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  • Adjustment of Status from Work, Student, & Tourist Visas

Cover Letter and I-693

By permathought January 19, 2017 in Adjustment of Status from Work, Student, & Tourist Visas

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Recommended posts, permathought   4.

I've included my three cover letters (General, for I-130 and for I-485).  I've explained that we'll be performing our medical exam at a later date (we need to travel pretty far to get that done and I don't know when I can get some time off of work and I'm ready to get this thing in the mail) but I didn't give any details. Is that a problem?   We have no lease since we're living with my folks at the time being, but I'm hoping this initial evidence will be sufficient.  We've been married for over five years now.  Also, I included our Venezuelan marriage certificate (copy) and the Colombian marriage certificate since our marriage was registered in Colombia just to be thorough. 

Let me know what you think!

UNITED STATE DEPARTMENT OF HOMELAND SECURITY

UNITED STATES CITIZENSHIP AND IMMIGRATION SERVICES

P.O. Box 805887

Chicago, IL 60680-4120

January 30, 2017

Petitioner: Cameron Burns Carter

Beneficiary: Zulay Lara Pineda

Dear Sir/ Madam:

Please kindly see the enclosed documentation for the concurrent filing of the following forms: I-130 (Petition for Alien Relative), I-485 (Application to Register Permanent Residence or Adjust Status), I-765 (Application for Employment Authorization), and I-131 (Application for Travel Document). This is an original submission.

Contents include (in exact order):

1. Personal checks for payment for form I-130 ($535) and form 1-485 plus biometric fee ($1225)

2. Form G-1145 – E-notification of Application/Petition Acceptance

3. Form I-130 – Petition for Alien Relative

a. Includes cover letter, payment, and supporting documentation

4. Form I-485 – Application to Register Permanent Residency or Adjust Status

5. Form I-765 – Application for Employment Authorization

a. Copy of form I-94 – Arrival/Departure Record

b. Copy of beneficiary’s passport with biographic page and current visa/entry stamps

c. Two passport style photos of beneficiary, Zulay Lara Pineda

6. Form I-131 – Application for Travel Documentation

a. Copy of beneficiary’s passport with biographic page and current visa/entry stamps

b. Two passport style photos of beneficiary, Zulay Lara Pineda

Please note that the medical to be performed by the civil surgeon will be performed at later date and form I-693 will be sent in via mail once the sealed envelope is received from the civil surgeon.

Thank you very much.

Cameron Burns Carter

Nature of submission: Form I-130, (Petition for Alien Relative): Zulay Lara Pineda

Please kindly see the enclosed form I-130 (Petition for Alien Relative) and the supporting forms and documentation. Contents include (in the exact order):

Form I-130 – Petition for Alien Relative: Filled out and signed by petitioner, Cameron Burns Carter

Copy (front and back on separate sheets) of United States birth certificate for petitioner, Cameron Burns Carter

Copy of Colombian birth certificate for beneficiary, Zulay Lara Pineda

English Translation of Colombian birth certificate for beneficiary, Zulay Lara Pineda

Copy of Colombian passport biographical page for beneficiary Zulay Lara Pineda

Copy of Colombian passport page with US entry stamps and US B1/B2 Visa for beneficiary Zulay Lara Pineda

Copy (front and back on separate sheets) of Venezuelan marriage license for petitioner, Cameron Burns Carter and beneficiary Zulay Lara Pineda

English translation of Venezuelan marriage license for petitioner, Cameron Burns Carter and beneficiary Zulay Lara Pineda

Copy of Colombian marriage license for petitioner, Cameron Burns Carter and beneficiary Zulay Lara Pineda

English translation of Colombian marriage license for petitioner, Cameron Burns Carter and beneficiary Zulay Lara Pineda

Form G-325A – Biographic Information: Filled out and signed by petitioner, Cameron Burns Carter

Supplement to Form G-325A – Biographic Information: Filled out and signed by petitioner, Cameron Burns Carter

Single passport style photo of petitioner, Cameron Burns Carter

Form G-325A – Biographic Information: Filled out and signed by beneficiary, Zulay Lara Pineda

Supplement to Form G-325A – Biographic Information: Filled out and signed by beneficiary, Zulay Lara Pineda

Single passport style photo of beneficiary, Zulay Lara Pineda

Evidence of a bona-fide marriage:

a. Copy (front and back on separate sheets) of US birth certificate (CRBA) of daughter, Sophia Antoinette Carter Lara

b. Copy (front and back on separate sheets) of US birth certificate (CRBA) of son, Soren Jeremiah Carter Lara

c. Bank statement showing co-ownership between petitioner and beneficiary

d. Letter from Bank showing correction on statement of Zulay Lara Pineda's name

e. Selection of photographs exhibiting relationship

Cameron Carter

Nature of submission: Form I-485, (Petition for Alien Relative): Zulay Lara Pineda

Please kindly see the enclosed form I-485 (Application to Register Permanent Residence or Adjust Status) and the supporting forms and documentation. Contents include (in the exact order):

Form I-485 – Application to Register Permanent Residence or Adjust Status: Filled out and signed by applicant, Zulay Lara Pineda

Copy of electronic I-94 of Zulay Lara Pineda

Two passport style photos of beneficiary, Zulay Lara Pineda

Form I-864 – Affidavit of Support filled out by the petitioner, Cameron Burns Carter

Copy of US birth certificate of petitioner, Cameron Burns Carter

Copies of Federal Tax Returns of petitioner, Cameron Burns Carter and beneficiary, Zulay Lara Pineda (joint file) for 2015, 2014 and 2013

Letter of employment of petitioner, Cameron Burns Carter

Copies of pay stubs of petitioner, Cameron Burns Carter from November 2016 to January 2017

Form I-765: Filled out and signed by beneficiary, Zulay Lara Pineda

Copy of beneficiary’s passport with biographic page and current visa/entry stamps

Form I-131: Filled out and signed by beneficiary, Zulay Lara Pineda

Copy of electronic I-94 of beneficiary, Zulay Lara Pineda

Letter explaning circumstances for issunce of Advanced Parole signed by beneficiary, Zulay Lara Pineda

AOS from B1/B2

1/30/17    Packet (I-130, I-485, I-765, I-131) sent in the mail to Chicago Lockbox via USPS

2/01/17    Packet arrives

2/02/17    USCIS received date

2/08/17    NOA1

2/09/17    Checks cashed

2/14/17    I-797C arrived in the mail

2/27/17    Biometrics appointment in San Antonio

2/28/17    RFIE for I-864 (2016 tax return and needed a joint sponsor)

5/1/17      RFIE evidence received

10/6/17   Interview scheduled for November 13th!!!

