Form I-690 - Supplement 1 - Applicants With A Class A Tuberculosis Condition Page 3

Download a blank fillable Form I-690 - Supplement 1 - Applicants With A Class A Tuberculosis Condition in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form I-690 - Supplement 1 - Applicants With A Class A Tuberculosis Condition with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Section D. Endorsement of State Health Department Official
Your endorsement signifies that you recognize the physician or facility providing the applicant's treatment for tuberculosis. If the
facility physician who signed in Section C. is not in your health jurisdiction or is not familiar to you, you may wish to contact the
health officer responsible for the jurisdiction, and/or the physician, before you sign this endorsement.
1.
Official Name of Department and Name and Title of Official Providing Endorsement (Type or Print)
2.
Signature of State Health Department Official
Date of Signature (mm/dd/yyyy)
3.
Address of Health Department
Street Number and Name
Apt.
Ste.
Flr. Number
City or Town
State
ZIP Code
Form I-690 Supplement 1 12/23/16 N
Page 3 of 3

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form I-800a - Supplement 1 - Application For Determination Of Suitability To Adopt A Child From A Convention Country Form I-800a - Supplement 1 - Application For Determination Of Suitability To Adopt A Child From A Convention Country Legal
Form I-800a - Supplement 3 - Application For Determination Of Suitability To Adopt A Child From A Convention Country Form I-800a - Supplement 3 - Application For Determination Of Suitability To Adopt A Child From A Convention Country Legal
Form I-800 - Supplement 1 - Petition To Classify Convention Adoptee As An Immediate Relative Form I-800 - Supplement 1 - Petition To Classify Convention Adoptee As An Immediate Relative Legal
Form Mv-126-tr-1 - Application For A House Trailer One Trip Permit Form Mv-126-tr-1 - Application For A House Trailer One Trip Permit Legal
Form 8843 - Statement For Exempt Individuals And Individuals With A Medical Condition Form 8843 - Statement For Exempt Individuals And Individuals With A Medical Condition Financial
Form 8843 - Statement For Exempt Individuals And Individuals With A Medical Condition Form 8843 - Statement For Exempt Individuals And Individuals With A Medical Condition Financial
Form I-914 - Supplement A, Application For Family Member Of T-1 Recipient - U.s. Citizenship And Immigration Services Form I-914 - Supplement A, Application For Family Member Of T-1 Recipient - U.s. Citizenship And Immigration Services Legal
Form I-690 Instructions - Application For Waiver Of Grounds Of Inadmissibility - Department Of Homeland Security Form I-690 Instructions - Application For Waiver Of Grounds Of Inadmissibility - Department Of Homeland Security Legal
Form I-690 - Application For Waiver Of Grounds Of Inadmissibility Form I-690 - Application For Waiver Of Grounds Of Inadmissibility Legal
Form I-918 - Supplement A - Petition For Qualifying Family Member Of U-1 Recipient Form I-918 - Supplement A - Petition For Qualifying Family Member Of U-1 Recipient Legal

Related Categories

Parent category: Legal
Download
Go
Page of 3