485 Employment
485 - Page 14, Part 8, Question 61
___________________________________
485 - Page 11, Part 8, Question 16
RE: Employment without Authorization (eventually applied for ead)
Yes, I have worked in the United States without authorization. I worked to provide for myself and my family. I eventually applied for and received Employment Authorization when I obtained my current legal status
RE: Employment without Authorization (out of necessity to feed my family) Yes, I have worked in the United States without authorization out of necessity. I worked to provide for myself and my family.
RE: Employment without Authorization (out of necessity to feed myself ) Yes, I have worked and am currently working in the United States without authorization. I worked illegally out of necessity to provide for myself. I am including an application for Employment Authorization with this application.
___________________________________
485 - Page10 Part8: Item 17
RE: Violating the terms of a visitor visa
I entered the U.S. with a visitor's visa. I was granted a 180-day period of authorized stay. That authorized period has expired and I have now overstayed. I am applying for adjustment of status as an immediate relative of a US Citizen.
485 Addresses and Employment
485 - Page 4, Part 2, Question 5
RE: Additional Addresses
Address: _________________
From ______ to ______
Address: _________________
From ______ to ______
Address: _________________
From ______ to ______
485 - Page 6, Part 3, Question 11
RE: Additional Employment
Title: ______________________________
Company/Employer: ________________
Address: _________________
From ______ to ______
Title: ______________________________
Company/Employer: ________________
Address: _________________
From ______ to ______
485 Additional Children
485 - Page 9, Part 5, Question 1
RE: Additional Children
Name: ______________________________
A# ______________________________
DOB: ______________________________
Country of Birth: ______________________________
Name: ______________________________
A# ______________________________
DOB: ______________________________
Country of Birth: ______________________________
485 Denied Admission, Military, or Arrests
_____________________________________________________________________
485 - Page 11, Part 8, Question 14
RE: Denied admission
Yes, I attempted to enter the US but was denied admission. I was returned to my home country. This occurred in _____. Since then I have been granted ___________ status.
485 - Page 11, Part 8, Question 25-30
RE: Arrests and/or Detention by Immigration and Customs Enforcement or Border Patrol
Yes, I have been apprehended and/or detained by Customs and Border Patrol or Immigration and Customs Enforcement. I was detained for ____ days.
See below for more, re removal, unlawful presence, illegal entry/re-entry
485 Arrests, Citations or Infractions
485 - Page 11, Part 8, Question 25-30
RE: Arrests and/or Detention
Yes, I have been apprehended and/or detained by Customs and Border Patrol or Immigration and Customs Enforcement. I was detained for ____ days.
Question 25 cont.
RE: Citations
I recently received a citation for driving above the speed limit. I paid for the infraction and completed the traffic school. I am enclosing a copy of my certificate of completion.
RE: Police Arrest
In ___________, I was cited for Driving under the Influence. I paid for the infraction and completed the court ordered program. I have ordered the criminal court dispositions and will submit them in a supplemental filing and present the original at the time of the interview.
485 Military
485 - Page 13, Part 8, Question 49
RE: Military
I have received training in the Military. I was in the military reserves. I was never in combat.
485 Deportation, Relief from removal
485 - Page 11, Part 8, Question 18
RE: Deportation Proceedings
"Yes, I have been in removal proceedings previously. I am enclosing a copy of the Notice to Appear and the Judge's Order granting my ___________. I went to all scheduled hearings."
485 - Page 11, Part 8, Question 23
RE: Relief from Removal
"Yes, I have applied for relief from removal. I applied for ___________ while in proceedings."
485 - Page 11, Part 8, Question 25-30
RE: ICE Detention Only (I am a minor)
My only contact with law enforcement has been when I was detained by immigration agents and placed in a detention facility in Adelanto, CA. I was then paroled and I was included in my mother’s application for asylum in removal proceedings.
485 - Page 15, Part 8,
RE: Removal, Unlawful Presence, or illegal reentry
Question 70: I was physically removed/deported from the US.
Question 71: I have entered the US without being inspected or admitted.
Question 72b: Since April 1, 1997, I have resided in the U.S. for more than a year and then departed the US.
Question 73a: After April 1, 1997, I have reentered or attempted to renter the U.S. after accruing more than one year of illegal presence.
Question 73b: After April 1, 1997, I have reentered or attempted to renter the U.S. after having been deported.
485 - Page 15, Part 8, Question 70-71
RE: EWI for U Visa applicants
I entered the U.S. without inspection. WIth my U - Visa application, I filed for an inadmissibility waiver, which was approved/granted.
G639 - FOIA
G639 - FOIA
State the purpose of your request:
I wish to obtain my court file and the copies of applications filed on my behalf.
Describe the records you are seeking.
I am seeking the entire record. I would like my agency and court documents. I am the beneficiary on a family petition and I have also been placed in proceedings.
