Form I-693 - Report Of Medical Examination And Vaccination Record Page 12
Download a blank fillable Form I-693 - Report Of Medical Examination And Vaccination Record 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-693 - Report Of Medical Examination And Vaccination Record 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
1
2
3
4
5
6
7
8
9
10
11
12
13Family Name (Last Name)
Given Name (First Name)
Middle Name
A-Number (if any)
A-
►
Part 9. Vaccination Record (continued)
Results:
FOR USCIS USE ONLY
Applicant may be eligible for blanket waivers as indicated above
Remarks (if any)
Applicant will request an individual waiver based on religious or moral convictions
Vaccine history complete for each vaccine, all requirements met
Applicant does not meet immunization requirements
Remarks: (If needed, provide any comments, such as the reason for contraindication.)
Form I-693 10/19/17 N
Page 12 of 13
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal