That the certifying medical professional use the electronic Form N-648 located in the FORMS section www. See instructions for Form N-648 for additional information which is also located in the FORMS section at www. Medical practice type Form N-648 03/11/15 Y Page 1 Applicant s Name A- Part III. INFORMATION ABOUT DISABILITY and/or IMPAIRMENT S 1. You must sign and date each continuation sheet. You must answer and complete each question since USCIS will not accept an incomplete Form N-648. I am aware that the knowing placement of false information on Form N-648 and related documents may also subject me to criminal penalties including under Title 18 U.S.C. OMB No. 1615-0060 Expires 03/31/2017 Form N-648 Medical Certification for Disability Exceptions Department of Homeland Security U.S. Citizenship and Immigration Services 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. Section 1746 that the information I provided to the medical professional is true and correct. I am aware that the knowing placement of false information on Form N-648 and related documents may also subject me to civil penalties under Title 8 U.S.C. INTERPRETER S CERTIFICATION An interpreter must complete and certify the section below if an interpreter translated communications between the applicant and medical professional on the day of the examination that formed the basis of this Form N-648 certification. Interpreter Information Was a phone interpreter used No If no the interpreter is required to complete the information below. Before certifying this form the medical professional must conduct an in-person examination of the applicant. uscis. gov* Reminder About Eligibility Requirements Completing and Certifying This Form 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. An applicant who with reasonable accommodations provided under the Rehabilitation Act of 1973 can satisfy the English and civics requirements does not need to submit this form* Reasonable accommodations include but are not limited to sign language interpreters extended time for testing and off-site testing. All questions or items must be answered fully and accurately. Responses should utilize common terminology without abbreviations that a person without medical training can understand. uscis. gov* If the medical professional completes the form by hand then responses must be legible and appear in black ink. MEDICAL PROFESSIONAL INFORMATION Registration Number A-Number at the top of each sheet of paper and indicate the part and number of the item to which the answer refers. You may but are not required to attach to this completed form supportive medical diagnostic reports or records regarding the applicant.
Easy-to-use PDF software
How to prepare Form N-648
Online solutions help you to arrange your document management and boost the productiveness of the workflow. Observe the short guide to complete Form N-648, prevent errors and furnish it in a timely manner:
How to fill out a n648?
On the website containing the blank, press Start Now and move to the editor.
Use the clues to fill out the suitable fields.
Include your personal data and contact data.
Make absolutely sure that you enter true information and numbers in suitable fields.
Carefully check the written content in the form as well as grammar and spelling.
Refer to Help section if you have any questions or contact our Support staff.
Put an digital signature on your Form N-648 printable while using the support of Sign Tool.
Once the form is done, press Done.
Distribute the ready document through email or fax, print it out or save on your device.
PDF editor permits you to make alterations on your Form N-648 Fill Online from any internet linked device, customize it in line with your requirements, sign it electronically and distribute in several approaches.
What people say about us
Gain access to professional submitting capabilities
People also search for Form N-648
648 - FAQ