Contents
The USCIS N-648 form plays a crucial role for individuals seeking to obtain a waiver for the English and civics requirements of the naturalization process. Designed specifically for applicants who have a medical disability or developmental condition, this form allows them to demonstrate their inability to meet these requirements due to their health issues. To successfully navigate this process, applicants must provide detailed information about their medical condition, including a comprehensive evaluation from a qualified medical professional. This evaluation must outline how the applicant's disability affects their ability to learn English or understand U.S. civics. The N-648 form not only serves as a means of documenting these challenges but also ensures that the naturalization process remains accessible to all, regardless of their physical or mental limitations. Understanding the intricacies of this form is essential for applicants, as it can significantly impact their journey to becoming U.S. citizens.
Preview - USCIS N-648 Form
Form N-648 Edition 09/25/24
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Medical Certification for
Disability Exceptions
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form N-648
OMB No. 1615-0060
Expires 09/30/2027
START HERE - Type or print in black ink.►
Part 1. Applicant Information
1.
Please read the instructions before examining the applicant and filling out this form.
In general, applicants for naturalization must demonstrate that they understand the English language, including the ability to read,
write, and speak words in ordinary usage. They must also demonstrate knowledge and understanding of the fundamentals of the
history, principles, and form of government of the United States. These are called the “English and civics requirements.” 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.
Only medical doctors, doctors of osteopathy, or clinical psychologists can certify the form.
Applicant's Legal Name
2.
Family Name (Last Name)
Given Name (First Name)
Middle Name (if any)
USCIS USE ONLY
This N-648 is:
Sufficient
Insufficient
Continued/RFE
Reviewer
Location & Date
Please note:
Additionally, they must be licensed to practice in the United States (including the U.S. territories of the Commonwealth of the
Northern Mariana Islands, Guam, Puerto Rico, and the Virgin Islands) to certify the form.
While staff of the medical practice associated with the certifying medical professional certifying the form may assist in its
completion, the certifying medical professional is responsible for the accuracy of the form's content and therefore must sign it.
Answer all the questions regarding medical information, using common terminology that a person without medical training can
understand, with no abbreviations. Failure to fully and accurately complete this form, including all applicable signatures, may
result in the form being found insufficient.
Alien Registration Number (A-Number) (if any)
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A-
3.
Date of Birth (mm/dd/yyyy)
Part 2. Certifying Medical Professional Information
1. Certifying Medical Professional's Name
Family Name (Last Name)
Given Name (First Name)
Middle Name (if any)
Form N-648 Edition 09/25/24
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Part 2. Certifying Medical Professional Information (continued)
7. I am currently licensed as a (select all that apply):
Medical Doctor Doctor of Osteopathy Clinical Psychologist
3. License Number 4. Licensing State
Email Address (if any)Business Telephone Number5. 6.
8. Medical Practice Type:
Part 3. Information About Disabilities and/or Impairments
1.
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A-
Did you use an interpreter:
Yes No
9.
10.
I am fluent in English and
, the language spoken by this applicant.
This applicant speaks English.
If No, I did not use an interpreter because:
Provide the clinical diagnosis and medical code for all physical or developmental disabilities and/or mental impairments that
affect the applicant's ability to meet the English and/or civics requirements. Also, clearly describe how each disability and/or
impairment prevents the applicant from learning English and/or civics. Responses should use common terminology, without
abbreviations, that a person without medical training can understand. Refer to page 2 of the Instructions for an example. Please
provide the relevant medical code as accepted by the U.S. Department of Health and Human Services (HHS). This includes the
Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD). For
example, “DSM-V 318.1 Intellectual Disability (Severe)” or “2022 ICD-10-CM F72 Severe intellectual disabilities.”
2. Certifying Medical Professional's Business Address
Street Number and Name
City or Town
Apt.Ste. Flr. Number
ZIP CodeState
Province Postal Code Country
(USPS ZIP Code Lookup)
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Part 3. Information About Disabilities and/or Impairments (continued)
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Have any of the applicant's disabilities and/or impairments listed in Part 3., Item Number 1. lasted, or do
you expect any of them to last, 12 months or more? If your answer is “No,” do not complete this form
because the applicant is not eligible for this exception.
