I 765 Form Work Authorization (Page 4 of 4) in pdf

I 765 Form Work Authorization Page 4

Sample Letter

This is a sample letter to obtain permission to work because of economic necessity. You must

write your own letter. This letter will give you a general idea of what information should be

included in your letter. Keep a copy of your letter in case it is lost and you need to request a

replacement.

Your sponsor must also write a letter explaining the change in his or her financial circumstances.

If he/she cannot write in English, a foreign language translation is acceptable. A faxed copy is

acceptable.

EXAMPLE

Today's Date:

To Whom It May Concern:

I hold an F-1 visa, and I am required by financial necessity to request permission to work off

campus. As indicated on my I-20, I am supported by (fill in your support as indicated in #8 on

your I-20).

(In this paragraph, you must explain what has happened to cause you to have a change in

financial support. Devaluation of your country's currency is a legitimate reason, but you must

show how this affects your personal situation. If there are several reasons, give them all but

NEVER declare that you have no support whatsoever).

The following lists my assets, income, and expenses: (You must honestly estimate your own

assets, income, and expenses. Do not use the numbers in this sample letter.)

Assets/Income: $6,000 in bank accounts

$6,000 from my parents

$2,000 from my brother

Total:

$14,000

Expenses:

$13,916 for tuition, fees, & health insurance

$7,270 for room and board

$ 900 for books and supplies

$21,150 for personal expenses

Total:

$24,196 (be sure your total equals the amount listed on your I-20)

I very much want to complete my studies here at the University of Nebraska. I appreciate your

consideration of my request.

Sincerely,

(your name)

PG. 4

INTERNATIONAL STUDIES & PROGRAMS – ASH 241

REVISED 01/07/11

I 765 Form Work Authorization Page 4