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Official form guide

Form I-905: Application for Authorization to Issue Certification for Health Care Workers

USCIS Form I-905 is an Application for Authorization to Issue Certification for Health Care Workers, used by organizations seeking permission from USCIS. If approved, the authorization lasts for a period of 5 years.

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Form Overview

USCIS Form I-905 - Application for Authorization to Issue Certification for Health Care Workers

USCIS Form I-905 is an Application for Authorization to Issue Certification for Health Care Workers, used by organizations seeking permission from USCIS. If approved, the authorization lasts for a period of 5 years.

The form collects information regarding the applicant's certification status, including details about who prepared the application (Part 8.a), the date of signature (Part 8.b), and declarations made by the preparer under penalty of perjury.

Risk Radar

Scan points
  • 1Failure to include the original signature of the applicant invalidates the Form I-905.
  • 2Filing without the organization's required certification details on Form I-905.
  • 3Submitting a foreign language document without a full English translation and translator certification.
  • 4Not having the original signature of the applicant present on the form.
  • 5Failing to select the box indicating if the form was completed by or interpreted for the applicant.

Plain English

An organization uses Form I-905 to ask U.S. Citizenship and Immigration Services (USCIS) for official permission to issue certifications to health care workers. This application confirms that the organization meets standards to verify that certain medical professionals are authorized to practice in the U.S.

Submission Date

  • Filing date: If approved, authorization granted via Form I-905 is valid for a period of 5 years, though USCIS conducts reviews every 5 years to ensure compliance.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form when an organization seeks authorization from USCIS to issue certifications for health care workers.
  • Do not use it when you are an individual applying for a benefit and need someone else to certify your credentials (though the form allows for applicant/filer distinction).
  • Check Form G-1055 instead when needing specific information about applicable filing fees.

Form selector

Use this form or another form?

Organization is not an eligible discipline member

The selection process must meet specific criteria (e.g., be selected by discipline members) as stated in the instructions.

Check Part 1, Section A on the form.

USCIS Form I-905

The organization has difficulty proving independence from conflicts of interest

Not-for-profit corporations may need to provide evidence demonstrating they are independent regarding visa issuance.

Check Instructions p.2, Paragraph 5.

USCIS Form I-905

You used an interpreter to complete the form

The interpreter must fill out a specific section with their contact details, signature, and date.

Check Instructions p.6 for Interpreter Section requirements.

USCIS Form I-905

Deadline or filing window

The authorization granted upon approval lasts for 5 years, which is the period USCIS reviews continued compliance. There is no specific initial filing deadline stated, but failure to properly complete this application may lead to rejection or denial.

Checklist

What you need before filling it out

1

Organization's Expertise/Experience

Description of expertise, knowledge, and experience in health care occupations. · Part 1 (continued)

Failing to describe this adequately may delay or deny the application.High
2

Verification Procedure

Explanation of how USCIS can verify certificate validity. · Part 1 (continued)

If the procedure is unclear, eligibility cannot be established.Medium
3

Organizational Compliance Statement

How the organization meets the standards described in the instructions sheet. · Part 1 (continued)

This confirms adherence to selection and governance rules.High
4

Foreign Language Document

A document containing information not in English. · Attached evidence

Must be accompanied by a full English translation certified by the translator.Medium
5

Interpreter's Certification

Interpreter's signature, printed name, date, and contact info (if applicable). · Instructions p.6 Section

Missing this section invalidates the interpretation process for filing purposes.High
6

Applicant Signature

The original handwritten signature of the applicant/filer. · Part 2, Item 3.b

USCIS will reject the application if this is missing or invalid (See 8 CFR 103.2(a)(7)(ii) A).High

Before you submit

  1. 1Ensure all required fields in Part 1 are completed regarding organizational expertise and procedures.
  2. 2Verify that the organization meets standards described in the instructions sheet (Instructions p.2).
  3. 3Confirm the Date of Signature is filled out correctly on Part 2.
  4. 4Affirm that the Applicant's Signature (Part 2, Item 3.b) is an original handwritten mark.
  5. 5If applicable, select the box indicating if you filled it out or if someone interpreted/filled it out for you (Instructions p.6).
  6. 6If submitting foreign documents, confirm a complete English translation and translator certification are included.
  7. 7Check that the organization's selection process prohibits governing body members from selecting a majority of their successors (Instructions p.2).

