{
    "document_id": 14696,
    "page": 2,
    "width_pt": 612,
    "height_pt": 792,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 14807,
    "item_count": 44,
    "counts_by_type": {
        "form_field": 1,
        "heading": 1,
        "list": 8,
        "list_item": 22,
        "text": 12
    },
    "build_ms": 4,
    "items": [
        {
            "id": "p2.1",
            "order": 1,
            "type": "text",
            "bbox": {
                "l": 86.64,
                "t": 720,
                "r": 290.4,
                "b": 704.88
            },
            "text": "Have you previously filed Form I-765?"
        },
        {
            "id": "p2.2",
            "order": 2,
            "type": "list",
            "bbox": {
                "l": 122.16,
                "t": 702.96,
                "r": 533.04,
                "b": 671.52
            },
            "text": "",
            "attrs": {
                "item_count": 2
            },
            "children": [
                {
                    "id": "p2.2.1",
                    "order": 3,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.16,
                        "t": 702.96,
                        "r": 533.04,
                        "b": 688.08
                    },
                    "text": "Check No if you have not previously applied for work authorization with an I-765",
                    "marker": "✓"
                },
                {
                    "id": "p2.2.2",
                    "order": 4,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.64,
                        "t": 686.64,
                        "r": 458.64,
                        "b": 671.52
                    },
                    "text": "Check Yes if you have previously filed an I-765 (provide evidence)",
                    "marker": "✓"
                }
            ]
        },
        {
            "id": "p2.3",
            "order": 5,
            "type": "text",
            "bbox": {
                "l": 85.92,
                "t": 670.08,
                "r": 387.36,
                "b": 654.48
            },
            "text": "Is someone assisting you with completing this application?"
        },
        {
            "id": "p2.4",
            "order": 6,
            "type": "text",
            "bbox": {
                "l": 123.12,
                "t": 653.28,
                "r": 197.04,
                "b": 639.12
            },
            "text": "✓ Check No"
        },
        {
            "id": "p2.5",
            "order": 7,
            "type": "heading",
            "bbox": {
                "l": 68.88,
                "t": 619.92,
                "r": 163.44,
                "b": 604.8
            },
            "text": "Your Information",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p2.6",
            "order": 8,
            "type": "text",
            "bbox": {
                "l": 85.68,
                "t": 587.28,
                "r": 167.04,
                "b": 573.12
            },
            "text": "➢ Your Name"
        },
        {
            "id": "p2.7",
            "order": 9,
            "type": "list",
            "bbox": {
                "l": 122.4,
                "t": 570.96,
                "r": 354.48,
                "b": 538.8
            },
            "text": "",
            "attrs": {
                "item_count": 2
            },
            "children": [
                {
                    "id": "p2.7.1",
                    "order": 10,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.4,
                        "t": 570.96,
                        "r": 303.12,
                        "b": 555.6
                    },
                    "text": "What is your current legal name?",
                    "marker": "✓"
                },
                {
                    "id": "p2.7.2",
                    "order": 11,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.64,
                        "t": 554.64,
                        "r": 354.48,
                        "b": 538.8
                    },
                    "text": "Have you used any other names since birth?",
                    "marker": "✓"
                }
            ]
        },
        {
            "id": "p2.8",
            "order": 12,
            "type": "text",
            "bbox": {
                "l": 86.4,
                "t": 537.36,
                "r": 233.52,
                "b": 522.72
            },
            "text": "➢ Your contact information"
        },
        {
            "id": "p2.9",
            "order": 13,
            "type": "text",
            "bbox": {
                "l": 122.4,
                "t": 520.56,
                "r": 270.24,
                "b": 506.4
            },
            "text": "✓ How may we contact you?"