3.
Yes No
Are any of the disabilities and/or impairment(s) listed in Part 3., Item Number 1. the result of the
applicant's illegal use of drugs? If your answer is “Yes” for all of the disabilities or impairments, do not
complete this Form because the applicant is not eligible for this exception.
4.
Yes No
If yes, for some disabilities or impairments, identify which disabilities or impairments are the result of the applicant's illegal use
of drugs.
5.
For disabilities and/or impairments listed in Part 3., Item Number 1., provide the date you last examined the applicant.6.
Date (mm/dd/yyyy)
Do any of the disabilities or impairments listed in Part 3., Item Number 1. prevent the applicant from demonstrating the
following? Select all that apply. If none applies, do not complete this Form because the applicant is not eligible for this
exception.
7.
The ability to:
Read English
Write EnglishSpeak English
Answer questions regarding United States history and civics, even in a language the applicant understands.
What clinical or laboratory diagnostic techniques did you use to diagnose each of the applicant's disabilities and/or
impairment(s) listed in Part 3., Item Number 1.?
2.
Part 4. Ability to Understand Oath of Allegiance
The applicant will not be able to naturalize without a legal guardian, surrogate, or an eligible designated representative unless they are
able to understand and communicate that they understand the meaning of the Oath of Allegiance. The Oath may be administered in
the applicant's language of choice and they may communicate their understanding in any manner (for example, by nodding).
Is the applicant able to understand and communicate that they understand the meaning of the Oath of
Allegiance to the United States?
1. Yes No
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Part 5. Interpreter Information and Certification
Interpreter's Contact Information
Interpreter's Daytime Telephone Number3.
Interpreter's Email Address (if any)5.
Interpreter's Mobile Telephone Number (if any)4.
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Interpreter's Signature (not required for telephonic interpretations)6. Date of Signature (mm/dd/yyyy)
Interpreter's Certification
I further certify that I have accurately and completely interpreted all communications between the certifying medical professional and
I certify that I am fluent in English and the following language,
the applicant that occurred on
.
, the date(s) of the examination(s) that form the basis of this certification.
Part 6. Applicant's (Patient's) Attestation/Release of Information
I,1. (Applicant's Name),
authorize (the Licensed medical doctor,
diagnosed by him or her. 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 8 U.S.C. section 1324c and INA section 274C. I understand that if this form is not
completely filled out or if I fail to submit any required documentation, I may be found ineligible for the requested medical
disability exception.
doctor of osteopathy, or clinical psychologist completing this form) to release to U.S. Citizenship and Immigration Services
(USCIS) all relevant physical and mental health information related to my medical status for the purpose of applying for an
exception from the English language and U.S. civics requirements for naturalization. I certify under penalty of perjury, pursuant
to 28 U.S.C. section 1746, that the information I provided to the certifying medical professional is true and correct. I certify
under penalty of perjury, pursuant to 28 U.S.C. section 1746, that I have attended an appointment with
(Licensed medical doctor, doctor of osteopathy, or clinical psychologist) and was then
Applicant Signature (or mark if applicant is unable to sign)2.
Date of Signature (mm/dd/yyyy)
2.
Family Name (Last Name)
Given Name (First Name)
Interpreter's Name
Middle Name (if applicable)
If in-person interpretation services were used during the medical examination, the interpreter must fill out this section, sign, and date
the certification. If telephonic interpretation services were used during the medical examination, the certifying medical professional
must complete all items in this section, except Item Number 6.
Was a telephonic or video facilitated interpreter used during the examination of the applicant?1.
Yes No
Form N-648 Edition 09/25/24
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Part 7. Medical Professional's Certification
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Additionally, I certify, under penalty of perjury under the laws of the United States of America, that the information on this form and
any evidence submitted with it are all 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 criminal penalties including under 18 U.S.C. section 1546, civil penalties under 8
U.S.C. section 1324c and Immigration and Nationality Act (INA) section 274C, and civil license suspension or revocation by the
appropriate authorities.
