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USCISCitizenship & Naturalization (N Series)

Official form guide

Form N-648: Medical Certification for Disability Exceptions

U.S. Citizenship and Immigration Services Form N-648 is the Medical Certification for Disability Exceptions, used by naturalization applicants who cannot meet English or civics requirements even with accommodations. The form must be signed by hand; USCIS will not accept a stamped or typewritten name.

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Form Overview

USCIS Form N-648 - Medical Certification for Disability Exceptions

U.S. Citizenship and Immigration Services Form N-648 is the Medical Certification for Disability Exceptions, used by naturalization applicants who cannot meet English or civics requirements even with accommodations. The form must be signed by hand; USCIS will not accept a stamped or typewritten name.

The form collects the applicant’s medical diagnosis, how the disability impairs the ability to learn English and civics, and the certifying physician’s detailed certification.

Risk Radar

Scan points
  • 1Submitting Form N-648 without a handwritten signature results in rejection.
  • 2Providing an incomplete Form N-648; USCIS will deem it insufficient.
  • 3Using non‑black ink or illegible handwriting on the medical professional’s answers.
  • 4Leaving any question unanswered, including items required when telephonic interpretation was used.
  • 5Submitting a stamped or typed name instead of a handwritten signature.

Plain English

Form N-648 lets a doctor certify that a naturalization applicant’s disability prevents them from passing the English or civics test, even with help. The applicant sends this certification with their naturalization filing.

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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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form when a naturalization applicant requests an English and/or civics exemption due to a physical, developmental, or mental disability.
  • Do not use it when the certifying medical professional completed the form more than 180 days before filing Form N-400, because USCIS may not consider it.
  • Check Form G-1055 instead when you need information about the filing fee for Form N-648.

Form selector

Use this form or another form?

Applicant filing naturalization

N-400 is the primary naturalization application; N-648 only supports a disability exception

Confirm N-400 is ready and will be submitted together with N-648

Form N-400

Need to determine filing fee

G-1055 lists the specific fee amounts for Form N-648

Verify the correct fee amount and payment method before submitting

Form G-1055

Medical professional completing exam

N-648 must be completed within 180 days of the N-400 filing to be valid

Ensure the exam date is within the 180‑day window before filing

Form N-648

Deadline or filing window

Not stated in the official source.

Checklist

What you need before filling it out

1

Disability description

Detailed statement of how the disability prevents learning English or civics · Form N-648 medical certification section

Omitting the impact on English/civics learningHigh
2

Physician signature

Handwritten ink signature of certifying medical professional · Form N-648 signature line

Using a typed or stamped signatureHigh
3

Exam date

Date the medical examination was completed · Physician’s notes attached to Form N-648

Date older than 180 days before N-400 filingMedium
4

Applicant signature

Handwritten ink signature of applicant or legal guardian · Form N-648 applicant signature line

Missing signature or invalid signatureHigh
5

Supporting medical records

Lab reports, diagnostic test results · Applicant’s medical file

Failing to attach required documentationMedium

Before you submit

  1. 1Confirm the certifying medical professional has completed every item except Item 6 if telephonic interpretation was used.
  2. 2Ensure the disability description explains the effect on English and civics learning.
  3. 3Verify the form is dated within 180 days of the intended Form N-400 filing.
  4. 4Provide a handwritten ink signature of the medical professional.
  5. 5If the applicant is legally incompetent, obtain a legal guardian’s handwritten signature.
  6. 6Attach any required supporting medical documentation.
  7. 7Include Form N-400 with the N-648 package.
  8. 8Do not use a stamped or typed name in place of any signature.
  9. 9Retain a copy of the completed Form N-648 for your records.

How to file this form

  1. 1Gather required medical documentation and complete Form N-648.
  2. 2Sign the form by hand (or have a legal guardian sign if applicable).
  3. 3Combine Form N-648 with Form N-400 application package.
  4. 4Submit the combined package to USCIS using the designated filing address or online portal and keep the receipt notice.
  5. 5Verify receipt of filing through USCIS case status or receipt notice.

Known limitations

  1. 1Not for applicants who can meet the English and civics requirements without an exemption.
  2. 2Not for forms completed more than 180 days before filing Form N-400.
  3. 3Not for disabilities that do not stem from anatomical, physiological, or psychological abnormalities.
  4. 4Not applicable to U.S. citizens; only naturalization applicants use the form.

Field map

Compact field-by-field guide

8 fields

Eligibility

1 items

Eligibility Category

Select: 5-year permanent resident, 3-year married to U.S. citizen, or military service.

