USCIS Form I-693: Finding a USCIS Doctor and Where and When to Submit Your Medical Exam
General Immigration Information
The medical exam or Form I-693 (Report of Medical Examination and Vaccination Record) is one of the USCIS-required forms for people looking to apply for a green card/permanent residency in the United States. Since Form I-693 needs to be filled out by a USCIS-approved doctor, there are many things to consider when choosing a doctor. This article will contain basic information for people completing the medical exam from inside the United States.
This article will help answer the following:
Please note that the process differs for those completing the medical exam outside the United States. If you are doing your medical examination from outside the US, please visit this link for more information on the correct medical exam process.
The USCIS doctors assigned to perform the immigration medical examination are referred to as “civil surgeons.” Only civil surgeons can perform the medical examinations and fill out and seal Form I-693. It is important to remember that unless a doctor is a USCIS-approved civil surgeon and is part of the list of USCIS-approved physicians, they cannot complete Form I-693 or conduct the medical exam.
If you are applying for a Green Card from inside the United States, you can look for a USCIS-approved doctor (Civil Surgeon) near you using your address, state, or zip code with this link. You can also look up doctors by gender and the language they speak.
There are many things to keep in mind as you determine when and where to complete your medical exam and which civil surgeon to choose. Planning ahead and researching can be very helpful, especially for something as time-sensitive as immigration paperwork. Here are a few things to consider before taking the medical exam:
USCIS does not require medical offices to charge a set fee for the medical exam. Rather, each medical office gets to determine the fee it will charge for the medical exam. Typically, the exam can cost anywhere between $175 and $900, though it can be much more at some medical offices. For this reason, calling different doctors and shopping around can be helpful. Additionally, please note that medical exam fees doctors charge do not usually include the cost of vaccinations that applicants may need. Some doctors can provide the necessary vaccinations in-office, so be sure to contact a USCIS civil surgeon for more information.
For a list of the vaccines required by USCIS, click here.
Wait times for the medical exam vary and are subject to the availability of the civil surgeon you choose. While some offices are available within a week of scheduling, others may have long delays. Usually, the cheapest medical offices have the longest wait times. This is another reason why it can be helpful to consult multiple doctors when possible. While the medical exam can be a relatively short interaction with the doctor, it is not unusual for it to take two weeks or more for the doctor’s office to complete the required paperwork and mail it to the applicant. This wait time is often impacted by needed vaccinations.
Any Form I-693 that was properly completed and signed by a civil surgeon on or after November 1, 2023, does not expire and can be used indefinitely as evidence to show that the applicant is not inadmissible on health-related grounds. USCIS officers have the discretion to request more evidence or a new or updated Form I-693 if they have reason to believe the applicant’s medical condition has changed since the civil surgeon signed the Form I-693, or that the Form I-693 submitted does not accurately reflect the applicant’s medical condition and the applicant may be inadmissible on health-related grounds. Medical exams completed before November 1, 2023, have a 2-year validity period.
As listed above, you can find your closest doctor using this link and your zip code. Please note that the number of civil surgeons available varies by state and location. Planning ahead can be helpful, as some people may be required to travel long distances to complete this exam.
There are several ways people can find a doctor that they are comfortable with. Many civil surgeons have reviews on Google that discuss other patients’ experiences. Also, through the USCIS “Find a Civil Surgeon” link, a person can filter doctors by gender and by the language they speak. People can use reviews and these filters to look for options they trust.
While USCIS previously allowed Form I-485 to be submitted without a complete Form I-693, Report of Immigration Medical Examination and Vaccination Record, they changed that rule as of December 2, 2024, and now require that adjustment of status applicants submit the medical exam at the time of submission of Form I-485.
For applicants who are required to submit Form I-693 or a partial Form I-693 (such as the Vaccination Record for applicants who entered on K visas), USCIS will reject Form I-485 if the completed medical exam is not submitted concurrently with Form I-485, Application to Register Permanent Residence or Adjust Status.
TRANSLATION OF VACCINATION RECORDS:
Some offices require applicants to translate their vaccination records. In some cases, when the USCIS civil surgeon speaks the applicant’s native language, translations may not be needed. However, this can vary from office to office. Please make sure to call and check with the USCIS doctor to determine what documents are translations are needed.
