Fact-finding questionnaire

Work Authorization — Fact Finding (I-765)

Important: BlueTech Solutions is not a law firm. We provide administrative and clerical support only and do not give legal advice. Your answers are confidential and are used to prepare your paperwork under your or your attorney's direction.

Fields marked * are required.

About you

Full legal name *

Other names used

Date of birth *

Country of birth

Country of citizenship

City/town of birth

Start typing — pick a suggestion or type any town.

Gender

Marital status

Father's full name

Mother's full name (including maiden name)

A-Number (if any)

Social Security Number (if any)

USCIS online account number (if any)

Contact information

Phone (WhatsApp if possible) *

Email *

Current home address

Preferred language

Choose from the list or type another language.

Best way to reach you

Mailing address (if different)

Immigration details

Current immigration status

Pick the closest option — or type what appears on your document.

Current status expiration date (I-94)

I-94 number (if any)

Date of last entry to the U.S.

Place of last entry

Status or visa at last entry

Pick the closest option — or type what appears on your document.

Passport number

Passport country

Passport expiration date

SEVIS number (students/exchange only)

Eligibility & work permit details

Eligibility category *

USCIS receipt number(s) (if any)

USCIS online account number (if any)

Is this your first work permit?

Prior work permits (category, dates)

Do you want a Social Security card issued?

Anything else

Anything else we should know?

I understand BlueTech Solutions provides administrative support only and does not give legal advice.