11/13/17 Interview and approved on the spot!

11/21/17 Greencard arrives in the mail.  Plan to start naturalization in 3 years....

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SimpleCitizen

How to Prepare & Submit the Form I-693

How to fill out form i-693 (for the applicant).

The I-693 includes 10 parts. As the Applicant you only need to fill out Part 1 before your doctor appointment. You will also need to write your name and Alien Number (when you have one) at the top of each page of the form. This should be an 8 or 9 digit number starting with the letter A and can be found on any letters or notices you may have received from the Department of Homeland Security.

To fill out Part 1 you will need:

  • Your full name (your legal name)
  • Your address – the place you live, PO boxes will not work
  • 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
  • Your USCIS online account number, if you have one

As the Applicant you will also need to fill out Part 2. This part is where you give some contact information and sign the form. You MUST fill out this section with the civil surgeon present to witness you filling it out.

Form I-693 is included in Green Card Application Builder

Doctor Appointment

To find a USCIS certified surgeon:

  • Go to uscis.gov
  • Select “Find a Doctor”
  • Enter your ZIP Code
  • Click “Search”

A list of doctors in your area should appear. Select one and make an appointment by calling the number next to it.

How to fill out Form I-693 (For the Interpreter)

  • You will be required to fill out Part 3. This includes:
  • The name and address of the business or organization (when applicable)
  • Your daytime telephone number
  • Your mobile telephone number (if you have one)
  • Your email address (if you have one)
  • Your signature and the date

How to fill out Form I-693 (For the Civil Surgeon)

As a USCIS certified civil surgeon you are required to report true and accurate results from your examination.

To do this you will need to take down the information from the Applicant’s government-issued identification. You will also be responsible for witnessing that the Applicant fills out and signs Part 2.

You will need to follow the most recent Department of Health and Human Services regulations and the Centers for Disease Control and Prevention guidelines. Those guidelines can be found here .

You may also be asked to make referrals and file case reports. These processes can also be found in the CDC guidelines .

When filling out the I-693 you will need to:

  • Verify the Applicant’s Identification Information
  • Give a summary of the medical examination, after the exam and any follow-ups necessary are completed
  • Give your contact information and sign the form after the examination is complete, certifying that you are a legal civil surgeon. (If you are performing the assessment for a refugee adjustment applicant you will need to include the licensed physician that was present during the examination and the official stamp or raised seal of the health department. If you are a military physician performing the examination for a member or veteran of the U.S. Armed Forces or Coast Guard or certain eligible dependents, the licensed military physician’s signature – who is operating under the blanket civil surgeon – is required as well as the official stamp or raised seal of the military treatment facility.)
  • Fill out the worksheet included in the I-693
  • Include the results of any lab work or other studies that were required to determine whether the Applicant is inadmissible to the U.S. on health-related issue
  • If a referral is required, fill out Item 5 in the worksheet found in Part 7. The physician referred will then need to fill out Part 8. (If a referral is not necessary, leave Item 5 in the worksheet blank.)

Is there a filing fee?

There is no filing fee for the I-693.

How to file the I-693

  • Make an appointment with a civil surgeon certified by USCIS.
  • Fill out Part 1. In your I-693. (Do not sign it yet. You must sign the form in front of the civil surgeon.)
  • Keep your appointment with the civil surgeon. If more visits are necessary, attend all of those as well. Make sure to bring proof of your identity and any medical records you may have with you to your appointment. For proof of identity bring a valid government-issued photo identification (i.e. valid passport or driver’s license). If you are under 14 documents must show your name, place of birth, parents’ full names, and any other information that can identify you (i.e. birth certificates or affidavits, include translations when necessary).
  • The civil surgeon should complete the I-693, witness you signing it, and make a copy. The civil surgeon should seal the original I-693 in an envelope and give it to you to submit to USCIS and give you the copy they made.
  • You should then submit the sealed letter to USCIS. If you are filing the I-693 because you are applying for and adjustment of status you may do this in one of three ways:
  • Mail it with your Form I-485 to the address that matches your reason for filing the I-485. A list of reasons for filing the I-485 and the address needed can be found here .
  • Mail the I-693 after you’ve mailed the I-485 to the address specified in your latest communication with USCIS.
  • Submit the I-693 in person when you go in for an interview at a USCIS field office.

If you are not applying for an adjustment of status, follow the instructions given by the office requesting the medical examination.

Ways to fill out the Form I-693

Fill out on a computer.

Download and view in a PDF viewer.

Download PDF

SimpleCitizen’s Application Builder

Form I-131 is included with SimpleCitizen.

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Print & Fill Out Paper Form

Print the PDF and fill by hand with black pen.

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Template cover letter for uscis immigration filings, practice areas, associations.

American Immigration Lawyers Association Logo

A Cover Letter has two (2) benefits. First, it is a nice document for a USCIS Officer to receive when they open a packet. It allows the officer to quickly see a snapshot of the filing. Second, the Cover Letter forces the filer to review what they are sending. If Anything important is missing, it is more evident than in a stack of papers 300 to 500 pages thick.