How to file this form

  1. 1Complete Part 1 by detailing your organization’s expertise, verification procedure, and how you meet standards for USCIS Form I-905.
  2. 2Sign Part 2, certifying under penalty of perjury that the information is true and correct, ensuring it is an original signature.
  3. 3If applicable, complete the Interpreter's section with all required contact and signature details (Instructions p.6).
  4. 4Attach any necessary supporting evidence, remembering to provide full English translations for foreign documents.
  5. 5Submit the completed Form I-905 to the designated USCIS filing location found at www.uscis.gov/I-905, receiving a confirmation receipt.

Known limitations

  1. 1The organization must be in ongoing compliance with other policies specified by USCIS if Form I-905 is approved.
  2. 2Submitting original documents that are not required or requested may result in USCIS destroying them after receipt.
  3. 3If a document submitted contains information in a foreign language, the applicant must also submit a full English translation along with it.

Field map

Compact field-by-field guide

7 fields

Applicant Info

3 items

Full Legal Name

Your current legal name.

Requiredtext
Date of Birth

MM/DD/YYYY.

Requireddate
A-Number

Alien Registration Number if previously assigned.

text

Details

1 items

Basis for Application

The specific reason or legal basis for filing this form.

Requiredtext

Evidence

1 items

Supporting Documentation

List of documents supporting this application.

Requiredtext

Signatures

2 items

Applicant Signature

Sign under penalty of perjury.

Requiredsignature
Date of Signature

MM/DD/YYYY.

Requireddate
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Current form status
USCIS

The current edition of USCIS Form I-905 is dated 04/01/24, and the instructions direct users to www.uscis.gov/I-905 for the most current information regarding filing locations.

What changed or needs a fresh check

  • Edition date — confirm the revision date reads 04/01/24.
  • Fee — check Form G-1055 for specific fee amounts applicable to this form.
  • Mailing address — verify current filing locations at www.uscis.gov/I-905 (Note: Do not send a change of address request to the USCIS Lockbox).
  • Signature — ensure all required signatures are original handwritten marks, as stamped or typewritten names alone are unacceptable.
  • Filing Fee — confirm fee details on Form G-1055.
  • Form Number — verify the form number is I-905.

Quick Facts

An organization wishing to obtain authorization to issue certificates to health workers under section 212(a)(5)(C) or section 212(r) of the Immigration and Nationality Act must file Form I-905.
The form collects information regarding the applicant's certification status, including details about who prepared the application (Part 8.a), the date of signature (Part 8.b), and declarations made by the preparer under penalty of perjury.
If approved, authorization granted via Form I-905 is valid for a period of 5 years, though USCIS conducts reviews every 5 years to ensure compliance.
For the most current filing locations, applicants should visit www.uscis.gov/I-905; note that a change of address request should not be sent to the USCIS Lockbox.
If the organization does not comply with the terms of authorization or if adverse information is presented to USCIS, the agency may proceed to terminate the authorization to issue health care worker certificates.
The application must be typed or printed legibly in black ink. The applicant's original signature is required on every submission. If an interpreter was used, that person must also complete and sign a section providing their contact information.

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After you file

  1. 1Retain a copy of the filed Form I-905 to confirm its submission and eligibility basis.
  2. 2When USCIS conducts its review (every 5 years), this form supports the organization's continued compliance.
  3. 3If USCIS determines non-compliance, it may terminate the authorization granted by Form I-905.
  4. 4If a foreign language document is submitted, ensure the translator signs a certification that includes their signature, printed name, signature date, and contact information.

