I-765 Application for Employment Authorization Cover Letter Template

[Your Full Name]
[A-Number (if any)]
[Street Address]
[City, State, ZIP Code]
Phone: [Phone Number]
Email: [Email Address]

[Date]

U.S. Citizenship and Immigration Services
[USCIS Service Center or Lockbox Name]
[Street Address]
[City, State, ZIP Code]

1. Applicant Information and Purpose of This Letter

Re: Form I-765, Application for Employment Authorization – [Initial / Renewal / Replacement] EAD
Applicant: [Your Full Name], DOB: [MM/DD/YYYY], A-Number: [A-Number or “None”]

I, [Your Full Name], submit this cover letter in support of my Form I-765, Application for Employment Authorization. This letter summarizes my personal information, eligibility category, and the documents enclosed with my application.

2. Immigration and Eligibility Category Information

Current Immigration Status: [Current Status or “Pending Case”]
Date of Last Entry to the United States: [MM/DD/YYYY]
Place of Last Entry: [City, State or Port of Entry]

Underlying Case or Petition (if applicable):

• Form Type: [Form I-485 / I-589 / I-130 / I-140 / Other]

• Receipt Number: [Receipt Number]

• Filing Date: [MM/DD/YYYY]

• Petitioner or Principal Applicant Name (if applicable): [Name]

I-765 Eligibility Category:

• Category: [e.g., (c)(9), (c)(8), (c)(3)(B), (a)(5), etc.]

• Basis for Category: [Short Description, such as “pending adjustment of status,” “pending asylum application,” “F-1 OPT,” “TPS,” etc.]

3. Biographical Details

Full Legal Name: [Last, First, Middle]
Other Names Used (if any): [Maiden Name, Prior Names or “None”]
Date of Birth: [MM/DD/YYYY]
Place of Birth: [City, Country]
Country of Citizenship/Nationality: [Country]

U.S. Mailing Address: [Street, City, State, ZIP Code]
U.S. Physical Address (if different): [Street, City, State, ZIP Code]

4. Type of Employment Authorization Requested

Type of Request:

• Initial EAD

• Renewal EAD

• Replacement EAD (lost, stolen, or damaged card)

If Renewal or Replacement, Most Recent EAD Information:

• EAD Category Printed on Card: [Category]

• EAD Card Number: [Card Number]

• EAD Valid From: [MM/DD/YYYY]

• EAD Valid Through: [MM/DD/YYYY]

5. List of Forms and Supporting Documents Enclosed

The following items are included with this I-765 filing:

Forms:

• Form I-765, Application for Employment Authorization (completed and signed)

• Form G-1145, E-Notification of Application/Petition Acceptance [if used]

Identity and Immigration Documents:

• Copy of passport biographical page

• Copy of most recent U.S. visa page [if any]

• Copy of electronic or paper Form I-94 (front and back, if applicable)

• Copy of prior EAD card [if renewal or replacement]

Underlying Case Evidence (if applicable):

• Copy of Form I-797 receipt notice for [underlying form type]

• Copy of approval notice(s) for [any relevant petitions or applications]

Photographs:

• [Number] passport-style color photographs meeting USCIS specifications

Additional Supporting Documents (if applicable):

• [Description of any additional documents, such as marriage certificate, school letter, employment letter, or other relevant evidence]

6. Additional Information (If Applicable)

[Use this section to briefly address any special circumstances that may be relevant to your I-765 request, such as:

• Pending or approved humanitarian applications;

• Gaps in status or prior periods of unauthorized employment;

• Corrections from prior filings;

• Name changes;

• Other details you wish to bring to USCIS’s attention.]

7. Closing and Signature

I respectfully request that USCIS approve my Form I-765, Application for Employment Authorization, and issue an Employment Authorization Document in the eligibility category listed above. To the best of my knowledge and belief, the information in my application and in this cover letter is true, correct, and complete.

Thank you for your time and consideration.

Sincerely,

[Your Signature, if printed]
[Your Full Name]
Date: [MM/DD/YYYY]