DS-1622 2020-2025 free printable template
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The preferred method to submit the DS - 1622 and supporting documentation is to scan and email in PDF format to MEDMR state. Submit copies of all laboratory tests and additional medical reports with DS-1622. All Lab tests and medical reports must be in English and identified with full name and date of birth of examinee. DS-1622 08-2017 Page 1 of 4 DOB II. MEDICAL HISTORY PLEASE ANSWER THE FOLLOWING QUESTIONS For YES answers provide a brief explanation attach additional sheets if needed. Does...
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Start by downloading the DS-1622 form from the official website.
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Read the instructions carefully to understand the requirements.
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Fill in your personal information in the designated fields, including your name, address, and contact details.
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Provide details about your family members and any dependents.
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Include information about your employment history and any overseas travel.
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Who needs DS-1622?
01
Individuals applying for a U.S. passport who have a medical or health-related question about their application.
02
Applicants requiring a waiver or special consideration related to health issues.
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What is DS-1622?
DS-1622 is a form used by the U.S. Department of State to collect information about an applicant's employment history and personal background, primarily for the purpose of issuing a visa.
Who is required to file DS-1622?
Individuals applying for certain types of visas to the United States may be required to file DS-1622 as part of the application process.
How to fill out DS-1622?
To fill out DS-1622, applicants must provide accurate personal information, detailed employment history, and answer questions regarding their background as instructed on the form.
What is the purpose of DS-1622?
The purpose of DS-1622 is to gather comprehensive information about the applicant to assist in the evaluation of their visa eligibility.
What information must be reported on DS-1622?
The information required on DS-1622 includes personal identification details, employment history, educational background, and any other relevant information that may affect visa approval.
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