Evidence is “VERY IMPORTANT” for every Immigration Filing. To see our template checklist, please visit our Immigration Checklist: https://www.fickeymartinezlaw.com/immigration-checklist/ 

Common Questions:

Where can i confirm immigration fees.

USCIS Offers the following USCIS Immigration Fee Tool to assist in providing USCIS the proper filing fee: https://www.uscis.gov/feecalculator

Additionally, USCIS.gov also states the fee for each USCIS Form.

Where can I confirm the USCIS Mailing Address?

USCIS.gov is the ONLY place you should confirm/receive the USCIS Mailing Address.

Are the I-765 and I-131 free with an I-485?

Yes. The Employment Authorization and Advance Parole/Travel Document are free when filed with an I-485 Adjustment of Status Filing.

Do I need Passport Photos for the filing?

Yes, most Green Card related filings require passport-style photos, or they are highly recommended. When in doubt, add them to the filing.

Are Copies of Documents ok?

Yes, copies of all documents are acceptable, as long as the copy is a nice color scan. The only time to provide original documents is when they are specifically requested by USCIS, and when submitting Certified Copies of Court, Police, and Prison Records.

What type of documents should I attach with a filing?

Please check out our Immigration Checklist for general guidance based on our filing Case Type: https://www.fickeymartinezlaw.com/immigration-checklist/

Below are common Cover Letter Layouts:

Adjustment of status cover letter template:.

[USCIS Filing Address] Note: this info is up-to-date at USCIS.gov

Sent Via USPS Priority Mail

Regarding: [I-485 Adjustment of Status Application concurrently filed with I-130 Petition]

Petitioner: [NAME] A#: [If Any] Beneficiary: [NAME] A#: [If Any]

Dear USCIS Officer:

Enclosed please find the following documents in support of this immigration matter:

  • I-693 Immigration Medical Exam (Sealed)
  • Form I-130 Packet (Petition for Alien Relative) – Cashier Check in the amount of $550 – Form G-1145 – Form I-130 – Form I-130A (Spousal Based Filing Addition) – Passport Styled Photo of the Petitioner – Passport Styled Photo of the Beneficiary – Petitioner’s United States Birth Certificate – Petitioner’s United States Passport – Petitioner’s Social Security Card – Petitioner’s Valid, Unexpired Drivers License – Petitioner’s Military ID – Petitioner’s RED Report – Petitioner’s BIR – Petitioner’s Chronological Record or SRB – Petitioner’s Current Orders – Petitioner’s Divorce Decree for First Marriage with: [NAME] – Petitioner’s Divorce Decree for Second Marriage with: [NAME] – Petitioner’s and Beneficiary’s Marriage Certificate – Beneficiary’s Foreign Birth Certificate with English Translation – Beneficiary’s Foreign Passport – Beneficiary’s US Visa(s) – Beneficiary’s I-94 Lawful Entry Record – Beneficiary’s Military Dependent ID – Beneficiary’s Divorce Decree for First Marriage with: [NAME] – Joint Residential Lease – Joint Plane Tickets from recent trip – Joint Car Insurance naming spouse as a non-driver – Amazon Order History showing both spouses receiving packages at the marital home – Joint Photos (100 pages) – Joint Records to prove communication (200 pages)
  • Form I-485 Packet (Adjustment of Status Application) – Cashier Check in the amount of $1160 – Form G-1145 – Form I-485 – Petitioner’s and Beneficiary’s Marriage Certificate – Beneficiary’s Foreign Birth Certificate with English Translation – Beneficiary’s Foreign Passport – Beneficiary’s US Visa(s) – Beneficiary’s I-94 Lawful Entry Record – Beneficiary’s Military Dependent ID
  • Form I-944 Packet (Declaration of Self -Sufficiency) – Form G-1145 – Form I-944 – Petitioner’s and Beneficiary’s Marriage Certificate – Beneficiary’s Foreign Birth Certificate with English Translation – Beneficiary’s Foreign Passport – Beneficiary’s US Visa(s) – Beneficiary’s I-94 Lawful Entry Record – Beneficiary’s Military Dependent ID – Beneficiary’s Credit Report from Experian – Beneficiary’s Bank Statements for every account for the past 12 months – Beneficiary’s TRICARE Dental Program Enrollment Letter – Beneficiary’s TRICARE Health Insurance Enrollment Letter – Beneficiary’s Paystubs for the past 12 months – Joint TRICARE Health Insurance Effective Date Letter – Petitioner’s W-2 for past most recent year – Petitioner’s IRS Transcripts for past 3 years – Petitioner’s 1040 Tax Return for past 3 years – Petitioner’s LES for the past 12 months – Petitioner’s Credit Report – Petitioner’s Best Buy Credit Card Statement – Petitioner’s Wells Fargo Mortgage Statement
  • Form I-864 Packet (Affidavit of Support) – Form G-1145 – Form I-864 – Petitioner and Beneficiary’s Marriage Certificate – Petitioner’s United States Birth Certificate – Petitioner’s Social Security Card – Petitioner’s NC Valid Driver License – Petitioner’s Military ID Card – Petitioner’s Current Orders – Petitioner’s W-2’s for the most recent year – Petitioner’s IRS Transcripts for past 3 years – Petitioner’s 1040 Tax Return for past 3 years – Petitioner’s LES for the past 12 months
  • Form I-765 Packet (Employment Authorization Document) – Form G-1145 – Form I-765 – Beneficiary’s I-94 Lawful Entry Record – Beneficiary’s Foreign Birth Certificate with English translation – Beneficiary’s Foreign Passport – Beneficiary’s US Visa(s) – Beneficiary’s Military ID Card – Petitioner and Beneficiary’s Marriage Certificate

Thank you for your time and consideration.