USCIS requires the medical examination (Form I-693) for all people filing for a green card. A USCIS-approved doctor (civil surgeon) must perform the exam and complete the form. The exam can then be submitted with the application or at the moment of the USCIS interview. Please consider the vaccines needed, wait times, and availability of doctor’s offices before scheduling an appointment. It is also important to note that the current USCIS requirement is to send the medical exam with the application. If you have any questions about your medical exam, please feel free to reach out to our live chat or call your Civil Surgeon.
Please visit this article for more information on what to bring to your medical examination, what happens at the exam, and how to send the form.
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The 212(e) requirement can be a bit complex, but in this article, we will help you understand it.
General Immigration Information
If you’ve ever been an Exchange Visitor on the J-1 visa, you may have heard of the “Two-Year Home Residency Requirement” or 212(e). If you have entered the US on a J-1 visa in the past and now wish to apply for a green card, it’s important to understand that if you were ever subject to this requirement, it could impact your eligibility to apply. The 212(e) requirement can be a bit complex, but in this article, we will help you understand if you are subject to this requirement and what to do.
The Two-Year Home Residency Requirement, also known as 212(e), promotes cultural exchange by encouraging J-1 Exchange Visitors to return to their home country for two years after they complete their J-1 program. However, this rule only applies to certain categories of people currently in the US on a J-1 visa or who have previously been on a J-1 visa. If someone is subject to 212(e), they are required to return to their home country of citizenship or legal permanent residence and reside there for a cumulative period of two years before they are eligible to:
Being subject to 212(e) also prohibits changing status in the US to any of those visas or applying for Adjustment of Status to Legal Permanent Residency until the conditions of the requirement have been met or a waiver has been issued.
The J-1 visa has many different categories - examples of these categories include au pair, exchange student, visiting scholar, visiting physician, work-travel programs, and many more. Some of these categories, like visiting physicians, can automatically cause someone to be subject to 212(e). In contrast, those in other categories may be subject based on meeting at least one of the conditions below during their J-1 program:
NOTE: It is possible to be subject to the 212(e) in more than one of the above categories.
The visa stamp in your passport and/or a US Consular note on the bottom-left of your original DS-2019 may indicate whether or not you are subject to the 212(e) requirement.
Please note: It is possible to be subject to 212(e) even if it is not indicated on your visa and/or DS-2019. It is also possible that the information on your DS-2019 or visa stamp may be inaccurate. If you have questions about whether you are subject, you can submit a request for an Advisory Opinion to the US Department of State.
In some situations, someone subject to 212(e) may be eligible to apply for a waiver of this requirement. When approved by the US Department of State, this waiver removes the 212(e) requirements – this means that someone who was previously subject to 212(e) who is approved for the waiver would no longer be barred from applying for Legal Permanent Residency or any of the other visa types that 212(e) prohibits.
However, please keep in mind that the waiver process can be lengthy, and it may take up to a year or more before a decision is made on your request. Please see the Department of State website for more information about applying for a 212(e) waiver, and click here to see the 212(e) waiver eligibility requirements.
Applying for the 212(e) waiver process can vary depending on your country of citizenship or legal permanent residence and is quite complex. Because SimpleCitizen is a self-service tool and not a law firm, we suggest you contact a licensed immigration attorney about applying for the waiver. The American Immigration Lawyers Association (AILA) is an organization of immigration attorneys. A good way to find an immigration attorney is to use the AILA website. To find an immigration attorney in your area, you can use AILA's lawyer search here.
For some, 212(e) can be seen as a significant barrier to becoming a Legal Permanent Resident in the US. However, with the guidance of an experienced immigration attorney, many can apply for a waiver of this requirement and pursue their goal of immigrating to the US. For those approved for the waiver already, SimpleCitizen is happy to help you with the next steps of your immigration journey!
Please note: If you are subject to 212(e) and would like to use SimpleCitizen’s services when applying for a green card, your waiver must be approved when you submit your application for review by the network partner attorney. We will unfortunately not be able to review your application if you have only submitted your 212(e) waiver, but it has not been approved yet.
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I would like to fulfill the 212(e) requirement before I apply for a green card. Am I allowed to leave my home country during my two-year home residency?