Certifying Medical Professional Signature
4. Date of Signature (mm/dd/yyyy)
I have examined the applicant/patient listed in Part 1. above.1.
I will furnish relevant medical records to USCIS, if requested to do so by USCIS, based on the applicant's consent in
Part 6.
2.
This applicant's identity has been verified through the following United States or State government-issued photographic
identity document:
3.
Permanent Resident Card
Other Identification (Indicate type and ID Number):
State ID Number:
I certify that:
Document Specifics
| Fact Name | Description |
|---|---|
| Purpose | The USCIS N-648 form is used to request a waiver of the English and civics requirements for naturalization due to a disability. |
| Eligibility | Applicants must have a physical or developmental disability or mental impairment that prevents them from meeting the requirements. |
| Professional Evaluation | A qualified medical professional must complete the form, providing evidence of the applicant's disability. |
| Submission Process | The completed N-648 must be submitted alongside the N-400 application for naturalization. |
| Governing Law | The use of the N-648 is governed by the Immigration and Nationality Act (INA) and relevant USCIS regulations. |
USCIS N-648: Usage Instruction
Completing the USCIS N-648 form is a straightforward process that requires careful attention to detail. After filling out the form, it will be submitted to the appropriate USCIS office as part of your application process. Ensure that all information is accurate and complete to avoid delays.
- Begin by downloading the USCIS N-648 form from the official USCIS website.
- Read the instructions provided on the first page of the form carefully.
- Fill in your personal information in the designated sections, including your name, address, and date of birth.
- Provide information about your immigration status and any relevant case numbers.
- Complete the section regarding your medical condition, ensuring to describe your disability or medical condition clearly.
- Have a qualified medical professional fill out their part of the form, including their name, credentials, and signature.
- Review the entire form for accuracy and completeness before submitting it.
- Make a copy of the completed form for your records.
- Submit the form along with your application to the appropriate USCIS office.
Learn More on USCIS N-648
- The applicant's personal information, such as name and address.
- Details about the medical professional completing the form, including their qualifications.
- A description of the applicant's disability and how it affects their ability to meet the citizenship requirements.
- Any supporting medical documentation that can substantiate the claims made on the form.
What is the USCIS N-648 form?
The USCIS N-648 form is a medical certification for disability exceptions. It is used by applicants for U.S. citizenship who are unable to meet the standard requirements for the civics and English language tests due to physical or developmental disabilities or mental impairments.
Who needs to fill out the N-648 form?
Individuals applying for citizenship who have a qualifying disability should fill out the N-648 form. This includes those who cannot demonstrate knowledge of English or civics due to their medical condition. A licensed medical professional must complete the form to certify the applicant's disability.
What information is required on the N-648 form?
The N-648 form requires detailed information, including:
How does someone submit the N-648 form?
The N-648 form should be submitted alongside the N-400 application for naturalization. Ensure that it is included in the same package when you send your application to USCIS. It is crucial to keep a copy for your records.
Is there a fee for filing the N-648 form?
No, there is no separate fee for filing the N-648 form. However, applicants must still pay the standard filing fee for the N-400 application. Always check the latest fee schedule on the USCIS website to confirm current amounts.
What happens after submitting the N-648 form?
After submission, USCIS will review the N-648 form along with your N-400 application. If additional information is needed, they may request it. In some cases, you might be called for an interview where the disability and its impact on your ability to take the tests will be discussed.
Can the N-648 form be used for other immigration processes?
The N-648 form is specifically designed for the naturalization process. It cannot be used for other immigration applications or petitions. If you have questions about other forms or processes, consult with a qualified immigration attorney for guidance.
Common mistakes
Filling out the USCIS N-648 form can be a daunting task, and many applicants make common mistakes that can lead to delays or even denials. One frequent error is failing to provide comprehensive medical documentation. The N-648 requires detailed information about the applicant's disability and how it affects their ability to understand and respond to questions during the naturalization interview. Without sufficient medical records or a clear explanation from a qualified medical professional, the application may be rejected.
Another mistake often seen is incomplete or inaccurate information. Applicants sometimes rush through the form, neglecting to double-check their answers. This can include misreporting personal details, such as names, addresses, or dates. Even minor discrepancies can raise red flags for USCIS officials, potentially leading to complications in the application process.