Respectfully,

_____________________________________________ [NAME]

K-1 Fiance Adjustment of Status Cover Letter Template:

Regarding: [I-485 Adjustment of Status Application filed with Approved I-129F and Marriage within 90 days of entry]

  • I-129F Approval Notice
  • Marriage Certificate for marriage that occurred within 90 days of entry
  • K-1 Fiance Visa
  • I-94 Lawful Entry Record
  • Petition and Beneficiary Passport-Style Photos
  • Form I-485 Packet (Adjustment of Status Application) – Cashier Check in the amount of $1160 – Form G-1145 – Form I-485 – Petitioner’s and Beneficiary’s Marriage Certificate – Beneficiary’s Foreign Birth Certificate with English Translation – Beneficiary’s Foreign Passport – Beneficiary’s US Visa(s) – Beneficiary’s I-94 Lawful Entry Record – Beneficiary’s Military Dependent ID – Amazon Order History showing both spouses receiving packages at the marital home – Recent Photos during and after marriage

I-129F Fiance Petition Cover Letter Template:

Regarding: [I-129F Petition for Foreign Fiance]

  • Form I-129F Packet (Petition for Foreign Fiance) – Cashier Check in the amount of $510 – Form G-1145 – Form I-129F – Petitioner’s Letter of Intent to Marry within 90 days – Beneficiary’s Letter of Intent to Marry within 90 days – Petitioner’s United States Passport – Petitioner’s Social Security Card – Petitioner’s Valid, Unexpired Drivers License – Petitioner’s Military ID – Petitioner’s RED Report – Petitioner’s BIR – Petitioner’s Chronological Record or SRB – Petitioner’s Current Orders – Petitioner’s Divorce Decree for First Marriage with: [NAME] – Petitioner’s Divorce Decree for Second Marriage with: [NAME] – Beneficiary’s Foreign Birth Certificate with English Translation – Beneficiary’s Foreign Passport – Beneficiary’s US Visa(s) – Beneficiary’s I-94 Lawful Entry Record – Beneficiary’s Divorce Decree for First Marriage with: [NAME]- Joint Residential Lease – Joint Plane Tickets from a recent trip – Joint Car Insurance naming spouse as a non-driver – Joint Photos (100 pages) – Joint Records to prove communication (200 pages)

Service Member Immigration Form Review Page:

Service Member Immigration Form Review

Disclaimer:  This Blog is made available by the lawyer or law firm publisher for educational purposes only as well as to give you general information and a general understanding of the law, not to provide specific legal advice. By using this blog site you understand that there is no attorney-client relationship between you and the Blog/Web Site publisher. The Blog should not be used as a substitute for competent legal advice from a licensed professional attorney in your state.

The post Template Cover Letter for USCIS Immigration Filings appeared first on Fickey Martinez Law Firm .

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Mycase

All About USCIS Form I-693: Report of Medical Examination and Vaccination Record

The U.S. government must ensure that foreigners immigrating to the United States do not spread contagious diseases when they come to America. To do this, most immigrants must submit a completed Form I-693 to U.S. Citizenship and Immigration Services (USCIS). USCIS Form I-693 is the medical examination form that an approved doctor must complete for green card applicants. This article explains how to meet green card eligibility with Form I-693, how to find a doctor to complete the form, and how to submit the form to the U.S. government.

ImmigrationHelp Team

Written by ImmigrationHelp Team .  Updated September 1, 2022

Meeting Green Card Eligibility With USCIS Form I-693

Immigrants hoping to enter the United States must meet specific public health criteria to receive a green card . Applicants filing an Application to Register Permanent Residence or Adjust Status ( Form I-485 ) will also need to file a Report of Medical Examination and Vaccination Record ( Form I-693 ). 

All green card applicants are subject to public health grounds of inadmissibility. As a green card applicant, you must prove that you don’t have a medical condition that would make you inadmissible on health-related grounds. 

Form I-693 shows that an applicant does not have a Class A medical condition and has met vaccination requirements or has received a waiver. A Form I-693 stating that you have a “Class A condition” is conclusive evidence of inadmissibility. This means that you won’t be able to enter the United States.

What Are Class A Medical Conditions?

A Class A medical condition is:

Any communicable disease of public health significance according to the U.S. Department of Health and Human Services (HHS), including gonorrhea, Hansen's disease (infectious), syphilis (infectious), and tuberculosis (active)

A present or past physical or mental disorder with associated harmful behavior or harmful behavior that is likely to recur

Drug addiction or drug abuse

If you don’t have documentation that proves you’ve received certain required vaccines and immunizations, this is also considered a Class A medical condition. This includes vaccinations for COVID-19, hepatitis-a, hepatitis-b, rubella, leprosy, meningococcal, mumps, varicella, and diphtheria. 

The Public Health Criteria

A USCIS-designated civil surgeon (doctor) must perform your medical examination. These exams are guided by U.S. Department of Health and Human Services (HHS) regulations. Both you and the civil surgeon must complete the designated section on Form I-693. 

Keep in mind the following timeframes for your application:

You have 60 days from the date the civil surgeon signed your Form I-693 to file Form I-485 with USCIS.

The USCIS will issue a decision on the application within two years of the date the civil surgeon signed Form I-693.

If you fail to meet any of the public health criteria, your application for admission to the United States is at risk. However, there is still hope for approval. The hearing officer in charge of your application may also issue a Request for Evidence (RFE) or Notice of Intent to Deny (NOID). In this case, the officer may ask you to take additional medical tests, which may shed a more positive light on your medical condition, allowing you to legally enter the United States.   

Medical conditions can change. Even if you meet all the public health criteria on your initial Form I-693, the officer is allowed to ask you to submit a new Form I-693. 

Who Is Exempt From Filing USCIS Form I-693?

