I-765V, Application for Employment Authorization for Abused Nonimmigrant Spouse
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 later joined your abusive nonimmigrant spouse in the U.S.
Form Details
Dates are listed in mm/dd/yy format.
If you complete and print this form to mail it, make sure that the form edition date and page numbers are visible at the bottom of all pages and that all pages are from the same form edition. If any of the form’s pages are missing or are from a different form edition, we may reject your form.
If you need help downloading and printing forms, read our instructions.
U.S. Postal Service (USPS), FedEx, UPS, and DHL deliveries:
USCIS Vermont Service Center
Attn: Humanitarian Division
38 River Rd.
Essex Junction, VT 05479-0001
(Biometrics services may be required at no cost to the applicant.)
Please do not submit this checklist with your Form I-765V. It is an optional tool to use as you prepare your form, but does not replace statutory, regulatory, and form instruction requirements. We recommend that you review these requirements before completing and submitting your form. Do not send original documents unless specifically requested in the form instructions or applicable regulations.
If you submit any documents (copies or original documents, if requested) in a foreign language, you must include a full English translation along with a certification from the translator verifying that the translation is complete and accurate, and that they are competent to translate from the foreign language to English.
Did you provide the following?
- Evidence of your qualifying nonimmigrant status;
- A copy of any documentation establishing your identity and current nationality;
- Evidence of your spouse’s qualifying nonimmigrant status;
- Evidence of your qualifying relationship to your spouse;
- Evidence of the abuse; and
- Two identical color passport-style photographs.
If you are renewing your Employment Authorization Document, did you provide the following?
- Two identical color passport-style photographs;
- Evidence of your current residence in the United States;
- Evidence the principal nonimmigrant maintains valid immigration status under INA section 101(a)(15)(A), (E)(iii), (G), or (H) on the date you filed your renewal application; and
- Evidence of previous employment authorizations issued under INA section 106.
If you cannot provide copies of the documentation requested above, you must submit a signed statement or any other credible evidence that explains why you cannot provide the documentation.
Filing Tips: Go to our Tips for Filing Forms by Mail page for information on how to help ensure we will accept your application.
Don’t forget to sign your form. We will reject any unsigned form.
Employment authorization is a benefit we grant for a limited period of time and will not establish eligibility for or extend your lawful status in the United States. Receiving an EAD will have no effect on your immigration status.