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Required Documentation

You must submit all evidence requested in these Instructions with your application. If you fail to submit required

evidence, USCIS may reject or deny your application for failure to submit requested evidence or supporting documents in

accordance with 8 CFR 103.2(b)(1) and these Instructions.

You may file your application with any credible relevant evidence of your eligibility. USCIS will determine in its

discretion what evidence is credible and the weight to be given that evidence. You are encouraged to provide the

following documentation along with your completed Form I-765V and passport photos.

1. Evidence of your qualifying nonimmigrant status, which may include:

A. Form I-94 front and back (if available).

B. Passport biographic page or Travel Document biographic page and the page with the CBP admission stamp from

the most recent entry into the United States (if available).

C. A copy of any immigration document you may have that was issued by USCIS or legacy Immigration and

Naturalization Service (INS) demonstrating that you were admitted under INA section 101(a)(15) subparagraph

(A), (E)(iii), (G), or (H) (if available).

2. A copy of any documentation you have establishing your identity and current nationality (examples include the photo

page of your passport, NATO agreement, or other immigration documents).

3. Evidence of your spouse’s qualifying nonimmigrant status.

NOTE: Although you may not be able to provide documentary evidence of your spouse’s nonimmigrant status, you

must provide some identifying evidence such as name, place of birth, country of birth, date of birth, date of entry into

the United States, I-94 number, employer, etc. USCIS will conduct a search of the appropriate electronic systems to

attempt to verify the qualifying nonimmigrant status of the spouse.

4. Evidence of your qualifying relationship to your spouse. Evidence may include a marriage certificate, your affidavit,

affidavits from others with knowledge of your qualifying relationship, or other evidence of your legal relationship to

the abuser.

5. Evidence of the abuse, such as protection orders, police reports, court records, medical records, reports from social

services agencies, a signed statement from you detailing abuse suffered since your admission to the United States,

and/or affidavits from third parties who can knowledgeably attest to the abuse you experienced.

6. Photographs. You must submit two identical color passport-style photographs of yourself taken within 30 days of

filing this application. The photos must have a white to off-white background, be printed on thin paper with a glossy

finish, and be unmounted and unretouched.

The two identical color passport-style photos must be 2 by 2 inches. The photos must be in color with full face,

frontal view on a white to off-white background. Head height should measure 1 to 1 3/8 inches from top of hair to

bottom of chin, and eye height is between 1 1/8 to 1 3/8 inches from bottom of photo. Your head must be bare unless

you are wearing headwear as required by a religious denomination of which you are a member. Using a pencil or felt

pen, lightly print your name and A-Number (if any) on the back of the photo.

NOTE: USCIS will apply the “any credible evidence” provision of INA section 204(a)(1)(J) to all applications for

employment under INA section 106. USCIS will consider all credible evidence relevant to the application.

The denial of Form I-765V cannot be appealed. Denial of Form I-765V does not preclude the filing of another application

for employment authorization under INA section 106.

Renewal Applications for Employment Authorization

USCIS may approve a request for renewal of employment authorization under INA section 106. The application for

renewal of employment authorization under INA section 106 must include:

Form I-765V Instructions 01/19/17 N

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Instructions For Form I-765v - Application For Employment Authorization For Abused Nonimmigrant Spouse Page 7