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Form I-905: Application for Authorization to Issue Certification for Health Care Workers
U.S. Citizenship and Immigration Services Form I-905 is the Application for Authorization to Issue Certification for Health Care Workers. An organization files it to obtain permission to issue certificates, and approval lasts for 5 years.
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USCIS Form I-905 - Application for Authorization to Issue Certification for Health Care Workers
U.S. Citizenship and Immigration Services Form I-905 is the Application for Authorization to Issue Certification for Health Care Workers. An organization files it to obtain permission to issue certificates, and approval lasts for 5 years.
Risk Radar
Scan points- 1Submitting an incomplete form can cause denial of the authorization.
- 2Failing to include the applicant’s original signature on the form.
- 3Omitting required interpreter information when an interpreter was used.
- 4Submitting original documents that were not requested, risking destruction.
- 5Not providing a full English translation for foreign‑language documents.
Plain English
This form lets a health‑care organization get official permission to issue certification cards to its workers. The agency reviews the authorization every five years. If approved, the permission is valid for five years.
Submission Date
- Filing date: Not stated in the official source.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- Use this form when an organization seeks authorization to issue health care worker certificates under INA §212(a)(5)(C) or §212(r).
- Check Form G-1055 instead when you need the specific filing fee information for Form I-905.
Form selector
Use this form or another form?
Need to file the authorization application
It is the required form for health care worker certification
✓ Verify you have the latest edition
Need to determine filing fee amount
Fee schedule is provided on that form
✓ Confirm fee before payment
Need to request a mailed form due to lack of internet
You can request a mailed form via the USCIS Contact Center
✓ Ensure request is made before filing
Deadline or filing window
Not stated in the official source.
Checklist
What you need before filling it out
Signature section
Handwritten signature of authorized official · On the completed Form I-905
Translation of foreign documents
Certified English translation with translator's signature, printed name, date, contact info · Translator's certification page
Original supporting documents
Original copies only if specifically requested by USCIS · Submitted with the application
Fee information
Fee amount as listed on Form G-1055 · Form G-1055 fee schedule
Occupations requiring certification
List of licensed practical nurses, licensed vocational nurses, registered nurses, occupational therapists, physical therapists, speech language pathologists and audiologists · Instructions p.1 occupation list
Before you submit
- 1Confirm the form is the latest edition (revision 04/01/24).
- 2Enter organization name and address legibly in black ink.
- 3Attach a handwritten signature of the authorized official.
- 4Include a certified English translation for any foreign-language document.
- 5Provide the USCIS Online Account Number if you have an IOE receipt.
- 6Verify the filing fee amount using Form G-1055 and attach payment.
- 7Include evidence that the organization complies with USCIS policies.
- 8If you lack internet access, call the USCIS Contact Center to request a mailed form.
- 9Do not submit a change of address request to the USCIS Lockbox.
- 10Review that all required fields are completed; no blanks remain.
How to file this form
- 1Complete the form in black ink, typing or printing legibly.
- 2Sign the form by hand; ensure the signature is valid.
- 3Attach required translations and any supporting documents.
- 4Include the filing fee as indicated on Form G-1055.
- 5Mail the package to the address listed on the USCIS I-905 filing page.
- 6Retain the receipt or tracking number as proof of filing.
Known limitations
- 1Only organizations may file; individuals are not eligible.
- 2The form does not apply to health care workers seeking personal certification.
- 3Occupations not listed in the instructions are not covered by this certification.
- 4Do not use this form to submit a change of address request.
Field map
Compact field-by-field guide
Applicant Info
3 items
Your current legal name.
MM/DD/YYYY.
Alien Registration Number if previously assigned.
Details
1 items
The specific reason or legal basis for filing this form.
Evidence
1 items
List of documents supporting this application.
Signatures
2 items
Sign under penalty of perjury.
MM/DD/YYYY.
Almost done reviewing the fields?
Fillable formOpen in Editor->The instructions for Form I-905 are dated 04/01/24. The source directs filers to the website www.uscis.gov/I-905 for the most current filing information.