Yes! Being subject to 212(e) does not prevent you from traveling from or spending time away from your country of citizenship or legal permanent residence. Remember, 212(e) only prevents you from returning to the US as a Legal Permanent Resident (green card holder) or on an H-1B, L, or K visa until you fulfill the requirement or are approved for a waiver.
If I’m subject to 212(e), can I leave the US and return on another nonimmigrant visa type?
Yes, you can depart the US and return on another non-immigrant visa type (such as F-1 or B-2). However, this does not remove the 212(e) requirement. Remember, 212(e) only prevents you from returning to the US as a Legal Permanent Resident (green card holder) or on an H-1B, L, or K visa until you fulfill the requirement or are approved for a waiver.
If I’m subject to 212(e), is my J-2 dependent also subject to 212(e)?
Yes. J-2 dependent status is directly related to the status of the principal J-1 visa holder. If you are on the J-1 visa and subject to 212(e), then your spouse and/or children on the J-2 visa would also be subject to that requirement.
I came to the US on a J-1 visa more than 5 years ago and was subject to 212(e) for that J-1 program. However, I did not depart the US. Am I still subject to 212(e)?
Yes. If you did not reside in your country of citizenship or legal permanent residence for two (cumulative) years, and you do not have an approved 212(e) waiver, you are still subject to 212(e). No matter how long ago you were on a J-1 program subject to 212(e), this requirement will stay in place until you fulfill the requirement or are approved for a waiver.
My visa stamp says I am subject to 212(e), but my DS-2019 doesn’t. Am I subject to 212(e)?
It can be subject to 212(e) even if it is not indicated on your visa and/or DS-2019. It is also possible that the information on your DS-2019 or visa stamp may be inaccurate. If you have questions about whether you are subject, you can submit a request for an Advisory Opinion to the US Department of State.
Cálculo de los ingresos anuales actuales - Múltiples empleos en un año
En Español
Al revisar su ingreso anual, USCIS considerará no sólo el ingreso actual de un patrocinador/sponsor, sino también cuánto tiempo ha estado con su empleador actual y cuánto ganará durante el año en curso. Por ello, si un patrocinador/sponsor ha tenido varios empleadores durante el año actual, muchas personas tienen más éxito con USCIS cuando informan no sólo los ingresos de su trabajo actual, sino también de sus ingresos proyectados para el año en curso, basándose tanto en los trabajos anteriores como en los actuales. Esta previsión de ingresos debe ser lo más exacta posible y debe estar respaldada por pruebas.
IMPORTANTE: Esta información está en español para mayor comprensión pero la carta y los cálculos deben estar en español.
Nota: A la hora de determinar los ingresos anuales, USCIS sólo tiene en cuenta el salario base de la persona. Las horas extras, las bonificaciones, los estipendios, las propinas, las comisiones u otras fuentes de ingresos irregulares no tienen garantía de ser pagadas y no serán consideradas por el USCIS.
Sabemos que esto puede ser complicado, así que estamos aquí para ayudarle a dar ejemplos y guiarle a través del proceso.
Para calcular sus ingresos anuales, el patrocinador hará una lista de todos los trabajos que ha tenido durante el año calendario en curso y determinará cuáles han sido sus ingresos del año hasta la fecha en cada uno de sus trabajos. Si tiene varios empleos actualmente, puede añadir todos en esta lista de empleos. A continuación, calculará cuánto prevé ganar con su trabajo actual desde la fecha de inicio hasta el final del año.
Aquí se muestra un ejemplo para ver cómo podría ser esto:
Sarah ha tenido 3 trabajos diferentes durante el año calendario actual.
Trabajo nº 1: Sarah estuvo en este trabajo de enero a abril: Su último talón de pago (pay stub) mostró un ingreso anual (Year To Date earnings) de $7,040.
Trabajo nº 2: Sarah estuvo en este trabajo de junio a agosto: Su último talón de pago (pay stub) mostraba unos ingresos anuales (Year To Date earnings) de $5.600
Trabajo nº 3 (actual): Sarah comenzó este trabajo en septiembre. Gana 15 dólares por hora y trabaja una media de 15 horas a la semana. Desde el momento en que Sarah comenzó su trabajo hasta el final del año hay 17 semanas en el año. Sarah puede calcular sus ingresos previstos en este trabajo multiplicando sus ganancias medias semanales ($15 x 15 horas = $225 semanales) por las 17 semanas que trabajará en este trabajo en el año. Esto hace que su proyecto de ingresos sea de $3825.
