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1. A completed and signed Form I-765V;

2. Two passport-style color photographs;

3. Evidence of the applicant’s current residence in the United States;

4. Evidence the principal nonimmigrant maintains valid immigration status under INA section 101(a)(15)(A), (E)(iii),

(G), or (H) on the date of filing the employment authorization renewal application; and

5. Evidence of previous employment authorizations issued under INA section 106.

An application for EAD renewal may also be filed within two years of the date of the principal nonimmigrant’s death,

within two years of the principal nonimmigrant’s loss of status as a result of an incident of domestic violence, or within

two years of the termination of the marriage if there is a connection between the termination of the marriage and the

battery or extreme cruelty by the principal nonimmigrant spouse.

If you remarry prior to adjudication of Form I-765V, you will be ineligible to renew employment authorization under INA

section 106.

You do not need to resubmit evidence of battery or extreme cruelty, or admission to the United States in qualifying

nonimmigrant status, with your renewal application for employment authorization under INA section 106.

NOTE: If you are unable to provide evidence that the principal nonimmigrant maintains valid immigration status under

INA section 101(a)(15)(A), (E)(iii), (G), or (H), USCIS will conduct a search of the appropriate electronic systems to

attempt to verify the principal nonimmigrant’s status.

NOTE: If you cannot provide copies of the documentation requested above in Renewal Applications for Employment

Authorization, Items 2. - 5., you must submit a signed statement explaining why you cannot provide the documentation.

What Is the Filing Fee?

There are no filing fees or biometric services fees for Form I-765V.

How To Check If the Fees Are Correct

Form I-765V’s filing fee is current as of the edition date in the lower left corner of this page. However, because USCIS

fees change periodically, you can verify that the fees are correct by following one of the steps below.

1. Visit the USCIS website at , select “FORMS,” and check the appropriate fee; or

2. Call the USCIS National Customer Service Center at 1-800-375-5283 and ask for fee information. For TTY (deaf or

hard of hearing) call: 1-800-767-1833.

Where To File?

Please see our website at

/i-765v

or call our National Customer Service Center at 1-800-375-5283 for the

most current information about where to file this application. For TTY (deaf or hard of hearing) call: 1-800-767-1833.

Address Change

An applicant who is not a U.S. citizen must notify USCIS of his or her new address within 10 days of moving from his

or her previous residence. For information on filing a change of address, go to the USCIS website at

addresschange

or contact the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of

hearing) call: 1-800-767-1833.

NOTE: Do not submit a change of address request to the USCIS Lockbox facilities because the Lockbox does not

process change of address requests.

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 8