Fillable Printable Form M-1162

Form M-1162

Form M-1162 11/03/16 N Page 1 of 2

Optional Checklist for Form I-765 (c)(8) Filings

Asylum Applicants (With a Pending Asylum Application)

Who Filed for Asylum on or After January 4, 1995

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form M-1162

Checklist

This is an optional checklist to assist applicants who are filing Form I-765, Application for Employment

Authorization, based on a pending asylum application (Form I-589).

Do not submit this checklist to USCIS.

NOTE: This optional checklist does not replace or change statutory or regulatory requirements. We

recommend that you review these requirements, as well as the appropriate form instructions, before completing

and submitting Form I-765. Do not send original documents unless specifically requested in the form

instructions. See www.uscis.gov/I-765 for the most recent version of Form I-765 and its instructions.

Form Checklist

Did you complete all sections of the form that apply to you? (See How To Fill Out Form I-765 in the

General Instructions section on Page 7 of the Form I-765 Instructions.)

Did you sign and date the form? (See the General Instructions section on Page 7 of the Form I-765

Instructions.)

Did you submit the correct fee, if applicable? (See the What Is the Filing Fee section on Page 9 of the

Form I-765 Instructions.)

Did you provide your current U.S. mailing address? Do not type or print the address of your attorney or

accredited representative. (See the Address Change section on Page 10 of the Form I-765 Instructions.)

Filing Checklist

Did you provide the following?

Completed Form G-28 (only if you are represented by an attorney or an accredited representative).

NOTE: If you want your Employment Authorization Document (EAD) mailed to your attorney or

accredited representative, please select the appropriate box on Form G-28. (See Part 4., Items 1. - 2.b., in

the Specific Instructions section on Page 3 of the Form G-28 Instructions.)

Proof that you have lodged or filed Form I-589 with USCIS, or lodged or filed Form I-589 with EOIR.

(See Item 1.D. in the Who May File Form I-765 section on Page 1 and Special Filing Instructions for

Those With Pending Asylum Applications ((c)(8)) section on Page 8 of the Form I-765 Instructions.)

NOTE: If you previously received a (c)(8) Employment Authorization Document (EAD), this application

would be a request for “Renewal of my permission to accept employment” and you must submit a fee or

fee waiver request.

Form M-1162 11/03/16 N Page 2 of 2

NOTE: If you have lodged your Form I-589 at an immigration court window, submit a legible copy of the

form containing the following two stamps:

A Received Date stamp that shows the date and time your Form I-589 was lodged but not filed at an

immigration court window.

A stamp which reads:2)

DEPARTMENT OF JUSTICE

LODGED NOT FILED

EXECUTIVE OFFICE FOR

IMMIGRATION REVIEW

IMMIGRATION COURT

[COURT LOCATION]

RECEIVED

DEPARTMENT OF JUSTICE

[DATE]

EXECUTIVE OFFICE FOR

IMMIGRATION REVIEW

IMMIGRATION COURT

[COURT LOCATION]

The docket number, if applicable. (You will have this information if an immigration judge denied your

Form I-589 or if you have evidence of any appeal pending with a Circuit court or any court outside of the

Board of Immigration Appeals.)

Certified English translations of any non-English documents. (See the Translations paragraph in the

General Instructions section on Page 7 of the Form I-765 Instructions.)

Proof of Identity. (See Item 2.B. in the Required Documentation section on Page 8 of the Form I-765

Instructions.)

Photographs. (See Item 2.C. in the Required Documentation section on Page 8 of the Form I-765

Instructions.)

Do not submit this checklist to USCIS.