FORM I-765 EMPLOYMENT AUTHORIZATION

CATEGORY (C)(9) - PENDING ADJUSTMENT OF STATUS
COVER LETTER AND EVIDENCE CHECKLIST

Filing Overview

• Applicant: [NAME], A#: [A-NUMBER]
• Basis: Pending I-485 (AOS) filed on [DATE]; Receipt No.: [IOE/WAC/EAC/LIN/SRC-##########]
• Category: (c)(9) adjustment applicant; Combo card requested with I-131: [YES/NO]
• Filing type: [Initial / Renewal]; If renewal, current EAD expiry: [DATE] (include 540-day automatic extension notice if eligible).
• Address used for filing and delivery: [ADDRESS]

Packet Order (suggested)

1) Cover letter (this document).
2) Form I-765 (signed, correct edition).
3) Filing fee or fee waiver (if standalone); if filed with I-485, note fee covered.
4) Two passport-style photos in envelope labeled with name and A#.
5) Government ID evidence: passport bio page; prior EAD (front/back) if renewal; I-94 record.
6) I-485 receipt notice (I-797C) proving pending AOS.
7) I-130/I-140 receipt notice (if applicable).
8) Marriage certificate (for derivative spouses) or birth certificate (for derivatives/children), with certified translation if needed.
9) Any name change evidence.
10) For renewals: copy of current EAD and proof of timely filing if relying on automatic extension.

Cover Letter Body (sample)

text
Date: [DATE]

USCIS [LOCKBOX/ADDRESS]

RE: Form I-765 (c)(9) - Employment Authorization Document for [NAME, A#]; Pending I-485 Receipt [NO.]

Dear Sir/Madam:

Enclosed please find Form I-765 filed under category (c)(9) for a pending adjustment applicant. The I-485 was filed on [DATE] and remains pending (Receipt No. [NO.]). I request issuance of an EAD [and advance parole combo card if concurrently filing I-131].

Enclosures follow the order listed above. Please direct correspondence to the address noted.

Sincerely,
[NAME]
[ADDRESS]
[PHONE] | [EMAIL]

Practice Notes

• Sign the form in black ink; use the latest edition.
• Use SAFE mailing address; consider Form G-28/G-1145 where applicable.
• Include I-94 printout (cbp.gov/I94) and passport ID page; if no I-94, include explanation.
• If renewal: file 180 days before expiry; note automatic extension rules for (c)(9) renewals.
• Keep copies of all filings; track receipts in docketing system.