Not everyone applying for a green card or adjustment of status is required to get a medical exam and file Form I-693. If you receive a grant of asylum , you are not required to apply for a green card for a year, which means you are exempt from completing Form I-693 for one year. In some cases, refugee applicants and individuals filing for an adjustment of status are exempt from filing this form.

Are Refugees Exempt From Filing Form I-693?

Panel physicians perform overseas medical exams at the direction of a U.S. embassy or consulate where you live. Civil surgeons perform medical examinations that occur in the United States.

If you are a refugee applicant and you have received an overseas medical exam from a panel physician who found no Class A medical conditions, you only need to meet the vaccination requirements to gain legal entry into the United States. In this case, you only need to complete Part 10 of Form I-693, which is the vaccination record. 

If the panel physician did find a Class A condition during the overseas exam, you must complete Form I-693 in its entirety, which means taking an immigration medical exam. An alternative is filing an Application for Waiver of Grounds of Inadmissibility ( Form I-690 ). Applicants may use this form to waive the vaccination requirements due to moral convictions or religious beliefs.

If You Are Applying for an Adjustment of Status, Do You Need a Medical Exam?

Some immigrants who are applying for an adjustment of status have already received a medical exam before entering the U.S. These applicants are exempt from filing Form I-693. If this applies to you, you only need to file Form I-485: Application to Register Permanent Residence or Adjust Status. However, you must file your application to adjust status within one year of your initial medical examination. 

This requirement applies to:

K-1 fiancé(e) visa holders

K-2 visa holders (children of a K-1 fiancé(e) visa holder)

K-3 visa holders (foreign spouses of U.S. citizens)

K-4 visa holders (children of K-3 spouse visa holders)

V-1 visa holders (spouse)

V-2 visa holders (children of a V-1 spouse)

V-3 visa holders (children of unmarried V-2 holders)

How To Find a Doctor To Complete USCIS Form I-693

A doctor who gives examinations in the U.S. is known as a "civil surgeon." The USCIS website provides a list of civil surgeons on its Find a Doctor page. You can also call the USCIS Contact Center at 1-800-375-5283. The civil surgeon completes Form I-693 to report exam results. You will receive your results in a sealed envelope. Do not open the sealed envelope. If you do, it immediately invalidates the results of the exam.

A doctor who gives exams overseas is known as a "panel physician." These doctors are appointed by a U.S. embassy or consulate. Visit the U.S. State Department FAQs for more information. Panel physicians use Form DS-2054 to report exam results.

Civil surgeons and panel physicians who conduct immigration medical examinations follow technical instructions from the Centers for Disease Control and Prevention (CDC).

How To Submit USCIS Form I-693

Upon completion of the examination, submit Form I-693 with your contact information with the civil surgeon’s signature in a sealed envelope 

Applicants can submit Form I-693 to USCIS with their immigration application or at any time after applying. However, this form must be filed before a final decision is made by USCIS. You can also bring the form to your green card interview or wait until USCIS issues a Request for Evidence (RFE) requesting the medical examination report. 

How Long Does Processing Take?

Five USCIS service centers process applications. The processing time of an application depends on the type of application. It also depends on the wait time at the service center processing the application. I-693 applications are usually filed with I-485 applications. These green card applications involving immediate relatives or spouses of a U.S. citizen take about 10 months to process.   

How Much Does It Cost To File USCIS Form I-693?

There is no filing fee to submit Form I-693. However, you must pay the physician for the exam. You may be able to save money by planning ahead and comparing the costs of different doctors in your area. The cost of these exams typically ranges from $150 to $500, but it should not be difficult to find an exam in the $200 range.

Continue reading and learning!

USCIS Medical Interfile with Barcode for Pending i485 (Send without RFE)

Create USCIS medical interfile letter for pending i-485 application. Send to service center without RFE at address printed on i-485 receipt notice.

Written by AM22Tech Team

You can send the i-693 medical form without RFE and request USCIS to interfile your sealed health record with the pending i-485 application.

This same interfile letter can be used as a cover letter to send with your medical RFE. Since it has your receipt barcode, USCIS can easily scan it and find your file quickly.

You can use our app to generate this medical RFE interfiling cover letter and keep it on top of the i693 package that a USCIS-approved Civil doctor would have given you.

You can also use this letter if you are sending medical records in response to USCIS RFE (Request for Evidence).

This article will discuss:

How to Create Medical Cover Letter

60-day rule, interfiling address.

The app creates a PDF file that can be printed on a plain A4 size white or colored paper sheet. Some attorneys recommend using green or pink-colored paper just to highlight it.

It is okay even if you use plain white standard paper.

Log in to apps.am22tech.com and fill in your i-485 receipt details.

Note that the current status of your i485 application should be ‘Pending’. You can check the current status on the USCIS case status website here by using your receipt number.

i485 medical interfile letter receipt details

Printing Receipt Barcode

You can select the option of automatically generating and printing the receipt bar code on your medical interfile letter.

  • Adding a Barcode helps USCIS scan and locate your Green card file easily.
  • Attorneys recommend it to make it easier for USCIS.

Since this is a premium feature, you can pay for it and get it embedded automatically.

Sample Barcode printed on medical interfile letter:

USCIS medical interfile letter with both receipt and A number barcode that attorneys recommend

Enter your Name and Birth Details. The name should match the one printed on your i-485 receipt.

If your name is different on your passport or has spelling mistakes, then we strongly suggest creating a one and the same person affidavit and sending it with your package.

Enter your A-number . This is required for USCIS to locate your i-485 file in their mail/storage room.

Medical interfile - A-number is required

The next step is to enter your contact details. You should use your US mail or physical address here.

Also, make sure that you enter the correct email and phone number where you can be reached easily.

Medical RFE i485 Interfile - Enter US contact address

#Step 5 – Place and Date (Optional)

Add the date and place of sighing. You can leave it blank if you want to write the date later when you send it.

