. Interpreter’s Contact Information, Certification, and Signature
- This section would be filled out by the person who was your interpreter, they will need to fill their contact information, mailing address, and certification. Sign and date.
Part 5. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant
- 1.a. – 8.b. This section must contain the signature of the person who completed your application, if other than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should complete both Part 4. and Part 5. If the person who completed this application is associated with a business or organization, that person should complete the business or organization name and address information. Anyone who helped you complete this application MUST sign and date the application. A stamped or typewritten name in place of a signature is not acceptable. If the person who helped you prepare your application is an attorney or accredited representative, he or she may also need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, along with your application.
Part 6. Additional Information
- Utilize this section if extra space was needed in the previous sections. If this is not enough space you can also make copies of Part 6.