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Get Application For Employment Authorization

Tion Number Certification Your Certification: I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct. Furthermore, I authorize the release of any information that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking. I have read the "Who May File Form 1-765?" section of the instructions and have identified the appropriate eligibility category in Question 16. Signature Telephone.

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