SAMPLE I-765 Form for 17-Month OPT Extension - University of Iowa - international uiowa 2026

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  1. Click ‘Get Form’ to open the SAMPLE I-765 Form in our editor.
  2. Begin by entering your last name, first name, and middle name in the designated fields. Ensure accuracy as this information is crucial for processing.
  3. In the section for the Nebraska Service Center, confirm that you have selected the correct office based on your location. If applicable, adjust to California, Texas, or Vermont.
  4. Attach a copy of your EAD card in the specified area to verify that OPT has been granted.
  5. Fill in the dates from your old EAD card and ensure they match exactly with what is printed on it.
  6. Enter your I-94 card information accurately in the provided fields. This includes your 11-digit number and any other required details.
  7. Indicate your status as an F-1 student. If you are not an F-1 student, consult with an ISSS advisor for guidance.
  8. Remember to sign your form electronically before printing it out. This step is essential for submission.
  9. Finally, print the completed form and email it to ISSS at the University of Iowa along with any additional documents required.

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Have you previously filed Form I-765? Select Yes since you have previously filed an I-765 (you will be required to upload a copy of your last EAD card in the Evidence section). Select no unless someone (e.g., an interpreter) is assisting you with the application.
A STEM OPT student and their employer must obtain, complete and sign the Form I-983 before the student may apply for a STEM OPT extension. The STEM OPT student and their employer must work together to complete the Form I-983.
If you file your STEM OPT extension application on time and your OPT period expires while your extension application is pending, we will automatically extend your employment authorization for 180 days. This automatic 180-day extension will end when USCIS adjudicates your STEM OPT extension application.

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Have you previously filed Form I-765? o YES: If you have previously applied for an EAD and were either Approved (regular OPT), Denied, or Rejected. If Approved, you will need to upload copies of your previous EADs under Evidence.
Have you previously filed Form I-765? Select Yes since you have previously filed an I-765 (you will be required to upload a copy of your last EAD card in the Evidence section).

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