Instructions For Form I-905 - Application For Authorization To Issue Certification For Health Care Workers

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Instructions for Application for Authorization to Issue
Certification for Health Care Workers
USCIS
Form I-905
Department of Homeland Security
U.S. Citizenship and Immigration Services
What Is the Purpose of This Application?
For an organization to apply for authorization to issue certificates to health care workers.
Who May 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 must file this application.
1. Which Occupations Require Certification?
The occupations requiring health care worker certification are:
A. Licensed practical nurses, licensed vocational nurses, and registered nurses;
B. Occupational therapists;
C. Physical therapists;
D. Speech language pathologists and audiologists;
E. Medical technologists (clinical laboratory scientists);
F. Physician assistants; and
G. Medical technicians (clinical laboratory technicians).
2. What Documents Do You Need to File With This Application?
You must submit a statement addressing how your organization meets the standards provided in these instructions. In
addition, by filing this application you agree to submit any information that U.S. Citizenship and Immigration Services
(USCIS) may request in order to determine your eligibility to issue certificates.
How Will USCIS Process This Application?
After the application is filed, USCIS will review the application for completeness. If the application is complete, USCIS
will forward a copy of the application to the Secretary of Health and Human Services (HHS) for an opinion.
After HHS provides an opinion, USCIS will render a decision on the application. You will be notified in writing of the
decision. If the application is denied, you will be provided with information on how the decision can be appealed.
If the application is approved, it will be approved for 5 years. You must apply for reauthorization to issue certificates
before your authorized period of time expires. Your continued eligibility to issue certificates will be reviewed
periodically by USCIS.
What Are the Standards to Obtain Authorization to Issue Certificates?
Structure of the Organization
1. The organization must be incorporated as a legal entity.
A. The organization must be independent of any organization that functions as a representative of the occupation or
profession in question or serves as or is related to a recruitment/placement organization.
B. USCIS must not approve an organization that is unable to render impartial advice regarding an individual's
qualifications regarding training experience and licensure.
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Form I-905 Instructions 02/11/14 Y

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