Sources

  • SRCInstructions p.1 — The purpose of Form I-905 is for an organization to apply for authorization to issue certificates to health care workers.
  • SRCInstructions p.1 — An organization must file Form I-905 if it wishes to obtain authorization under section 212(a)(5)(C) or section 212(r) of the Immigration and Nationality Act.
  • SRCInstructions p.1 — Occupations requiring certification include licensed practical nurses, registered nurses, occupational therapists, physical therapists, speech language pathologists, and audiologists.
  • SRCInstructions p.6 — If a document is in a foreign language, a full English translation must be submitted, certified by the translator.
  • SRCInstructions p.5 — Approval of Form I-905 lasts for 5 years, with USCIS conducting a review every 5 years.
  • SRCInstructions p.7 — USCIS may request originals of copies submitted and will return them after determining they are no longer needed.
  • SRCForm p.3 — The form must be completely filled out; failure to submit required documents listed in the instructions may lead to denial.
  • SRCInstructions p.6 — To contact the USCIS Contact Center, use www.uscis.gov/contactcenter or call 800-375-5283 (TTY 800-767-1833 ).

Common confusion points

Who must file this form?

An organization wishing to obtain authorization to issue certificates to health workers under section 212(a)(5)(C) or section 212(r) of the Immigration and Nationality Act.

Check if your organization is seeking certification for health workers.

What happens if I don't fill out Form I-905 correctly?

The organization will not establish a basis for eligibility, and USCIS may reject or deny the application.

Review all sections before submitting to ensure completeness.

Do I need an OAN to file this form?

An OAN is only available if the organization previously filed a form with a receipt number beginning with IOE; if not, no OAN exists.

Check your past receipts to see if you possess a USCIS Online Account Number (OAN).

Is the OAN the same as my A-Number?

No, the OAN is not the same as an A-Number.

Verify this distinction when filling out Form I-905.

What happens if I submit documents in a foreign language?

You must also provide a full English translation accompanied by a certified translation document.

Confirm the translator's certification includes all required details (signature, name, date, contact info).

What is the review cycle for this authorization?

USCIS will conduct a review of the organization every 5 years concurrently with the request for reauthorization.

Note that approval lasts for 5 years.

Workflow map

Related forms and next steps

4 signals

Before

Not stated in the official source — verify on the agency site

Current

I-905

After

Not stated in the official source — verify on the agency site

⚠ If something goes wrong

  • Not stated in the official source — verify on the agency site

Questions about USCIS Form I-905

What is USCIS Form I-905 used for?

An organization uses Form I-905 to ask U.S. Citizenship and Immigration Services (USCIS) for official permission to issue certifications to health care workers. This application confirms that the organization meets standards to verify that certain medical professionals are authorized to practice in the U.S.

Who must file USCIS Form I-905?

An organization wishing to obtain authorization to issue certificates to health workers under section 212(a)(5)(C) or section 212(r) of the Immigration and Nationality Act must file Form I-905.

What information does USCIS Form I-905 require?

The form collects information regarding the applicant's certification status, including details about who prepared the application (Part 8.a), the date of signature (Part 8.b), and declarations made by the preparer under penalty of perjury.

When is USCIS Form I-905 due?

If approved, authorization granted via Form I-905 is valid for a period of 5 years, though USCIS conducts reviews every 5 years to ensure compliance.

Where do I file USCIS Form I-905?

For the most current filing locations, applicants should visit www.uscis.gov/I-905; note that a change of address request should not be sent to the USCIS Lockbox.

How do I complete USCIS Form I-905?

The application must be typed or printed legibly in black ink. The applicant's original signature is required on every submission. If an interpreter was used, that person must also complete and sign a section providing their contact information.

What happens if USCIS Form I-905 is filed incorrectly?

If the organization does not comply with the terms of authorization or if adverse information is presented to USCIS, the agency may proceed to terminate the authorization to issue health care worker certificates.

Who must file this form?

An organization wishing to obtain authorization to issue certificates to health workers under section 212(a)(5)(C) or section 212(r) of the Immigration and Nationality Act. Check if your organization is seeking certification for health workers.

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Copyright & Licensing - US Government Forms

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Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
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