Printable Form N 648 Medical Certification For Disability Exceptions N 648 Medical Certification for Disability Exceptions Use this form if you are applying for U S citizenship and need to request an exception to the English and civics testing requirements for naturalization because of physical or developmental disability or mental impairment Forms and Document Downloads Form N 648 PDF 341 78 KB
Part 1 Applicant Information USPS ZIP Code Lookup USCIS USE ONLY certify that I have examined the following applicant Applicant s Legal Name Family Name Last Name Given Name First Name This N 648 is Sufficient Insufficient Continued RFE Reviewer Middle Name if any 2 Applicant s Current Physical Address Location Date This form is filled out and certified by certain medical professionals on behalf of applicants who are requesting an exception from the English and or civics requirements for naturalization because of a disability and or impairment Definition of Disability and or Impairment s for Exception from Literacy Requirements
Printable Form N 648 Medical Certification For Disability Exceptions
Printable Form N 648 Medical Certification For Disability Exceptions
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Or is expected to last 12 months or more may request an exception by submitting Form N 648 Medical Certification for Disability Exceptions completed by a medical professional Only medical doctors doctors of osteopathy and clinical psychologists licensed to practice in any state of the United States Washington D C This form is intended for an applicant who seeks an exception to the English and or civics requirements due to a physical or developmental disability or mental impairment that has lasted or is expected to last 12 months or more
N 648 Medical Certification Department of Homeland Security U S Citizenship and Immigration Services Part I BIOGRAPHICAL INFORMATION Please type or print clearly in black ink INFORMATION ABOUT THE APPLICANT PATIENT I certify that I have examined AddressMiddle NameFirst NameOMB No 1615 0060 Expires 08 31 08Alien Registration NumberCityU Form N 648 Medical Certification for Disability Exceptions ALL parts of this form except the APPLICANT ATTESTATION and INTERPRETER S CERTIFICATION must be certified by a licensed medical professional as provided in the instructions for Form N 648
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To allow the applicant to request a waiver an authorized medical professional must complete Form N 648 Medical Certification for Disability Exceptions Illiteracy is insufficient by itself to support an exception to the English and civics requirements How to Complete This Form All parts of Form N 648 except Part 4 Interpreter s Certification and Part 5 Applicant s Patient s Attestation Release of Information must be certified by a licensed medical professional Before certifying Form N 648 the medical professional must have conducted an in person examination of the applicant
This form is used for applicants to seek an exception to the English and civics requirements due to a physical or developmental disability or mental impairment that has lasted or is expected to last 12 months or more Applicants seeking such an exception should submit this form as an attachment to the Form N 400 Application for Naturalization This form is intended for applicants who seek an exception to the English and or civics requirements due to a physical or developmental disability or mental impairment that has lasted or is expected to last 12 months or more Who Should Submit This Form and When
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https://www.uscis.gov/n-648
N 648 Medical Certification for Disability Exceptions Use this form if you are applying for U S citizenship and need to request an exception to the English and civics testing requirements for naturalization because of physical or developmental disability or mental impairment Forms and Document Downloads Form N 648 PDF 341 78 KB
https://omb.report/document/www.uscis.gov/sites/default/files/document/forms/n-648.pdf
Part 1 Applicant Information USPS ZIP Code Lookup USCIS USE ONLY certify that I have examined the following applicant Applicant s Legal Name Family Name Last Name Given Name First Name This N 648 is Sufficient Insufficient Continued RFE Reviewer Middle Name if any 2 Applicant s Current Physical Address Location Date
USCIS Form N 648 Download Fillable PDF Or Fill Online Medical Certification For Disability
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Fillable Online N 648 Medical Certification For Disability ExceptionsN 648 Medical
Fillable Online N 648 Medical Certification For Disability ExceptionsN 648 Medical
USCIS Form N 648 Download Fillable PDF Or Fill Online Medical Certification For Disability
Download Instructions For USCIS Form N 648 Medical Certification For Disability Exceptions PDF
USCIS Form N 648 Download Fillable PDF Or Fill Online Medical Certification For Disability
Printable Form N 648 Medical Certification For Disability Exceptions - 1 Provide the clinical diagnosis of the applicant s medical disability and or impairments that form the basis for seeking an exception to the English and or civics requirements If applicable please provide the relevant medical code as accepted by the Department of Health and Human Services HHS