765 DACA
765 ws - DACA
working full time
I am currently employed full-time. I work at ____________. I am requesting the renewal of my Employment Authorization so that I may continue to work and cover my living expenses. I also use part of my income to contribute to my family's household expenses.
In school now
I am currently employed part-time and go to school part time. I work at ____________. I am requesting the renewal of my Employment Authorization so that I may continue to work and cover my school expenses. I plan to pursue a career in __________ when I earn my degree.
In school, seeking a career in ____
I am requesting to renew my work authorization because I am currently working and would like to be able to continue supporting myself. Having deferred action has allowed me to focus on school and to continue pursuing my dream to work in the ____ field.
In school and working, has a kid
I am currently employed and going to school. I am requesting the approval of an Employment Authorization so that I may continue to work and cover my living expenses. I have a young daughter that relies on me for financial support.
765 wrong dob
RE: Statement to USCIS re: wrong bday
Attn: USCIS
Please find Applicant's original EAD Card. We are returning it to your office and request a replacement card due to an error on the Applicant's date of birth. Attached, please find USCIS' form 1-797 which show's applicant's correct Date of Birth of: "March 18, 1981" Also attached, please find Applicant's Translated Birth Certificate with correct date of birth shown as: March 18th, 1981. We request that you replace the original EAD Card. Please contact us should you have any questions.
765 P.O. Box
RE: Statement to USCIS re: P.O. Box
Re: Statement regarding the preference of a P.O. Box
My current physical address is:
To whom it may concern:
The above referenced applicant prefers the use of the P.O. Box listed on the application for security purposes, since he does not have a secure mailbox at his physical address. Its due to the unreliable and inconsistent mail delivery service at my apartment complex,
Therefore, he would like his Employment Authorization Document sent to the below P.O. Box, as listed on the application.
I choose to have my important documents delivered to the following P.O. Box as listed on the application.
P.O. Box ____
City, State, Zip
This statement has been read and explained to the applicant in his native language, which is Spanish.
Please contact this office if you need any further information.
765 - Previously Submitted I-765
765 RFE
RE: Statement to USCIS re: Previously Submitted I-765
Applicant’s counsel’s office mistakenly listed the eligibility category for the above-referenced applicant’s I-765 application. It should have been indicated that the eligibility category was that of C(10), based on a pending E42b Cancellation of Removal Application in EOIR proceedings, and not based on asylum.
Applicant’s counsel and his office profusely apologize for this unintentional administrative error, and asks that the blameless Applicant not be penalized for this unintentional administrative error.
RE: Reason for request for replacement:
765 - Page 1, Application Type
RE: Reason for request for replacement:
I, ______________, am requesting a replacement of my Employment Authorization Document before the expiration of the last issued card because I lost my work card.
I am unable to include a copy because I have lost it.
____________________
Signature and Date
765 New Asylum 8/25/2020
Page 4, Part 2, write in the box - Why didn't you enter legally (for a UAC/589)
I was a minor who fled my home country with
the intention to seek asylum in the United States.
I did not have a valid visa to enter the US legally
because I did not attempt to obtain a visa at the
embassy before fleeing.
Page 4, Part 2, write in the box - Why didn't you enter legally (asylum, 589 for an adult who fled)
I fled my home country with the intention
to seek asylum in the United States. I did
not have a valid visa to enter the US legally
because I did not attempt to obtain a visa
at the embassy before fleeing.
Page 4, Part 2, write in the box - I did apply and was paroled
OR On _____________, I made an application for admission through the __________ port of entry.
Page 4, Part 2, write in the box - Why didn't you enter legally (will eventually be E42b, for an adult put into proceedings)
I did not have a valid visa to enter the US
legally because I did not attempt to obtain
a visa at the embassy before coming to the U.S.
Page 4, Part 2, write in the box - Why didn't you enter legally (for a child under 14, 589)
I did not have a valid visa to enter the US
legally because my mother did not attempt
to obtain a visa at the embassy before
bringing me with her to the U.S.
RE: 765
misc
765 crimes
Page 3, Part 2, Question 30a
RE: Arrests and/or Detention (Still in proceedings)
I was apprehended and detained by immigration officers at the border while attempting to enter the U.S. illegally.
I am enclosing a copy of my F.B.I. report and / or Notice to Appear which shows the apprehension.
I was placed in removal/deportation proceedings, as a result of the apprehension and I continue to attend all hearings. My next court date is __________
RE: Arrests and/or Detention (was in proceedings, now administratively closed)
I was apprehended and detained by immigration officers at the border while attempting to enter the U.S. illegally.
I am enclosing a copy of my F.B.I. report which shows the apprehension.
I was placed in removal/deportation proceedings, as a result of the apprehension and I filed for asylum and my proceedings were administratively closed.
