Instructions For Report Of Medical Examination And Vaccination Record (Form I-693) Page 11


If you object to required vaccinations because of sincerely held religious beliefs or moral convictions, you may apply for
a waiver of these requirements. If you hold these objections, inform the civil surgeon that you will apply for a waiver.
If USCIS denies the waiver application, we may also deny the immigration benefit that you are seeking. For more
information about these waivers, visit the USCIS website at
USCIS Information
Address Change (For Applicant’s Only)
An applicant or petitioner who is not a U.S. citizen must notify USCIS of his or her new address within 10 days of moving
from his or her previous residence. For information on filing a change of address, go to the USCIS website at
or contact the USCIS National Customer Service Center at 1-800-375-5283. For TTY
(deaf or hard of hearing) call: 1-800-767-1833.
NOTE: Do not submit a change of address request to the USCIS Lockbox facilities because the Lockbox does not
process change of address requests.
USCIS Forms and Information
To ensure you (the applicant or the civil surgeon) are using the latest version of this form, visit the USCIS website at
where you can obtain the latest USCIS forms and immigration-related information. If you do not have
Internet access, you may order USCIS forms by calling our toll-free number at 1-800-870-3676. You may also obtain
forms and information by calling the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or
hard of hearing) call: 1-800-767-1833.
Instead of waiting in line for assistance at your local USCIS office, you can schedule an appointment online at
Select “Schedule an appointment online” and follow the screen prompts to set up your appointment.
Once you finish scheduling an appointment, the system will generate an appointment notice for you.
If you (the applicant or the civil surgeon) knowingly and willfully falsify or conceal a material fact or submit a false
document with the Form I-693, you will face severe penalties provided by law and may be subject to criminal prosecution.
USCIS Privacy Act Statement
AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the
Immigration and Nationality Act, section 101.
PURPOSE: The primary purpose for providing the requested information on this form is to determine if you (the
applicant) have established eligibility for the immigration benefit for which you (the applicant) are filing. DHS will use
the information you provide to grant or deny the immigration benefit you are seeking.
DISCLOSURE: The information you (the applicant) provide is voluntary. However, failure to provide the requested
information, and any requested evidence, may delay a final decision in your case or result in denial of your application for
an immigration benefit.
Form I-693 Instructions 10/19/17 N
Page 11 of 12


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