#Step 6 – Header & Footer (Optional)

An attorney or a company sending this letter can add their name in the header and custom information in the footer if required.

Example Header:

Header is printed on top of the letter

For people sending this letter on their own without using an attorney service, leave the header and footer fields blank. You do not need to print them.

Similarly, the footer can be printed at the bottom of the page:

Footer information can be printed at the bottom of the page

  • Make the payment as required securely using the payment gateway. All your card information is securely processed by PCI-compliant (safety standards for online payments) Stripe/Paypal services and never shared with us.
  • The app will bring you back to the same screen after the payment.
  • Once you have entered all values and there are no errors, click the ‘ Fill Form & Email me ” button.
  • The app will automatically create the PDF letter and send it to your registered email address within 1-5 minutes.
  • If you made a mistake in the document, do not worry. Contact us and we will help you fix the error and regenerate the letter without paying again.

Your chances of getting ahead in the i485 queue increase if USCIS accepts your medical as it saves time by cutting down all the time consumed by medical RFE.

Interfiling Risks vs Benefits

Please note that there is no official medical interfiling process designed or published by USCIS.

The interfiling simply means that you send the documents as per your wish and then request USCIS to add them to your file. All this is done without USCIS requesting these documents through the official process of RFE (request for evidence).

Since it is an unsolicited request, USCIS may or may not add these documents to your file.

Many people have seen success with sending the i485 medicals without RFE but there is no guarantee.

Also, your attorney may or may not agree to send it without RFE. So, it is entirely your choice. You can send the medical interfile letter directly yourself without asking your attorney to do it.

Benefits of interfiling

There is a 50% chance that your interfiled medical application will end up in your green card file at the USCIS service center.

Now, a 50% chance is a very good chance given that there are thousands of applications waiting to receive medical RFE.

If your interfile request is successful, then your file has a better chance of

  • Getting ahead in the queue even though your PD date or the i485 receipt maybe after someone who has an earlier PD date.
  • The USCIS officer working on your case may not issue medical RFE at all if they see your interfiled medical in your file. This will easily save about 30 days of processing time on your case.

Risks of interfiling

There is virtually no risk in sending the i693 form without an RFE except that you may lose the doctor’s fee if USCIS does not add it to your file.

The Doctor usually charges about $350 per application and you stand to lose it. We know that most Indians will happily take this risk even if it gives them a slight chance to get ahead in line.

  • Your pending i485 application will not see any adverse effect simply because you tried to interfile.
  • USCIS will issue the medical RFE. In this case, you will have to redo the medical and send it with an RFE letter.

Our Suggestion

Send the sealed medical letter along with the cover letter and the i485 receipt bar code.

There is nothing to lose here. Just try every possible option to help move your application ahead in the queue and get a green card faster. You may have waited for a decade for your Green card. Do not leave any stone unturned to push your application forward.

We understand that this effort may go to waste but think of the situation where it may get accepted. Your application will certainly save time and may get approved earlier than others.

On Mar 31, 2023 – USCIS removed the 60-day rule of doctor signature . This means that i693 will be accepted even if the doctor signed it more than 60 days ago.

Earlier, the i693 form was considered valid only if the doctor had signed it within 60 days of submitting it to USCIS. There is no such requirement now after 31 Mar 2023.

You should ideally send the medical interfile package to the address printed on your i485 receipt notice. The service center address will be mentioned in the bottom left corner of the i-485 receipt notice.

Sending to USCIS Field Office?

You can also send it to the USCIS field office if your green card file has been transferred there. You should confirm this by first checking with USCIS Emma chat.

How to Get Your File’s Field Office Location ?

To ask for the current location of your Green card file from Emma’s agent, follow these steps:

  • Visit  uscis.gov and click the top right “Ask Emma” button to start chatting with Emma’s agent.
  • Once the chat box is open, type “ representative “.
  • When you see the list of options, click “ case status “.
  • Click “ connect to live chat ” and enter your i-485 receipt number.
  • When prompted for your request, type “ location of file “.
  • At this time, you should be connected to a live agent.
  • Ask them “ I would like to know where my I-485 file is right now “? The agent should provide the name of a service center or local field office.
  • Once you know the field office, ask them if they have the office’s address. If they give it, use it to send your medical interfile letter. If they can’t give the address, you can search it on the USCIS website by field office name or search on Google.

You should send the medical interfile letter to the USCIS service center address that’s printed on the left bottom corner of your i-485 application receipt notice. The receipt notice is usually called form i-797C (notice of action).

USCIS usually does not send any receipt or acknowledgment for interfiling letters. They send receipts when they have requested the documents by way of issuing RFEs.

Yes, you can use the same interfile letter as a cover letter for your medical RFE response. It certainly helps USCIS since you are adding your i485 receipt bar code.

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Reminder to Submit All Required Initial Evidence and Supporting Documentation, including Form I-693, for Form I-485

Save time by filing all required initial evidence and supporting documentation listed under the “ Checklist of Required Initial Evidence ” heading at the same time you file Form I-485, Application to Register Permanent Residence or Adjust Status . (The checklist is an optional tool to use as you prepare your form, but does not replace statutory, regulatory, and form instruction requirements). Submitting all required initial evidence and supporting documentation at the same time you file Form I-485 may eliminate the need for us to issue a Request for Evidence (RFE)to obtain additional evidence and documentation. This may also help avoid adjudication delays if we decide that you do not need to be interviewed.

In particular, save time by submitting Form I-693, Report of Medical Examination and Vaccination Record , when you file Form I-485. We generally consider a completed Form I-693 to remain valid for two years after the date the civil surgeon signed Form I-693. Additionally, from Dec. 9, 2021 until March 31, 2023, we are temporarily waiving the requirement that the civil surgeon’s signature be dated no more than 60 days before you file your Form I-485.

