Department of Homeland Security

Department of Homeland Security U.S. Citizenship and Immigration Services Form I-797C, Notice of Action THIS NOTICE DOES NOT GRANT ANY IMMIGRATION STATUS OR BENEFIT. NOTICE TYPE Recei t CASE TYPE NOTICE DATE I-765, Application for Employment Authorization RECEIPT NUMBER RECEIVED DATE December 08, 2015 December 10 2015 USCIS ALIEN NUMBER NAME AND MAILING ADDRESS 1 oft DATE OF BIRTH PAYMENT INFORMATION: Application/Petition Fee: $0.00 2 00000138 Biometrics Fee: $0.00 Total Amount Received: $0.00 Total Balance Due: $0.00 "I`he above case has been received by our office and is in process. Please verify your personal information listed above and immediately notify the USCIS National Customer Service Center at the phone number listed below if there are any changes. Please note that if a priority date is printed on this notice, the priority does not reflect earlier retained priority dates. If you have questions about possible immigration benefits and services, filing information, or USCIS forms, please call the USCIS National Customer Service Center (NCSC) at 1-800-375-5283. If you are hearing impaired, please call the NCSC TDD at 1-800-767-1833. Please also refer to the USCIS website: www.uscis.gov. If you have any questions or comments regarding this notice or the status of your case, please contact our customer service number. You will be notified separately about any other case you may have filed. EFTA01139101