Printable Form N 648 Medical Certification For Disability Exemptions Form N 648 Edition 07 23 20 Page 1 of 9 Applicant s Current Physical Address Medical Certification for Disability Exceptions Department of Homeland Security U S Citizenship and Immigration Services USCIS Form N 648 OMB No 1615 0060 Expires 12 31 2021 START HERE Type or print in black ink Part 1 Applicant Information 1
U S Citizenship and Immigration Services USCIS recommends that the certifying medical professional use the electronic Form N 648 located in the FORMS section www uscis gov If the medical professional completes the form by hand then responses must be legible and appear in black ink Type or print clearly in black ink Form N 648 asks the applicant if an interpreter was used during the medical examination If one was used then the interpreter must complete and certify Form N 648 if he or she translated communications between the applicant and the medical professional on the day of the medical examination that formed the basis of the Form N
Printable Form N 648 Medical Certification For Disability Exemptions
Printable Form N 648 Medical Certification For Disability Exemptions
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USCIS Form N 648 Download Fillable PDF Or Fill Online Medical Certification For Disability
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Form N 648 Fill Out Sign Online And Download Fillable PDF Templateroller
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Applicants for naturalization must submit Form N 648 Medical Certification for Disability Exceptions along with a completed Form N 400 Application for Naturalization if they are seeking an exception from the English and civics requirements Form N 648 is intended for applicants with medical condition s that are long term lasting 12 months or 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
1 Provide the clinical diagnosis and DSM IV code if applicable of the applicant s disability and or impairment s that form the basis for seeking an exception to the English and or civics requirements If you cannot provide a DSM IV code write N A and explain why you cannot provide a DSM IV code DSM IV 318 0 Down syndrome A disability exception which can only be requested by submitting Form N 648 requires an applicant to show that the applicant s physical or developmental disability or mental impairment prevents the applicant from complying with the English or civics requirements or both even with reasonable accommodations
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USCIS Form N 648 Fill Out Sign Online And Download Fillable PDF Templateroller
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Formulario N 648 Certificaci n M dica Para Exenciones Por Discapacidad USA immigrations
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8 What caused this applicant s medical disability and or impairment s listed in number 1 if known Form N 648 Rev 06 17 11 N Page 3 Explanation Name of Regularly Treating Medical Professional and Address Last Name First Name Middle Name Business Address City State or Province Zip Code or Postal Code Telephone Number A Instructions for Form N 648 Medical Certification for Disability Exceptions OMB No 1615 0060 Expires 05 31 2021 What Is the Purpose of This Form professional complete and print the fillable electronic Form N 648 located in the FORMS section at www uscis gov 1 Type or print clearly using black ink Keep all information
Form N 648 Medical Certification for Disability Exceptions is a waiver for certain applicants undergoing the citizenship interview through the U S naturalization process Usually applicants must prove they can read write and speak the English language They also need to pass a U S history and U S civics test Obtaining an exception using Form N 648 Medical Certification for Disability Exceptions Advocates sometimes refer to the Disability Exception asa Medical Exception Disability Exemption Disability or Waiver This practice advisory uses the term Disability Exception Filing a successful N 648 is no simple task
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Form N 648 Edition 07 23 20 Page 1 of 9 Applicant s Current Physical Address Medical Certification for Disability Exceptions Department of Homeland Security U S Citizenship and Immigration Services USCIS Form N 648 OMB No 1615 0060 Expires 12 31 2021 START HERE Type or print in black ink Part 1 Applicant Information 1
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U S Citizenship and Immigration Services USCIS recommends that the certifying medical professional use the electronic Form N 648 located in the FORMS section www uscis gov If the medical professional completes the form by hand then responses must be legible and appear in black ink Type or print clearly in black ink
Fill Free Fillable Form N 648 Medical Certification For Disability Exceptions USCIS PDF Form
Fillable Online Form N 648 Medical Certification For Disability Exceptions Fax Email Print
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Disability Forms Printable Printable Forms Free Online
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Printable Form N 648 Medical Certification For Disability Exemptions - 1 Provide the clinical diagnosis and DSM IV code if applicable of the applicant s disability and or impairment s that form the basis for seeking an exception to the English and or civics requirements If you cannot provide a DSM IV code write N A and explain why you cannot provide a DSM IV code DSM IV 318 0 Down syndrome
