I-765 Employment Authorization Cover Letter Template: Filing

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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]

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.]

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)

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]

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]

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]

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]

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.]

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]

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I-765 Employment Authorization Cover Letter Template: Filing

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I-765 Employment Authorization Cover Letter Template — quick answers

Reviewed July 2026 Free download, PDF & DOCX

What is Form I-765, Application for Employment Authorization?

Form I-765 is the official U.S. immigration form used by certain noncitizens to request an Employment Authorization Document (EAD), commonly called a “work permit.” When approved, the EAD allows you to work lawfully in the United States for a specific period of time while you are in an eligible immigration status or have a qualifying pending application.

Who can file Form I-765 for a work permit?

Many different categories of people can file Form I-765, including applicants for adjustment of status (I-485), certain spouses of nonimmigrants, some students, asylees and asylum applicants, DACA recipients (if available), TPS beneficiaries, and others. Eligibility depends on your specific immigration category and the eligibility code you select on the form. You should always check the most recent USCIS instructions or consult an immigration professional to confirm that you qualify.

What is the purpose of an I-765 cover letter?

An I-765 cover letter is an optional but helpful document that you include with your work permit application. It briefly explains who you are, which eligibility category you are using, whether you are filing with other applications or based on a pending case, and what supporting documents you are enclosing. A clear cover letter can make your packet easier to review and reduce confusion about your case type or eligibility code.

What should I include in my I-765 cover letter or personal statement?

Your I-765 cover letter should usually include: your full name, A-number (if any), mailing address, date of birth, and the eligibility category you are using (for example, “(c)(9) – Adjustment Applicant”); a short explanation of the basis for your work authorization (pending I-485, pending asylum, TPS, etc.); a note about whether this is an initial application, renewal, or replacement; and a simple list of the documents you are enclosing, such as copies of your passport, I-94, pending receipt notices, photos, and any required supporting evidence.

How long should an I-765 cover letter be?

Most I-765 cover letters are one or two pages at most. The goal is clarity, not length. A short, well-organized letter that clearly states your eligibility category and lists your attachments is usually more helpful than a long, detailed narrative. If you need to explain something unusual (such as gaps in status or a lost EAD), you can add a short, focused explanation section in the same letter.

Can AI Lawyer help me prepare my I-765 work permit cover letter?

Yes. AI Lawyer can help you use this I-765 cover letter template by suggesting clear wording, organizing your information, and helping you present your eligibility and documents in a structured way. You still need to provide accurate facts and immigration details, and AI Lawyer does not replace a licensed attorney or provide legal advice or guarantees. However, it can save you time, reduce stress, and help you create a more polished I-765 cover letter to include with your work authorization application.

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