Optional Checklist for Form I-765 (c)(9) Filings Adjustment of Status Applicants Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form M-1152 Checklist This is an optional checklist to assist applicants who are filing Form I-765 together with or based on a pending adjustment of status application (Form I-485). 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 the Form I-765 and its instructions. Form Checklist Did you complete all sections of the form that apply to you? (See the General Instructions section on Page 7 of the How To Fill Out Form I-765 section 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 write 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 indicate it on the 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 a pending Form I-485 (only if you have a previously filed Form I-485). (See Item 7.A. in the Who May File Form I-765 section on Page 5 of the Form I-765 Instructions.) 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. Form M-1152 04/01/16 N American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1