Para calcular los ingresos anuales, Sarah sumará esos puestos de trabajo para calcular sus ingresos anuales actuales.
$7,040 + $5,600 + $3,825 = $16,465
Aquí hay un ejemplo de carta de proyección que se puede utilizar para trazar claramente este ingreso para el USCIS para que puedan ver cómo se calculó este ingreso. En la parte inferior de este artículo hay enlaces a versiones en PDF y Docx de este modelo de carta.
Además de crear una carta que proyecte sus ingresos siguiendo la muestra anterior, el patrocinador también puede añadir pruebas de ingresos para todos los trabajos añadidos del año.
USCIS quiere ver la prueba de los ingresos anuales reportados. Esto es lo que nuestros abogados asociados recomiendan:
Learn about applying for a K-1 visa or family-based green card through the consular process.
Green Card Application
Last Updated May 25, 2023.
The main goal of this article is to provide you with the framework for the basic steps involved when applying for a K-1 fiancé(e) visa or a family-based green card through the consular process. For those seeking to bring their fiancé, spouse, or immediate family to the United States, the process can seem daunting. However, obtaining a fiancé(e) visa or a family-based green card through the consular process is possible with the right information. In this article, we will discuss the basic steps involved in applying for a K-1 visa or family-based green card through the consular process. By understanding these steps, you can increase your chances of success and reuniting with your loved ones in the United States.
The consular process is a way for people from other countries to apply for a US visa from outside the US. The term consulate refers to petitions that originate through a US Embassy or Consulate located in countries outside of the United States. The consular process can differ based on the type of visa you're applying for and your unique situation. Our team at SimpleCitizen is here to help guide you through the process, whether you're applying for permanent residency or a K visa.
The consular process for a family-based green card or fiancé(e) visa is a multi-step process that involves coordination between different government agencies. Those are the US Citizenship and Immigration Services (USCIS) which is a division under the Department of homeland security, and the National Visa Center (NVC), which is a division under the US Department of State. Let’s take a look into what processing looks like for each application type!
If you live outside of the United States and are eligible to apply to become a lawful permanent resident, you may be able to do so through the consular process. This process involves applying for an immigrant visa at a US embassy or consulate in your home country or country of residence. If you are approved for an immigrant visa, you can then travel to the United States and become a lawful permanent resident. The green card obtained through the consular process is similar to a green card obtained through adjustment of status within the United States, but the application process is different. In this section, we will provide an overview of the green card application process through the consular process, including the forms and documents required, the interview process, and important considerations for applicants.
Note: Processing times can vary greatly depending on which Embassy or Consulate is processing the application.
Note: Government fees are subject to change.
Refer to the NVC website for more information on what happens after the interview for those seeking an immigrant visa through the consular process.
The K-1 fiancé(e) visa is a nonimmigrant visa that allows a foreign national fiancé(e) of a US citizen to enter the United States for the purpose of getting married. Here are the general steps in the K-1 fiancé(e) visa process:
Here is what to expect going forward if your visa is approved:
The consular process is a key part of the journey for those who are eligible and wish to come to the United States. The process includes several important steps, like filling out a visa application, having a consular interview, and getting your visa. Depending on the type of visa you're applying for, and your personal circumstances, the steps involved may vary. But don't worry; the consular process is designed to make sure you're eligible for a US visa and that your time in the US follows all immigration laws. With the help of helpful organizations like SimpleCitizen, the consular process can be a breeze!
Planning to apply for a K-1 visa to bring your fiancé to the United States through the consular process? Consider using SimpleCitizen to help you prepare your application.
Already have a K-1 visa and now looking to file a green card application? We can help with that too! Learn more about our package offerings here!
Learn more about Form I-751, Petition to Remove Conditions on Residence
Green Card Renewals, Replacements and Removal of Conditions
Form I-751, Petition to Remove Conditions on Residence, applies for a 10-year green card when a permanent resident’s 2-year conditional green card expires. A conditional green card is a type of green card explicitly given to people who are married to US citizens who were married for less than two years at the time of green card approval. When filing Form I-751, a couple must provide evidence that the marriage is genuine and they are still living together. Failure to file Form I-751 or remove the conditions can result in USCIS terminating the green card and placing the individual in removal proceedings.
