Work Authorization Application

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§ 274a.12(c)(5) BIOGRAPHICAL DATA (To be completed by the J-2 dependent) J-2 Family Name J-2 First/Middle Name J-2 SEVIS ID Number J-2 SMU ID Number J-1 Family Name J-1 SEVIS ID Number J-1 SMU ID Number DS-2019 Completion Date: SCHEDULE AN APPOINTMENT WITH AN INTERNATIONAL SERVICES SPECIALIST AND BRING THE FOLLOWING: Copy of J-1 DS-2019 Copy of J-1 current appointment letter Copy of health insurance for both J-1 and J-2 Copy of J-1 passport Copy of J-1 visa and I94 (front and back) Copy of J-2 DS-2019 Copy of J-2 passport (showing name and expiration date) Copy of J-2 visa and I-94 (front and back) Letter requesting work authorization Original I-765 (download from USCIS) Check (check amount on USCIS website) 2 passport photos By signing below, I affirm that I have continually maintained status and understand the consequences of my request..

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