Form M-1162 - Optional Checklist For Form I-765 (C)(8) Fillings Asylum Applicants (With A Pending Asylum Application) Who Filed For Asylum On Or After January 4, 1995

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Optional Checklist for Form I-765 (c)(8) Filings
Asylum Applicants (With a Pending Asylum Application)
Who Filed for Asylum on or After January 4, 1995
USCIS
Form M-1162
Department of Homeland Security
Checklist
U.S. Citizenship and Immigration Services
This is an optional checklist to assist applicants who are filing Form I-765, Application for Employment
Authorization, based on a pending asylum application (Form I-589).
Do not submit this checklist to USCIS.
NOTE: This optional checklist does not replace or change statutory or regulatory requirements. We
recommend that you review these requirements, as well as the appropriate form instructions, before completing
and submitting Form I-765. Do not send original documents unless specifically requested in the form
instructions. See
for the most recent version of Form I-765 and its instructions.
Form Checklist
Did you complete all sections of the form that apply to you? (See How To Fill Out Form I-765 in the
General Instructions section on Page 12 of the
Form I-765
Instructions.)
Did you sign and date the form? (See the General Instructions section on Page 12 of the
Form I-765
Instructions.)
Did you submit the correct fee, if applicable? (See the What Is the Filing Fee section on Page 15 of the
Form I-765
Instructions.)
NOTE: If you previously received a (c)(8) Employment Authorization Document (EAD), this application
would be a request for “Renewal of my permission to accept employment” and you must submit a fee or
fee waiver request.
Did you provide your current U.S. mailing address? Do not type or print the address of your attorney or
accredited representative. (See the Address Change section on Page 17 of the
Form I-765
Instructions.)
Filing Checklist
Did you provide the following?
Completed
Form G-28
(only if you are represented by an attorney or an accredited representative).
NOTE: If you want your Employment Authorization Document (EAD) mailed to your attorney or
accredited representative, please select the appropriate box on Form G-28. (See Part 4., Items 1. - 2.b., in
the Specific Instructions section on Page 3 of the
Form G-28
Instructions.)
Proof that you have lodged or filed Form I-589 with USCIS, or lodged or filed Form I-589 with EOIR.
(See Item 1.D. in the Who May File Form I-765 section on Page 2 and Special Filing Instructions for
Those With Pending Asylum Applications ((c)(8)) section on Page 13 of the
Form I-765
Instructions.)
Form M-1162 07/17/17 N
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