We published a new edition of Form I-485 (edition date 12/23/22) on Dec. 23, 2022. If you file Form I-485 on or after Dec. 23, 2022, then you must use the 12/23/22 edition of Form I-485 or we will reject your filing.

Additional information is available under the When to File and What to Submit sections on the Green Card for Immediate Relatives of U.S. Citizen page and the What to Submit section of the Green Card for Family Preference Immigrants page.

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Home » Request for Evidence and How to Respond

USCIS Request for Evidence and How to Respond

Request for evidence (rfe) explained, what is an rfe.

U.S. Citizenship and Immigration Services (USCIS) may issue a Request For Evidence when an application or petition lacks necessary documentation or evidence to make a decision on the immigration benefit requested. If USCIS mails you a Request for Evidence, it means that they need you to provide additional proof before they can proceed with your application or petition. Once USCIS issues an RFE, the processing of your request stops; this can create a significant delay. When you respond to USCIS with the requested items (before the deadline), they will continue processing your application or petition.

Failing to respond to an RFE by the deadline will virtually guarantee that your application or petition gets denied. Therefore, responding to a Request for Evidence in an accurate and timely manner is critical for the success of your case. We suggest some guidelines for responding to an RFE and some tips for avoiding this dreaded request in the first place.

Request for Evidence Letter Example

Most Common RFEs for Adjustment of Status

Why did uscis send a request for evidence.

Take a deep breath. A Request for Evidence will delay your case processing time and may create some anxiety, but it isn’t an indicator of a pending denial. If you fail to respond, USCIS will likely deny your application. But if you respond as directed, you are no more likely to be denied than if you hadn’t gotten the RFE.

USCIS may issue a Request for Evidence for almost any immigration benefit. However, some of the most common RFEs issued for adjustment of status cases include:

Sponsor's support is insufficient to remove public charge ground

Insufficient evidence of birth, missing evidence of lawful entry, lack of certified translation, missing initial evidence.

You may have forgotten to answer a question, submit supplementary forms, or provide essential documents. Read the USCIS directions completely and carefully before filing forms. If you want the reassurance that you're doing everything correctly, use CitizenPath to prepare your application package. In addition to your correctly prepared form, CitizenPath provides you with a set of personalized filing instructions. Our filing instructions are customized to your answers in the application so you which supporting documents to submit for your specific situation. Learn more >>

Review Your RFE Carefully

What does my rfe say.

USCIS is providing you with a second chance to submit evidence. It's important that you understand exactly what you are supposed to do. You have one opportunity to respond to the RFE with the correct information and get your application back on track. USCIS tends to use many scripted responses in their RFE letters. As such, the letters may be vague. They are rarely precise about the missing evidence.

Identify the Requested Evidence

The letter will generally list all the additional documents that USCIS needs to make a decision on your application. USCIS may also explain which eligibility requirements have not been met by the documents already submitted. They may even list documents that you know you've already submitted. Immigration officials who adjudicate your case are human; they may have overlooked something. But it is likely you need to submit additional evidence to corroborate facts in your request. Regardless, identify each of the items of evidence that you need to submit to USCIS.

Identify the Deadline

The USCIS Request for Evidence will also provide a deadline. This tells you how long you have to respond. If you can, responding sooner is better. You will need to respond to the RFE before the deadline indicated so that the adjudicator will have enough evidence to make a favorable decision. If you fail to respond by the RFE deadline, USCIS will make a decision based on the existing evidence. Generally, that leads to a denial.

How to Respond to a USCIS Request for Evidence

How should i reply to the rfe.

Once you've identified the requested evidence and gathered it, you'll need to respond to the Request for Evidence within the allotted time frame.

Provide one complete response

USCIS generally issues only one RFE. You need to respond with a single response that thoroughly satisfies the request and supplies all evidence. If you fail to adequately respond, USCIS will likely deny your application. Address the issues as clearly as possible and provide your answers in one, single response. If you are uncomfortable responding to a Request for Evidence, seek assistance from an expert.

Organize your response

Make it easy for USCIS to understand your response by keeping it short and to the point. If the RFE is complex, include a table of contents or document your answer with exhibits. Although it is not mandatory, it's a good idea to include a cover letter that itemizes the evidence that you are submitting. The cover letter should be short and address the specific components of the RFE, so that you can show the USCIS officer handling your case that you provided all of the requested information. Include the RFE on top of your response and include the remaining items in the following order:

  • Original RFE (must be on top)
  • RFE cover letter ( view an example )
  • All requested evidence

Respond before the deadline

It should go without saying, but you must respond on time. Missing the deadline will most likely result in a denial. Don’t be late. Remember to make a copy of the RFE and all evidence for your own records. You'll need to return the original Request for Evidence with your response.

Mail the response package to the address specified on the RFE. Mail the package via U.S. Postal Service Priority Mail or a courier (e.g. FedEx, UPS or DHL) that can track your package. You want to have delivery confirmation so you have proof that you responded in the allowed time frame.

Tips to Avoid an RFE

How do i avoid rfes.

USCIS issues a Request for Evidence when an applicant has not provided sufficient documentation or information in an original package. Therefore, preparing a complete and detailed application package is important for avoiding an RFE. In a similar way, irrelevant or unnecessary information can clutter an application package.

  • Avoid inconsistencies and omissions of information. If there are any inconsistencies, explain them at the time of filing the application.
  • Provide complete certified translations for evidence that is originally printed in a foreign language.
  • Use evidence with more probative value when possible.
  • When scanning or making photocopies, ensure that you get a clean image so that all important details can be read.
  • Organize your application package in a way that it’s easy for USCIS to locate and identify evidence.