        },
        {
            "id": "p2.10",
            "order": 14,
            "type": "list",
            "bbox": {
                "l": 158.64,
                "t": 504.24,
                "r": 492.24,
                "b": 439.68
            },
            "text": "",
            "attrs": {
                "item_count": 4
            },
            "children": [
                {
                    "id": "p2.10.1",
                    "order": 15,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.64,
                        "t": 504.24,
                        "r": 314.4,
                        "b": 489.36
                    },
                    "text": "Daytime telephone number"
                },
                {
                    "id": "p2.10.2",
                    "order": 16,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.88,
                        "t": 487.44,
                        "r": 250.08,
                        "b": 473.52
                    },
                    "text": "Email address"
                },
                {
                    "id": "p2.10.3",
                    "order": 17,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.88,
                        "t": 471.6,
                        "r": 387.12,
                        "b": 456.48
                    },
                    "text": "What is your current U.S. mailing address?",
                    "marker": "■"
                },
                {
                    "id": "p2.10.4",
                    "order": 18,
                    "type": "list_item",
                    "bbox": {
                        "l": 158.88,
                        "t": 455.04,
                        "r": 492.24,
                        "b": 439.68
                    },
                    "text": "Is your current mailing address the same as your physical address?",
                    "marker": "■"
                }
            ]
        },
        {
            "id": "p2.11",
            "order": 19,
            "type": "text",
            "bbox": {
                "l": 86.64,
                "t": 438.48,
                "r": 194.16,
                "b": 423.6
            },
            "text": "➢ Describe yourself"
        },
        {
            "id": "p2.12",
            "order": 20,
            "type": "list",
            "bbox": {
                "l": 122.16,
                "t": 422.16,
                "r": 278.64,
                "b": 390.72
            },
            "text": "",
            "attrs": {
                "item_count": 2
            },
            "children": [
                {
                    "id": "p2.12.1",
                    "order": 21,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.16,
                        "t": 422.16,
                        "r": 248.4,
                        "b": 406.56
                    },
                    "text": "What is your gender?",
                    "marker": "✓"
                },
                {
                    "id": "p2.12.2",
                    "order": 22,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.4,
                        "t": 405.6,
                        "r": 278.64,
                        "b": 390.72
                    },
                    "text": "What is your marital status?",
                    "marker": "✓"
                }
            ]
        },
        {
            "id": "p2.13",
            "order": 23,
            "type": "text",
            "bbox": {
                "l": 86.16,
                "t": 388.8,
                "r": 264.72,
                "b": 373.2
            },
            "text": "➢ When and where you were born"
        },
        {
            "id": "p2.14",
            "order": 24,
            "type": "list",
            "bbox": {
                "l": 121.44,
                "t": 372.72,
                "r": 345.84,
                "b": 307.44
            },
            "text": "",
            "attrs": {
                "item_count": 4
            },
            "children": [
                {
                    "id": "p2.14.1",
                    "order": 25,
                    "type": "list_item",
                    "bbox": {
                        "l": 121.44,
                        "t": 372.72,
                        "r": 345.84,
                        "b": 356.64
                    },
                    "text": "What is your city, town or village of birth?",
                    "marker": "✓"
                },
                {
                    "id": "p2.14.2",
                    "order": 26,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.4,
                        "t": 355.68,
                        "r": 333.36,
                        "b": 340.56
                    },
                    "text": "What is your state or province of birth?",
                    "marker": "✓"
                },
                {
                    "id": "p2.14.3",
                    "order": 27,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.4,
                        "t": 338.88,
                        "r": 291.36,
                        "b": 323.76
                    },
                    "text": "What is your country of birth?",
                    "marker": "✓"
                },
                {
                    "id": "p2.14.4",
                    "order": 28,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.12,
                        "t": 322.8,
                        "r": 275.04,
                        "b": 307.44
                    },
                    "text": "What is your date of birth?",
                    "marker": "✓"
                }
            ]
        },
        {
            "id": "p2.15",
            "order": 29,
            "type": "text",
            "bbox": {
                "l": 86.88,
                "t": 305.52,
                "r": 257.76,
                "b": 291.12
            },
            "text": "➢ Your immigration information"
        },
        {
            "id": "p2.16",
            "order": 30,
            "type": "list",
            "bbox": {
                "l": 121.44,
                "t": 289.2,
                "r": 428.88,
                "b": 240.96
            },
            "text": "",
            "attrs": {
                "item_count": 3
            },
            "children": [
                {
                    "id": "p2.16.1",
                    "order": 31,
                    "type": "list_item",
                    "bbox": {
                        "l": 121.44,
                        "t": 289.2,
                        "r": 384.96,
                        "b": 274.32
                    },
                    "text": "What is your country of citizenship or nationality?",
                    "marker": "✓"
                },
                {
                    "id": "p2.16.2",
                    "order": 32,
                    "type": "list_item",
                    "bbox": {
                        "l": 121.92,
                        "t": 272.88,
                        "r": 428.88,
                        "b": 257.76
                    },
                    "text": "What is your Form I-94 Arrival-Departure Record Number?",
                    "marker": "✓"
                },
                {
                    "id": "p2.16.3",
                    "order": 33,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.4,
                        "t": 256.32,
                        "r": 367.2,
                        "b": 240.96
                    },
                    "text": "When did you last arrive in the United States?"
