Work Permit and Advance Parole Questionnaire

SECTION 01 · APPLICANT DETAILS

Applicant identity and contact

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

Applicant — First / given name *

Applicant — Family / last name *

Applicant — Middle name

Applicant contact email address *

Date of birth

Alien Registration Number (A-Number), if any

USCIS Online Account Number (if any)

Sex as requested on the USCIS forms

Marital status (I-765)

City / town / village of birth

State or province of birth

Country of birth

Current countries of citizenship or nationality (list every country)

Entry 1

Country of citizenship / nationality

Other names used, including maiden names, aliases and nicknames

Entry 1

Family / last name

Given / first name

Middle name

Daytime telephone number

Mobile telephone number

US Social Security Number (if any)

SECTION 02 · APPLICANT DETAILS

US mailing and physical addresses

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

US mailing address — In care of name

US mailing address — Street number and name

Mailing unit type

Mailing unit number

Mailing city / town

Mailing state

Mailing ZIP code

Mailing province (if applicable)

Mailing postal code (if applicable)

Mailing country (if applicable)

Is current physical address the same as mailing address?

Physical address — In care of name

Physical address — Street number and name

Physical unit type

Physical unit number

Physical city / town

Physical state

Physical ZIP code

Physical province (if applicable)

Physical postal code (if applicable)

Physical country (if applicable)

SECTION 03 · APPLICANT DETAILS

Latest US arrival and immigration documents

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

Most recent Form I-94 arrival / departure record number

Most recently issued passport number

Travel document number, if any

Country that issued most recent passport / travel document

Passport / travel document expiration date

Date of most recent arrival in the US

Place of most recent arrival in the US

Immigration status at last US arrival (for I-765)

Current immigration status or category

Class of admission on I-94 (for I-131)

Expiration of authorized stay shown on Form I-94

SEVIS number (if applicable)

eMedical US Parolee ID / USPID (if any)

SECTION 04 · WORK PERMIT I-765

I-765 — Reason for application and prior EAD

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

I-765 Part 1 — Reason for applying

Have you previously filed Form I-765?

Prior I-765 receipt numbers, if known

Current or previous EAD expiration date (if any)

I-765 Part 2 Item 27 — Employment authorization eligibility category, e.g. (c)(9)

Explain your basis for employment authorization or any category questions

SECTION 05 · WORK PERMIT I-765

I-765 — Eligibility category dependent questions

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

If (c)(3)(C) STEM OPT: Degree

If STEM OPT: Employer name as listed in E-Verify

If STEM OPT: E-Verify company ID / valid client company ID

If (c)(26) H-4 spouse: Most recent H-1B spouse I-129 receipt number

If (c)(8) asylum: Have you ever been arrested for or convicted of any crime?

If (c)(35) or (c)(36): Your, spouse’s, or parent’s applicable I-140 receipt number

If (c)(35) or (c)(36): Have you ever been arrested for or convicted of any crime?

If yes to a crime question above, provide details and dispositions (attorney review)

SECTION 06 · WORK PERMIT I-765

I-765 — Applicant statements and additional information

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

Are you a Salvadoran or Guatemalan national eligible for ABC settlement benefits?

Additional information, including I-765 part, page, item numbers when applicable

Documents available for the I-765 application, such as prior EADs, status documents and receipts

SECTION 07 · ADVANCE PAROLE I-131

I-131 — Advance parole request and eligibility basis

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

I-131 Part 1 Item 5 — Basis for advance parole

Pending Form I-485 receipt number, if I-131 filed separately

Pending Form I-589 receipt number (if applicable)

Pending initial Form I-821 receipt number

Approved I-821D receipt number

Approved I-914 / Supplement A receipt number

Approved I-918 / Supplement A receipt number

Current parole class of admission

Approved I-817 receipt number

Pending I-687 receipt number

Approved V status receipt number

CNMI long-term residence receipt number

If Other, explain the advance parole eligibility basis

Do you hold refugee status, were you paroled as a refugee, or became a permanent resident directly as a refugee?

SECTION 08 · ADVANCE PAROLE I-131

I-131 — Proceedings, prior travel documents and replacement

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

Have you ever been in exclusion, deportation, removal or rescission proceedings?

Details of any proceedings, dates and outcome

Have you ever been issued a reentry permit or refugee travel document?

Date last reentry permit / refugee travel document issued

Disposition of that document, such as attached, lost, stolen or still possessed

Have you ever been issued an advance parole document?

Date last advance parole document issued

Disposition of last advance parole document

Are you requesting a replacement advance parole document?

If replacing, reason

If correcting an existing document, identify every incorrect item

Entry 1

Information needing correction

Explain requested correction

Additional explanation and supporting documents for a correction

Receipt number for related Form I-131 document to be replaced

SECTION 09 · ADVANCE PAROLE I-131

I-131 — Biographic information

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

Ethnicity

Race: American Indian or Alaska Native

Race: Asian

Race: Black or African American

Race: Native Hawaiian or Other Pacific Islander

Race: White

Height — Feet

Height — Inches

Weight — Pounds

Eye color

Hair color

SECTION 10 · ADVANCE PAROLE I-131

I-131 — Proposed travel

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

Intended departure date

Purpose of intended trip (I-131 Part 7 Item 2)

Countries you intend to visit

Entry 1

Destination country

How many trips do you intend to use this document?

Expected length of trip in days

Any additional information about intended travel dates, locations or urgency

SECTION 11 · ADVANCE PAROLE I-131

I-131 — Additional information and documents

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

Additional information, including I-131 part, page and item number where applicable

Supporting immigration, identity, receipt and travel documents available for the I-131 application

SECTION 12 · APPLICANT DETAILS

Final notes for your legal team

Only applicant first name, last name and email address are mandatory. Provide information if known and applicable. The firm will determine which USCIS questions apply to your case.

Additional facts or explanations relevant to the work permit or advance parole request

Questions you want the firm to review

Applicant identity and contact

US mailing and physical addresses

Latest US arrival and immigration documents

I-765 — Reason for application and prior EAD

I-765 — Eligibility category dependent questions

I-765 — Applicant statements and additional information

I-131 — Advance parole request and eligibility basis

I-131 — Proceedings, prior travel documents and replacement

I-131 — Biographic information

I-131 — Proposed travel

I-131 — Additional information and documents

Final notes for your legal team

Secure verification