I-765V, Application for Employment Authorization for Abused Nonimmigrant Spouse

Purpose of Form

Certain abused nonimmigrant spouses may use Form I-765V to request an employment authorization document (EAD). You may file for employment authorization if you are, or were, the abused spouse of a nonimmigrant who was admitted under INA section 101(a)(15)(A), (E)(iii), (G), or (H) [admitted in A, E-3, G, or H nonimmigrant status], and you either accompanied or followed to join your abusive nonimmigrant spouse.

Number of Pages

Form 6; Instructions 10

Edition Date

01/19/17. You can find the edition date at the bottom of the page on the Form and Instructions.

Where to File

For U.S. Postal Service, express mail, and courier deliveries:

USCIS Vermont Service Center
Attn: Humanitarian Division
75 Lower Welden Street
St. Albans, VT 05479-0001

Sign the form at Part 4, Item Number 6.a., Applicant’s Signature. The fillable version of Form I-765V includes a “Don’t forget to sign!” message and an arrow pointing to the signature box as a reminder for when you print the completed form for mailing. If there is no signature, USCIS will reject the form and return it for correction and re-filing.

Filing Fee

$0 (Biometrics services may be required at no cost to the applicant.)

Special Instructions

Note to Applicants: Employment authorization is a benefit granted for a limited period of time and will not establish eligibility for or extend your lawful status in the United States. Receiving an Employment Authorization Document (EAD) will have no effect on your immigration status.

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