double-check signatures and dates mailing your i

DO NOT LOSE YOUR OPT EMPLOYMENT ELIGIBILITY
The USCIS may reject I-765 applications for any of these reasons:
no signature on the I-765 form
no proper payment
no school and student signatures
The USCIS has accepted applications for processing and then 90
days later denied I-765 applications if the following occurs:
received more than 60 days after reported completion date on I-20
SUBMITTING THE I-765 APPLICATION FOR STEM
EXTENSION OF OPT EMPLOYMENT AUTHORIZATION
Make copies of all documents you are sending to USCIS and keep them for future reference.
G-1145: Fill out and submit the G-1145 to receive email notification of application
acceptance. Download the G-1145 form and instructions online at uscis.gov/G-1145.
I-765: Fill out and submit the I-765 form following the instructions on the back of this page.
Download the I-765 form and instructions online at uscis.gov/I-765.
Personal check or money order:
Amount of $380.00 payable to “U.S. Department of Homeland Security”.
DOUBLE-CHECK SIGNATURES AND DATES
Two passport style photographs (2” x 2”):
Photos should be taken no earlier than 30 days before submitting to USCIS.
Do not send materials that are out of date.
Your I-765 should be sent no later than 50 days after the completion date on your I-20.
Your I-765 Extension Application should be submitted to arrive at USICS prior to
your current Post-OPT EAD card expiration date.
Double-check dates on the I-20, and contact ISSC immediately if you need a new
updated I-20 form to submit with your application.
If you receive your materials back from USCIS, do not resend.
Double-check dates on the I-20, and contact ISSC immediately if you need a
new updated I-20 form to resubmit with your application.
Write your name and I-94 number (from I-765 #10) on the back of each photo in pencil.
Seal pictures in a smaller envelope with name and I-94 number written on the outside.
Transcripts: Official or unofficial transcripts (showing degree completion) or copy of
diploma as long as it states the degree.
Copy of paper I-94 or electronic record retrieved from https://i94.cbp.dhs.gov.
Copy of any prior EAD cards: If applicable.
Copy of signed OPT I-20: Make sure you have signed and dated the I-20 on page 1,
under Student Attestation.
Copy of all former I-20s.
When you have properly filed your application for an Employment Authorization Document
(EAD Card), you will receive a Notice of Action from the USCIS with a case number. You
can use this case number to track your case online at uscis.gov.
If you check the USCIS website and the USCIS fails to adjudicate your application within
90 days from the date indicated on the Notice of Action, contact the ISSC so that we can
send an email inquiry for your application.
Copy of passport biographical pages: Name, photo, expiration.
Arrange the documents in the order specified in the STEM Extension for OPT Completion
Document Checklist (paper clip them all together).
If your U.S. mailing address on the I-765 form is not an Arizona address or if you will be sending
by express mail, please refer to uscis.gov/i-765-addresses#Lockbox%20Addresses for the
proper address for the designated lockbox facility.
MAILING YOUR I-765 FORM
Using a large mailing envelope,
write “I-765” on the lower left
corner and write your return
address on the top left corner.
©2016 Arizona Board of Regents for Arizona State University.
ASU is an affirmative action/equal opportunity institution.
Information is subject to change. April 2016
Send it via regular mail to:
USCIS
PO Box 21281
Phoenix, AZ 85036
Your name
Your address
USCIS
PO Box 21281
Phoenix, AZ 85036
I-765
STEM EXTENSION FORM I-765
Available to download on the
USCIS website: uscis.gov/i-765
Download the most current version.
students.asu.edu/international/support/opt
I am applying for
Last entry into the United States
(#12–13)
Check the box “Renewal of my permission
to accept employment.”
Names (#1–2)
Entire family name in capital letters, then
use upper and lowercase letters for the
first name and middle name.
FOR USCIS USE ONLY
Your last entry date and place (Port of
Entry) can be found in two places:
passport admission stamp
electronic or paper I-94 record
Status of last entry (#14)
Use “F-1 Student”.
Biographical data (#3–8)
Provide personal biographical data,
including a mailing address that will be
good for at least four months.
Current immigration status (#15)
Use “Student”.
Social Security number (#9)
If you do not have an SSN, leave this
space blank. Apply for an SSN after
receiving the EAD, or on or after the OPT
start date — whichever comes later.
Eligibility category (#16)
Use (c) (3) (C) for STEM Extension OPT
LEAVE THIS
AREA BLANK
Form I-94 number (#10)
Enter the 11-digit number from most
recent electronic or paper I-94 record.
Dates: Use “start date” from EAD card.
If you have no previous EAD, check the
box for “No” and proceed to #12.
Fill out degree and employer info fields.
Certification
Applicants Signature: Use black ink.
(Do not touch the line or letters above.)
Date of Signature: date form is signed
Telephone Number: current U.S. number
Employment authorizations (#11)
If yes, provide info on your last EAD card.
If your EAD card number starts with
WAC, use “California Service Center”
for USCIS office.
Eligibility category (#17)
LEAVE THIS
AREA BLANK
Signature of preparer
Leave these spaces blank unless the
form is completed by someone other
than the student.