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USCIS I-693 2023 free printable template

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Applicant s Statement Contact Information Certification and Signature NOTE Read the Penalties section of the Form I-693 Instructions before completing this section. You must submit Form I-693 in a sealed envelope to USCIS as directed in the Form I-693 Instructions. Of Form I-693. If you need an interpreter complete Part 3. Interpreter s Contact Information Certification and Signature. I certify under penalty of perjury that I am the person who is identified in Part 1. of this Form I-693 and...
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How to fill out USCIS I-693

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How to fill out USCIS I-693

01
Download the USCIS Form I-693 from the USCIS website.
02
Complete the applicant's section of the form, providing personal information such as name, address, and date of birth.
03
Schedule an appointment with an authorized civil surgeon to complete the medical examination.
04
Bring the form and any required vaccination records to the appointment.
05
The civil surgeon will complete their section of the form, documenting medical history, examinations, and vaccinations.
06
Ensure the civil surgeon signs the form.
07
Keep the completed form in a sealed envelope as per USCIS instructions.
08
Submit the sealed envelope along with your immigration application.

Who needs USCIS I-693?

01
Individuals applying for adjustment of status to become a permanent resident in the United States.
02
Certain applicants seeking to have their immigration status adjusted, such as those who are applying for a green card.
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People Also Ask about

How Should I Answer the DS-260 Question About Vaccinations? The simple answer, if you have received the required vaccinations and have documentation proving this, is to say, "Yes" and move on with the other questions on the DS-260.
Vaccination records and a valid passport or other government-issued picture identification. Report of Medical Examination and Vaccination Record, Form I-693 (if adjusting status). The necessary fee (varies by doctor). Number of U.S. passport photographs required (see the consular office if applying from overseas).
How to fill out Form I-693 (For the Applicant) Your full name (your legal name) Your address – the place you live, PO boxes will not work. Your sex. Your date of birth. The city, town, or village in which you were born. The country you were born in. Your Alien Registration Number (A-Number) if you have one.
Document the medication, time, route, site, date of administration, and effect of the medication; any adverse effects; unexpected outcomes; and any interventions applied. 27. Assess patient's response to the medication after the appropriate time frame.
The medical record should contain the date of administration; manufacturer and lot number of the vaccine; name, address, and title of the person administering the vaccine; site; route; and evidence that a parent or guardian gave informed consent.

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USCIS I-693 is a form used by the U.S. Citizenship and Immigration Services (USCIS) to request a medical examination and vaccination record for individuals applying for immigration benefits.
Individuals applying for adjustment of status, certain immigration benefits, or a green card are required to file USCIS I-693.
To fill out USCIS I-693, you must have a designated civil surgeon complete the medical examination and fill out the form, including medical history, physical examination results, and vaccination records.
The purpose of USCIS I-693 is to ensure that applicants for immigration benefits meet health-related standards and have received required vaccinations.
USCIS I-693 requires information on the applicant's medical history, results of the medical examination, TB skin test or chest X-ray results, vaccination records, and any relevant health conditions.
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