Typically, unless the form’s joint filing requirement is requested to be waived, it can be submitted up to 90 days before their conditional green card expires. USCIS states, “If this petition is not filed, you will automatically lose your permanent resident status two years from the date you were granted conditional status. You will then become removable from the United States. SPECIAL NOTE: If your failure to file was through no fault of your own, you may file your petition late with a written explanation and request that USCIS excuse the late filing. Failure to file before the expiration date may be excused if you demonstrate when you file the petition that the delay was due to extraordinary circumstances beyond your control and that the length of the delay was reasonable.”
If Form I-751 is filed with a request to waive the requirement of joint filing under the approved USCIS reasons, the petition can be filed at any time between green card approval and its expiration.
Generally, this form is filed separately from other forms and doesn’t require any other forms to be filed simultaneously.
SimpleCitizen is here to help you achieve the American dream. Safely and accurately apply, submit, & stay on top of your immigration status. Let SimpleCitizen guide you through filing Form I-751. With our easy-to-use platform and expert guidance, filing Form I-751 has never been simpler. Check your eligibility to Form I-751 with SimpleCitizen.
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How to Apply to Remove the Green Card Conditions
Form I-751 & How to Prove Your Marriage is Legitimate
What happens after submitting your I-751 – Petition to Remove Conditions?
Calculating When to File for the Removal of Conditions
5 Tips for Removing Conditions After a Divorce
Understanding Which Green Card Renewal Process is Right For You
With our easy-to-use platform and expert guidance, filing Form N-400 has never been simpler.
USCIS Forms
N-400, Application for Naturalization, if the application to apply for U.S. Citizenship through naturalization. What this means is that this form is used by U.S. permanent residents that meet the necessary criteria to apply for citizenship.
As a general rule, permanent residents over the age of 18 are eligible to apply for naturalization after they have been held and maintained permanent resident status for 5 years. Some exceptions exist, such as spouses of U.S. citizens who obtained their permanent residency through that spouse. In that case, they can apply after 3 years as a permanent resident. There are also some exceptions for members of the U.S. military.
Generally, this form is filed separately from other forms and doesn’t require any other forms to be filed simultaneously.
SimpleCitizen is here to help you achieve the American dream. Safely and accurately apply, submit, & stay on top of your immigration status. Let SimpleCitizen guide you through filing Form N-400. With our easy-to-use platform and expert guidance, filing Form N-400 has never been simpler. Check your eligibility to Form N-400 with SimpleCitizen.
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What Happens After Submitting Your Form N-400?
4 Common Reasons Citizenship Applications are Denied
What is “Good Moral Character?”
How to Apply for Citizenship while Serving in the United States Military
Form I-864, Affidavit of Support, is the application for financial sponsorship.
USCIS Forms
Form I-864, Affidavit of Support Under Section 213A of the INA, is the application for financial sponsorship. For many applicants who file Form I-485, Application to Register Permanent Residence or Adjust Status, Form I-864 is required to prove the ability to support an intending immigrant financially. Form I-864 is a contract between the person who files the form (the sponsor) and the United States Government. Anyone who fills, signs, and submits the state on behalf of an intending immigrant becomes a sponsor and is held to this contract.
Form I-864A, Contract Between Sponsor and Household Member, is a form that can be used together with Form I-864 if the income of a household member is being added to support the intending immigrant.
If Form I-864 is required, it must be submitted at the same time as Form I-485.
This form is filed along with Form I-485 for many applicants. Form I-485 applications for whom this is a requirement it is required to form the Form I-864 concurrently, or USCIS will reject their application.
SimpleCitizen is here to help you achieve the American dream. Safely and accurately apply, submit, & stay on top of your immigration status. Let SimpleCitizen guide you through filing Form I-864. With our easy-to-use platform and expert guidance, filing Form I-864 has never been simpler. Check your eligibility to Form I-864 with SimpleCitizen.
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I-864 Affidavit of Support and Financial Sponsor for Green Card
Tax Documents for the Green Card Application
Calculating Current Annual Income for a Sponsor or Joint Sponsor
Form I-765, is used to request employment authorization in the United States.
