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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.

Penalties

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

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