What changed or needs a fresh check
- Edition date — confirm the revision date reads 04/01/24
- Fee — see Form G-1055 for the specific fee amount
- Mailing address — see the USCIS website at www.uscis.gov/I-905 for the current filing address
- Signature — confirm a handwritten signature; stamped or typewritten names are not accepted
- OAN — confirm you have a USCIS Online Account Number only if your receipt number begins with IOE
Quick Facts
Downloads
After you file
- 1Keep a copy of the completed Form I-905 and all attachments.
- 2Retain the mailing receipt or tracking number as proof of submission.
- 3Await USCIS acknowledgment; approval, when granted, lasts for 5 years.
- 4Respond promptly to any USCIS request for additional information or original documents.
- 5Store any returned original documents safely after USCIS returns them.
- 6If an error is discovered, file a corrected application following USCIS instructions.
Sources
- SRCInstructions p.1 — purpose: organization applies for authorization to issue certificates to health care workers.
- SRCInstructions p.1 — who may file: organization wishing to obtain authorization under INA §212(a)(5)(C) or §212(r).
- SRCInstructions p.1 — occupations requiring certification: licensed practical nurses, licensed vocational nurses, registered nurses; occupational therapists; physical therapists; speech language pathologists and audiologists.
- SRCInstructions p.5 — approval period: authorization is approved for a period of 5 years.
- SRCInstructions p.5 — signature requirements: USCIS will not accept a stamped or typewritten name; handwritten signature required.
- SRCInstructions p.5 — filing fee: see Form G-1055 for specific fee information.
- SRCInstructions p.6 — translation requirements: full English translation with translator’s certification needed.
- SRCInstructions p.7 — filing address: see website www.uscis.gov/I-905 for the most current filing location.
- SRCInstructions p.7 — do not submit a change of address request to the USCIS Lockbox.
- SRCInstructions p.5 — deficient signature may lead to denial of the request.
Common confusion points
Do I need to submit a fee with the form?
The fee amount is not listed on the I-905 instructions; it is on Form G-1055.
→ Check Form G-1055 for the correct fee amount.
Can I type my signature?
USCIS does not accept stamped or typewritten signatures.
→ Ensure the signature is handwritten.
Do I need to include my USCIS Online Account Number?
Only organizations with an IOE receipt have an OAN.
→ Verify if your receipt number begins with IOE before adding OAN.
What if I have a foreign-language document?
Translations are required with a certified translator’s statement.
→ Include a full English translation with translator certification.
Where do I mail the application?
The address varies; the website provides the current filing address.
→ Visit www.uscis.gov/I-905 for the latest mailing address.
Can I submit a change of address with this form?
The instructions state not to submit a change of address request to the lockbox.
→ Use USCIS separate process for address changes.
Workflow map
Related forms and next steps
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Questions about USCIS Form I-905
What is USCIS Form I-905 used for?
This form lets a health‑care organization get official permission to issue certification cards to its workers. The agency reviews the authorization every five years. If approved, the permission is valid for five years.
Who must file USCIS Form I-905?
An organization that wants authorization to issue health care worker certificates under INA sections 212(a)(5)(C) or 212(r) must file USCIS Form I-905.
What information does USCIS Form I-905 require?
The form collects the organization’s contact details, a declaration and original signature from the applicant, and, if used, the interpreter’s or preparer’s name, address, phone, email, and signature.
Where do I file USCIS Form I-905?
Submit the form to the filing address indicated on the USCIS I-905 webpage (www.uscis.gov/I-905).
How do I complete USCIS Form I-905?
Complete the form in black ink, typing or printing legibly. Provide the organization’s contact information and answer all questions, including any interpreter or preparer details. Attach full English translations for any foreign‑language documents. The applicant must sign the original signature line, and a preparer must also sign and date the declaration if a preparer completed the form.
What happens if USCIS Form I-905 is filed incorrectly?
If the form is incomplete or contains errors, USCIS may reject or deny the application, and non‑compliance can lead to termination of the organization’s authorization.
Do I need to submit a fee with the form?
The fee amount is not listed on the I-905 instructions; it is on Form G-1055. Check Form G-1055 for the correct fee amount.
Can I type my signature?
USCIS does not accept stamped or typewritten signatures. Ensure the signature is handwritten.
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