Many applicants also overlook the importance of the signature. The N-648 must be signed by both the applicant and the medical professional who completed the form. If either signature is missing or if the signatures do not match the names provided, it can result in the form being considered invalid. Ensuring that all necessary signatures are present is crucial for a smooth application process.
Additionally, some individuals fail to submit the form within the required time frame. The N-648 should be submitted alongside the naturalization application. Delaying the submission can cause unnecessary holdups, as USCIS may not accept the form if it is not filed correctly or on time. Being mindful of deadlines is essential for a successful application.
Lastly, a lack of clarity in the medical professional’s explanation can lead to confusion. The N-648 requires a detailed narrative from the doctor regarding the applicant's disability. If this narrative is vague or lacks specifics, it may not adequately support the applicant's case. Clear, concise, and thorough explanations are vital to convey the applicant's needs effectively.
Documents used along the form
The USCIS N-648 form is essential for individuals seeking a waiver for the English and civics requirements of the naturalization process due to a disability. However, several other documents may accompany this form to ensure a smooth application process. Below is a list of forms and documents commonly used alongside the N-648.
- Form N-400: This is the Application for Naturalization. It is the primary form that individuals must submit to begin the naturalization process.
- Form I-485: Known as the Application to Register Permanent Residence or Adjust Status, this form is used for individuals adjusting their immigration status to that of a lawful permanent resident.
- Form I-864: The Affidavit of Support is required to demonstrate that the applicant has adequate financial support and is not likely to become a public charge.
- Form I-693: This is the Report of Medical Examination and Vaccination Record, which may be needed to prove that the applicant meets health requirements.
- Form G-325A: The Biographic Information form collects personal information about the applicant, including their family and employment history.
- Form N-565: This form is used to apply for a replacement naturalization certificate if the original is lost, stolen, or damaged.
- Form N-600: The Application for Certificate of Citizenship is for individuals who claim citizenship through their parents.
- Supporting Documentation: This includes medical records, personal statements, or any evidence that supports the disability claim and the need for a waiver.
Submitting the appropriate forms and documents along with the USCIS N-648 can significantly enhance the chances of a successful application. Ensure that each document is completed accurately and thoroughly to facilitate a smooth process.
Similar forms
The USCIS N-648 form is used to request a waiver of the English language and civics requirements for naturalization based on a disability. A similar document is the I-485, Application to Register Permanent Residence or Adjust Status. Like the N-648, the I-485 allows individuals to adjust their immigration status based on specific circumstances. Both forms require detailed personal information and supporting documentation to establish eligibility for the requested benefit.
Another comparable document is the I-601, Application for Waiver of Grounds of Inadmissibility. This form is used by individuals who are inadmissible to the U.S. for various reasons but seek to overcome that inadmissibility. Similar to the N-648, the I-601 requires applicants to provide evidence supporting their claims, often including medical documentation or personal statements detailing their situation.
The I-130, Petition for Alien Relative, also shares similarities with the N-648. This form is used by U.S. citizens and lawful permanent residents to establish a relationship with a foreign relative. Both documents necessitate proof of eligibility and often involve complex personal circumstances that must be clearly articulated to immigration officials.
The I-140, Immigrant Petition for Alien Worker, is another document that aligns with the N-648 in terms of its purpose. It allows employers to petition for foreign workers to obtain permanent residency. Both forms require substantial documentation to demonstrate eligibility, whether it’s based on employment or disability.
The N-400, Application for Naturalization, is closely related to the N-648 as it is the primary form for individuals seeking U.S. citizenship. While the N-400 includes questions about English proficiency and civics knowledge, the N-648 serves as a specific request for exemption based on disability, highlighting the need for additional documentation in certain cases.
The I-864, Affidavit of Support, is another document that bears some resemblance to the N-648. This form is used to demonstrate that a sponsor can financially support an immigrant. Both documents require comprehensive information and evidence to ensure that the applicant meets the necessary criteria for their respective immigration processes.