RE: Arrests and/or Detention - PD/Sherriff
Number of arrests: _____
Circumstances regarding this arrest:
I was arrested for _________ on or about _________________. I was arrested in __________________.
Circumstances regarding this arrest: _____________________
Date of Arrest / Detention:____________
Reason for the arrest/detention:____________
Outcome: ____________
if any, Days in Jail: _________
if any, Fine: __________
if any, Court ordered Class: _________
RE: Arrests and/or Detention (ICE only)
My only contact with law enforcement has been when I was apprehended by Customs and Border Patrol/Immigration and Customs Enforcement.
i was issued a notice to appear. I continue to attend all hearings. My next court date is __________
RE: Arrests and/or Detention - ICE and PD/Sherriff
I was apprehended and detained by immigration officers at the border while attempting to enter the U.S. illegally.
I was also arrested and charged with committing a crime in the U.S.
I was arrested for _________ on or about _________________. I was arrested in __________________.
The charges were dropped for lack of sufficient evidence.
I was then referred to Immigration and Customs enforcement and placed in removal proceedings. I continue to attend all hearings. My next court date is __________
I am enclosing a copy of my background check report which shows all criminal arrests.
I am enclosing the certified court dispositions.
n-400 removal proceedings
RE: Arrests and/or Detention (was in proceedings, IJ granted relief...
I was apprehended and detained by immigration officers at the border while attempting to enter the U.S. illegally.
I am enclosing a copy of my F.B.I. report which shows the apprehension.
I was placed in removal/deportation proceedings, as a result of the apprehension and I filed for asylum and my proceedings were administratively closed.
I was I was placed in removal/deportation proceedings, as a result of the apprehension and I continue to attend all hearings. My next court date is __________.
RE: was previously in proceedings, IJ granted relief...
In the past, I have been placed in removal/deportation proceedings. I filed for ______and an immigration judge granted my application.
n-400 Military training
Page 14, Part 12, Question 19 – Military Training
RE: Military Training
While living in Mexico, I received Military training. This is a requirement for boys in Mexico.
n-400 - crimes
RE: Arrests and/or Detention (was in proceedings, IJ granted relief...
I was apprehended and detained by immigration officers at the border while attempting to enter the U.S. illegally.
I am enclosing a copy of my F.B.I. report which shows the apprehension.
I was I was placed in removal/deportation proceedings, as a result of the apprehension and I filed for asylum and my proceedings were administratively closed.
Page 14, Part 12, Question 23-29
I was detained for driving a vehicle without a license plate on or about 12/1999. I was detained in San Francisco, CA. I was only detained for a few hours.
I had to appear to traffic court. I was not required to pay a fee or fine. There were no charges filed.
RE: Arrests and/or Detention - PD/Sherriff
Number of arrests: _____
Circumstances regarding this arrest:
I was also arrested and charged with committing a crime in the U.S.
I was arrested and charged with the crime of ________________ on or about _________________.
I was arrested in the city of __________________.
I was detained for _____, hrs/days?
I went to all criminal hearings.
I paid the fine.
I completed the court ordered program.
I was placed on probation for _____ days/years.
The charges were dropped for lack of sufficient evidence.
I am enclosing the certified court dispositions.
I am enclosing a copy of my background check report which shows all criminal arrests.
I was then referred to Immigration and Customs enforcement and placed in removal proceedings. I went to all scheduled hearings.
RE: Arrests and/or Detention (ICE only)
My only contact with law enforcement has been when I was apprehended by Customs and Border Patrol/Immigration and Customs Enforcement.
i was issued a notice to appear. I attended all hearings.
RE: Arrests and/or Detention - ICE and PD/Sherriff
I was apprehended and detained by immigration officers at the border while attempting to enter the U.S. illegally.
Statement of Non-Registry
{TODAY3}
Our file # {PRI MAT:MATNO}
My name is {PRI MAT:MATREF},
I am applying for US Citizenship.
It is during this process that I have learned that I was required to register for Selective Service Registration.
I never registered with the Selective Service.
I believed that because I was undocumented I was unable to register.
If I had known that my registration would be accepted, I would have applied immediately after turning 18 years old.
I realize now that I am over the required age to register.
I am still willing to serve the United States in any way that I can.
_______________________
{PRI MAT:MATREF}
n-400 Sample statement regarding name:
Citizenship (excerpt from the instructions 08.2020)
Name Change (Optional). A court can allow you to change your name when you are naturalized. Any
name change you request on this application will not be final until you are naturalized by the court. If you want the court
to change your name at your naturalization oath ceremony, select “Yes” and complete this section. You do not need to
request a name change if your name has changed through marriage, divorce, or other court order.
Sample statement regarding name:
"Page 2 Part 2, Item 4
If granted naturalization, the name that I wish to appear on my certificate is my married name. I am enclosing a copy of my marriage certificate.