USCIS Forms
Form I-765, Application for Employment Authorization, is used to request employment authorization in the United States. While this form can be used by various groups of people in the U.S., such as eligible international students, the information in this article will focus specifically on individuals who are filing for employment authorization with a pending adjustment of status.
Form I-765 can be filed at the same time as Form I-485, Application to Register Permanent Residence or Adjust Status. If filed at a different time than Form I-485, it can be submitted to USCIS later if a copy of the I-485 receipt notice is included.
For advanced parole through a pending adjustment of status, this form cannot be filed before filing Form I-485. As mentioned above, it can be filed either at the same time as or following the filing of Form I-485.
SimpleCitizen is here to help you achieve the American dream. Safely and accurately apply, submit, & stay on top of your immigration status. Let SimpleCitizen guide you through filing Form I-765 along with your adjustment of status application. With our easy-to-use platform and expert guidance, filing has never been simpler. Check your eligibility to Form I-765 and I-485 with SimpleCitizen.
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Renewal of DACA status can be filed as early as 150 days before the expiration of their current status
USCIS Forms
I-821D, Consideration of Deferred Action for Childhood Arrivals, is the form used by individuals with Deferred Action for Childhood Arrivals (DACA) status. Established in 2012, DACA allows certain children who arrived in the United States as children and now meet other requirements to be eligible. DACA’s temporary relief from deportation allows eligible recipients to remain in the United States and obtain work authorization.
It is important to note that currently, USCIS does not accept new, initial applications of the I-821D, and only individuals filing to renew their status as DACA recipients are eligible to apply.
Renewal of DACA status can be filed as early as 150 days before the expiration of their current status. USCIS instructions state, "USCIS encourages Renewal requestors to file as early in the 150 days as possible - ideally, at least 120 days before the DACA expiration date.”
If DACA status has expired, a renewal can be filed within a year of expiration. However, if an applicant’s status expires by more than a year without a renewal being filed, they will no longer be eligible to file a renewal and will be considered a new applicant. Due to the current government pause on initial DACA applications, they would be ineligible to file at this time.
USCIS requires Form I-765 and I-765WS to be filed together with Form I-821D. Form I-765WS is an additional worksheet required to be filed along with the I-821D and I-765 for DACA recipients. Failure to include those forms along with the application will result in rejection by USCIS.
SimpleCitizen is here to help you achieve the American dream. Safely and accurately apply, submit, & stay on top of your immigration status. Let SimpleCitizen guide you through filing Form I-821D and Form I-765. With our easy-to-use platform and expert guidance, filing for DACA Renewal has never been simpler. Check your eligibility to Form I-821D with SimpleCitizen.
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Form I-131 can be used to apply for a re-entry permit, refugee travel document, or advance parole.
USCIS Forms
Form I-131, Application for Travel Document, is the travel authorization form used by green card holders, applicants for adjustment of status, and refugees. Form I-131 can be used to apply for a re-entry permit, refugee travel document, or advance parole travel document.
Notes: Individuals with asylee or refugee status that are not lawful permanent residents must have a Refugee Travel Document to return to the United States after traveling abroad unless they possess an Advance Parole Document. You should apply for a Refugee Travel Document before leaving the United States.
The timing for filing Form I-131 will vary depending on the purpose of the travel. It is important to note that this form must be filed for all applications before traveling outside the US.
In most cases, the ability to travel is only authorized once Form I-131 has been approved.
Often, Form I-131 is filed along with or in connection to other immigration forms. Temporary Protected Status (TPS) applications, asylum applications, or applications to adjust status to permanent residence are the most common.
Lawful permanent residents or conditional permanent residents applying for re-entry permits are not required to file any additional forms along with their application.
SimpleCitizen is here to help you achieve the American dream. Safely and accurately apply, submit, & stay on top of your immigration status. SimpleCitizen includes the ability to file the Advance Parole application with all I-485 applications. Let SimpleCitizen guide you through filing Form I-131. With our easy-to-use platform and expert guidance, filing Form I-131 has never been simpler. Check your eligibility to Form I-485, Adjustment of Status, with SimpleCitizen.
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Form I-131 Travel Application Guide
How to Travel After Submitting Form I-131
Form I-131, Application for Travel: Everything You Need To Know
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