                }
            ]
        },
        {
            "id": "p2.17",
            "order": 34,
            "type": "text",
            "bbox": {
                "l": 158.64,
                "t": 238.8,
                "r": 255.12,
                "b": 225.36
            },
            "text": "Date of Arrival"
        },
        {
            "id": "p2.18",
            "order": 35,
            "type": "text",
            "bbox": {
                "l": 159.36,
                "t": 222.96,
                "r": 294.48,
                "b": 208.32
            },
            "text": "Place of arrival (airport)"
        },
        {
            "id": "p2.19",
            "order": 36,
            "type": "text",
            "bbox": {
                "l": 159.12,
                "t": 205.68,
                "r": 276,
                "b": 192
            },
            "text": "Status at last arrival"
        },
        {
            "id": "p2.20",
            "order": 37,
            "type": "list",
            "bbox": {
                "l": 122.4,
                "t": 189.12,
                "r": 519.84,
                "b": 109.44
            },
            "text": "",
            "attrs": {
                "item_count": 3
            },
            "children": [
                {
                    "id": "p2.20.1",
                    "order": 38,
                    "type": "list_item",
                    "bbox": {
                        "l": 194.4,
                        "t": 189.12,
                        "r": 519.36,
                        "b": 159.6
                    },
                    "text": "Select F-1 unless you changed your status after your most recent arrival",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p2.20.1.1",
                            "order": 39,
                            "type": "form_field",
                            "bbox": {
                                "l": 194.4,
                                "t": 189.12,
                                "r": 206.4,
                                "b": 177.12
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "Select F-1 unless you changed your status after your most recent arrival",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p2.20.1",
                                "text_offset": 0,
                                "text_span": 0
                            }
                        }
                    ]
                },
                {
                    "id": "p2.20.2",
                    "order": 40,
                    "type": "list_item",
                    "bbox": {
                        "l": 122.4,
                        "t": 156.72,
                        "r": 467.04,
                        "b": 141.6
                    },
                    "text": "What is the passport number of your most recently issued passport?",
                    "marker": "✓"
                },
                {
                    "id": "p2.20.3",
                    "order": 41,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.36,
                        "t": 140.16,
                        "r": 519.84,
                        "b": 109.44
                    },
                    "text": "What is your travel document number (if any)? In most cases, leave this section blank. Likely you don't have one."
                }
            ]
        },
        {
            "id": "p2.21",
            "order": 42,
            "type": "list",
            "bbox": {
                "l": 123.12,
                "t": 107.04,
                "r": 453.12,
                "b": 75.12
            },
            "text": "",
            "attrs": {
                "item_count": 2
            },
            "children": [
                {
                    "id": "p2.21.1",
                    "order": 43,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.12,
                        "t": 107.04,
                        "r": 453.12,
                        "b": 92.16
                    },
                    "text": "What is the expiration date of your passport or travel document?",
                    "marker": "✓"
                },
                {
                    "id": "p2.21.2",
                    "order": 44,
                    "type": "list_item",
                    "bbox": {
                        "l": 123.6,
                        "t": 90,
                        "r": 409.44,
                        "b": 75.12
                    },
                    "text": "What country issued your passport or travel document?",
                    "marker": "✓"
                }
            ]
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}