CitizenPath.com can help you prepare USCIS immigration forms and avoid a Request for Evidence. Immigration attorneys designed the affordable service to provide simple, step-by-step assistance for USCIS applications and petitions. CitizenPath provides an instant warning if your answer to a question could be problematic. We’ll also make certain that your request is complete. In fact, we guarantee that USCIS will approve your form.

What’s more, the service includes a set of personalized filing instructions with examples of evidence to submit. CitizenPath customizes the filing instructions based on your specific case. So you will know exactly which documents to submit with the application and where to mail it.

CitizenPath’s self-directed software is even free to get started. If you’re not eligible or if we find a problem, you can stop at any time. No payment is required until you reach the end of the application. See CitizenPath's immigration services >>

NOID is Different than RFE

Is a noid the same as an rfe.

A Notice of Intent to Deny (NOID) is much more serious than a Request for Evidence. A NOID is a negative determination and impending denial. It is a formal warning that a USCIS officer reviewed your case and plans to deny it if you are unable to provide more convincing evidence. You should take urgent action, generally with the assistance of an immigration attorney, to address the NOID with stronger evidence of your eligibility for the immigration benefit.

How CitizenPath Helps You Avoid an RFE

How do i avoid a request for evidence.

Filing USCIS forms is not a fill-in-the-blank exercise. You need evidence to corroborate the facts stated in your USCIS application or petition.

Each benefit request has specific eligibility requirements that a requestor must meet. Supporting documents are the evidence you need to establish eligibility. You may not need a lawyer, but you need a partner like CitizenPath to help ensure you submit a complete application package with all the right evidence.

CitizenPath's affordable, online service makes it easy to prepare USCIS applications and petitions. Designed by immigration lawyers, the service helps you eliminate the common errors that create delays, rejections and even denials. That's because the service alerts you when your answer to a question may be a problem. You'll also get customized filing instructions based on your situation. It's a powerful, do-it-yourself tool that puts you in control. And we've got your back -- CitizenPath provides live customer support and provides a money-back guarantee that USCIS will approve the form.

Avoid RFEs by preparing your USCIS form with CitizenPath

Request for Evidence FAQs

It is very rare to receive more than one RFE letter, but it is possible. In fact, USCIS policy recommends issuing only one RFE letter. Under certain circumstances, there is reason to issue more than one.

On the bright side, an RFE is a subtle indication that a USCIS officer has reviewed your case thoroughly enough to identify the final pieces of evidence necessary to make a decision.

However, it's impossible to estimate the time necessary to reach that decision. First, the USCIS case load may affect how quickly they return their attention to your case. Additionally, each type of form is different and may have various steps. Finally, the complexity of the evidence may affect the final processing time.

USCIS does not require you to use a cover letter when answering their Request for Evidence. However, a cover letter can be helpful. An RFE cover letter that is short and itemizes the evidence being submitted can provide clarity to your response. By listing the contents of the response in your letter, you help ensure the USCIS officer does not overlook anything.

Use this RFE cover letter example as a starting point. Customize it for your specific situation.

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Medical Interfile Single Cover Letter for Family

Generate uscis i-693 medical interfile cover letter with barcodes, its free.

This tool works locally in your browser, no data is uploaded to the server.

Tool to generate letter for individual applicant is here .

Note: Try generating letter in pdf format before you fill any information. Select no barcodes and click "Generate PDF Letter" button. If it is not generating letter then enable javascript in your browser or try using other browser.

Instructions

  • Fill all fields.
  • Generate pdf file, review it and sign.
  • Also check barcodes are correct or not using any barcode scanner app.

Sample Cover Letters

This form will generate two type of sample cover letters.

  • Principal + Spouse, check sample letter
  • Principal + Spouse + Kids(up to 4), check sample letter

Principal Applicant

Date on Letter:

USCIS Service Center:

USCIS I-485 Receipt Number:

USCIS Alien Number:

Derivative Applicant (Spouse)

Select number of child applicants, how many children do you want to add on applicantion, derivative applicant (child1).

Applicant Type:

Derivative Applicant (Child2)

Derivative applicant (child3), derivative applicant (child4), supporting documents, which photo id would you like to submit (select one), do you want to send copies of biometrics receipt.

You will need to submit below documents also.

  • Copies of I-797C, USCIS I-485 receipt notice.
  • Sealed I-693 Medical Report signed by the Civil Surgeon.

Add Barcodes?

Select if you want to add barcodes to cover letter or not (default option, no).

This will add A Number and I-485 receipt number barcodes.

Note: Principal applicant's USCIS I-485 Receipt Number and A-number are required for printing barcodes.

What do you think?

We are still improving this format, feel free to suggest us improvements like wording, grammar mistake, formatting etc. Use this contact form .

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    Mark the envelope and the cover letter with the nature of the submission. For example, Original Submission, Application to Register Permanent Residence or Adjust Status (Form I-485). Mark the envelope and the cover letter with the form number. For example, Form I-129, Form I-360, or Form I-485. In preparing your packet, remember:

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    Form I 693 Cover Letter - We respect your right to privacy. That means you can choose to not allow some types of cookies. Click on the different types of cookies listed below to find out more about each one and to change our default settings for your browser.

  21. Regulations To Implement the Pregnant Workers Fairness Act

    Example 1636.3 #18/Appropriate Uniform and Safety Gear: Ava, a pregnant police officer, asks their union representative for help getting a larger size uniform and larger size bullet proof vest in order to cover their growing pregnancy. The union representative asks management for an appropriately sized uniform and vest for Ava. 1.

  22. Medical Interfile Single Cover Letter for Family

    Generate USCIS I-693 Medical Interfile Cover Letter with Barcodes, its FREE! This tool works locally in your browser, no data is uploaded to the server. Tool to generate letter for individual applicant is here . Note: Try generating letter in pdf format before you fill any information. Select no barcodes and click "Generate PDF Letter" button.