The I-751, Petition to Remove Conditions on Residence, shares a similar requirement for supporting documentation as the N-648. This form is used by conditional residents to remove the conditions on their permanent residency. Both require a thorough explanation of the applicant’s situation and relevant evidence to support their case.
The I-131, Application for Travel Document, is also comparable in that it requires a clear justification for the request. This form allows individuals to apply for advance parole or refugee travel documents. Like the N-648, the I-131 necessitates supporting evidence to establish the applicant's need for the requested benefit.
Finally, the I-765, Application for Employment Authorization, is similar in that it allows individuals to request permission to work in the U.S. Both forms require applicants to provide personal information and justification for their requests, making them integral parts of the immigration process.
Dos and Don'ts
When filling out the USCIS N-648 form, it's important to follow specific guidelines to ensure a smooth process. Here are seven things you should and shouldn't do:
- Do read the instructions carefully before starting the form.
- Do provide accurate and complete information.
- Do sign and date the form where required.
- Do keep a copy of the completed form for your records.
- Don't leave any sections blank unless instructed to do so.
- Don't use abbreviations or shorthand that may confuse the reviewer.
- Don't submit the form without double-checking for errors.
Following these guidelines can help avoid delays and ensure your application is processed efficiently.
Misconceptions
The USCIS N-648 form is a crucial document for individuals applying for U.S. citizenship who have medical disabilities. However, several misconceptions surround this form. Here are ten common misunderstandings:
- Only certain medical conditions qualify for the N-648. Many people believe that only specific disabilities are eligible. In reality, any medical condition that significantly impairs a person's ability to understand or communicate in English can qualify.
- The N-648 form is optional. Some applicants think they can choose whether or not to submit this form. If an applicant has a qualifying medical condition, submitting the N-648 is necessary to receive an exemption from the English and civics requirements.
- Any doctor can complete the N-648. While many healthcare professionals can fill out the form, it must be completed by a licensed medical professional who understands the applicant's condition and its impact on their ability to meet the citizenship requirements.
- The N-648 guarantees approval of the citizenship application. Some individuals mistakenly believe that submitting this form automatically ensures their citizenship application will be approved. The USCIS will still review the entire application, including the N-648, and make a determination based on all evidence.
- Filling out the N-648 is straightforward and quick. Many applicants underestimate the complexity of the form. Properly completing the N-648 requires detailed information about the applicant's medical condition and its effects, which can take time and careful consideration.
- The N-648 is only for physical disabilities. Some people think that only physical disabilities qualify for this form. However, mental health conditions and cognitive impairments can also be considered, provided they affect the applicant's ability to understand and communicate.
- The N-648 form does not require supporting documentation. It is a misconception that the N-648 can stand alone. Including supporting medical records or documentation can strengthen the application and provide additional context to the USCIS.
- Once submitted, the N-648 cannot be changed. Some applicants believe that they cannot make any changes after submitting the form. In fact, if there are errors or new information arises, applicants can submit a revised N-648 before their interview.
- Submitting the N-648 will delay the application process. While any additional documentation can potentially slow down the review, the N-648 is a necessary part of the process for those who qualify. Proper submission can actually help expedite the determination of eligibility.
- The N-648 is only for applicants over a certain age. Many people think that only older applicants can use this form. In truth, any applicant who has a qualifying medical condition, regardless of age, can submit the N-648.
Understanding these misconceptions can help applicants navigate the citizenship process more effectively. It is essential to approach the N-648 with accurate information to ensure the best possible outcome.
Key takeaways
When filling out and using the USCIS N-648 form, keep these key takeaways in mind:
- Purpose of the Form: The N-648 form is used to request a medical disability exemption from the English and civics requirements for naturalization.
- Qualified Medical Professional: Only a licensed medical professional can complete the form. Ensure that the individual understands immigration requirements.
- Detailed Information Required: The form requires comprehensive information about the applicant's medical condition. Be thorough and clear to avoid delays.
- Submission Timing: Submit the N-648 form along with your naturalization application (N-400) or at the time of your interview, as appropriate.
- Follow Up: After submission, keep track of your application status. If additional information is requested, respond promptly to avoid complications.