Name

Address

Date

To whom it may concern:

I, (insert name), am filing the C33 Renewal (DACA) and its I-765 counterpart, please consider accepting this application.  The following items are attached:

  1. G-1145
  2. I-821D
  3. I-765
  4. I-765WS
  5. Copy of previous Work Authorization Card and Social Security Card
  6. Copy of I-797 for the I-821D
  7. Money Order of Amount of $465
  8. Two (2) Passport Pictures

I have also traveled with Advance Parole (I-131) under Education Reasons through (name the reason and what category it was under) as permitted by the I-821D for (the amount of time and where).  You can also explain layovers if necessary.  The following items are attached:

  1. Copy of I-512L Authorization for Parole of an Alien In the United States
  2. Copy of I-94
  3. Copy of current Mexican Passport and its stamp into Germany

Please considering accepting my I-821D application.

Best Regards,

Name