Fillable I-765ws Form I-765 Worksheet

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I-765ws Form I-765 Worksheet

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The I-765ws Form I-765 Worksheet form is 1 page long and contains:

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Country of origin: US
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U.S. Citizenship and Immigration Services (USCIS) is an office of the U.S. Branch of Homeland Security (DHS) that oversees the nation's naturalization and migration framework. It is a successor to the Immigration and Naturalization Service (INS), which was disintegrated by the Homeland Security Act of 2002 and supplanted by three segments inside the DHS: USCIS, Immigration and Customs Enforcement (ICE), and Customs and Border Protection (CBP).

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Form I-765WS Worksheet 08/15/12
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 02/28/2013
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, eligibility categories, complete this worksheet to establish your economic need for employment pursuant to
8 CFR § 274a.12(e). It is not necessary to submit supporting documentation, though it will be accepted and reviewed if you choose to
submit it.
2. My current annual income is:
3. My current annual expenses are:
4. The current value of my assets is: $
$
$
Part 3. Additional Information
If you would like to provide an explanation of the above information, 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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I-765ws Form I-765 Worksheet

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Completed 27 February 2020

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