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  1. Form I-765 OMB No. 1615-0040 Expires 09/30/2027 START HERE - Type or print in black ink. Part 1. Reason for Applying Your Full Legal Name 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name. Initial permission to accept employment. I am applying for (select only one box): Replacement of lost, stolen, or damaged employment

  2. 13 Νοε 2024 · Certain aliens noncitizens 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).

  3. 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).

  4. Refer to the Who May File Form I-765 section of the Form I-765 Instructions to determine the appropriate eligibility category for this application. Enter the appropriate letter and number for your eligibility category below

  5. START HERE - Type or print in black ink. Part 1. Reason for Applying. An initial employment authorization document. Lost employment authorization document. Stolen employment authorization document. Damaged employment authorization document.

  6. Form I-765 Edition 08/25/20 . Page 4 of 7 NOTE: If you answered “Yes” to Item Number 31.b., refer to Employment-Based Nonimmigrant Categories, Items 8. - 9., in the Who May File Form I-765 section of the Form I-765 Instructions for information about providing court dispositions. If you entered the eligibility category (c)(35) or (c)(36) in

  7. File Form I-765 with your Form I-821, Application for Temporary Protected Status, or evidence that we received or approved your initial or re-registration Form I-821. Include evidence of your nationality and identity as required by the Form I-821 Instructions.

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