Requiredselect

Personal Info

3 items

Current Legal Name

Your name exactly as shown on your Green Card.

Requiredtext
A-Number

Found on your Green Card. Required.

Requiredtext
Date of Birth

MM/DD/YYYY from your Green Card.

Requireddate

Residence

2 items

Residence History

All addresses for the past 5 years (or 3 years if married to U.S. citizen).

Requiredtext
Physical Presence

Calculate days outside the U.S. in the past 5 years — must total less than 30 months.

Requiredtext

Moral Character

1 items

Good Moral Character

Answer questions about criminal history, taxes, and immigration violations honestly.

Requiredcheckbox

Signatures

1 items

Signature

Certifies all answers are true under penalty of perjury.

Requiredsignature
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Current form status
USCIS

The form shows an expiration of 09/30/2027 and the instruction page is dated 09/25/24, indicating the current edition.

What changed or needs a fresh check

  • Edition date — confirm the instruction page reads 09/25/24
  • Expiration date — confirm the form expires 09/30/2027
  • Fee — Not stated in the official source
  • Mailing address — Not stated in the official source
  • Signature — confirm a handwritten ink signature is provided; stamps or typed names are not accepted

Quick Facts

Applicants who cannot satisfy the English and/or civics requirements for naturalization, even with reasonable accommodations under the Rehabilitation Act, must file Form N-648.
The form collects the applicant’s medical diagnosis, how the disability impairs the ability to learn English and civics, and the certifying physician’s detailed certification.
Not stated in the official source.
Upload the completed Form N-648 as additional evidence with the electronic naturalization application.
If the form is incomplete or missing required information, USCIS may deem it insufficient and reject the request.
The certifying medical professional answers every question on Form N-648 in legible black ink, then provides the completed form to the applicant. The applicant signs the form by hand and includes it with the naturalization filing, either by uploading it as additional evidence for electronic filing or by mailing it according to USCIS instructions.

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After you file

  1. 1Keep the signed copy of Form N-648 in your personal file.
  2. 2Monitor your USCIS case status for acknowledgment of the disability exemption.
  3. 3If USCIS requests additional information, submit the revised Form N-648 promptly.
  4. 4Update your address with USCIS within 10 days of any move, as required for non‑citizens.
  5. 5Retain any receipt notices or correspondence for at least the duration of the naturalization process.

Sources

  • SRCInstructions p.1 — purpose of Form N-648 is to request an exception from English and/or civics requirements due to disability.
  • SRCInstructions p.1 — applicants should submit Form N-648 when they file Form N-400.
  • SRCInstructions p.1 — USCIS may not consider Form N-648 if completed more than 180 days before Form N-400 submission.
  • SRCInstructions p.3 — USCIS will not accept a stamped or typewritten name in place of a signature.
  • SRCInstructions p.3 — a legal guardian may sign for an applicant deemed legally incompetent.
  • SRCInstructions p.3 — fee information is found on Form G-1055.
  • SRCInstructions p.4 — address change must be reported within 10 days of moving.
  • SRCInstructions p.5 — do not mail completed Form N-648 to the OMB address listed.

Common confusion points

Can I submit Form N-648 after filing Form N-400?

Unclear timing may lead to the form being older than 180 days.

Verify the exam date is within 180 days of the N-400 filing date.

Do I need to pay a fee with Form N-648?

Fee information is referenced but not listed on the form.

Check Form G-1055 for the correct fee amount before submitting.

Is a scanned copy of the signature acceptable?

USCIS accepts photocopied, faxed, or scanned copies of the original handwritten signature.

Ensure the scanned signature is clear and the original document is retained.

What if telephonic interpretation was used during the exam?

Item 6 is exempt, but other items must still be completed.

Confirm all required items except Item 6 are filled out.

Can a legal guardian sign for an incompetent applicant?

The form allows a legal guardian, surrogate, or designated representative to sign.

Obtain the guardian’s handwritten signature and attach proof of incompetence if needed.

Should I mail Form N-648 to the address listed in the burden statement?

The burden statement includes a mailing address that is not for filing.

Use the USCIS filing address indicated on the Form N-400 instructions, not the OMB address.

Questions about USCIS Form N-648

What is USCIS Form N-648 used for?

Form N-648 lets a doctor certify that a naturalization applicant’s disability prevents them from passing the English or civics test, even with help. The applicant sends this certification with their naturalization filing.

Who must file USCIS Form N-648?

Applicants who cannot satisfy the English and/or civics requirements for naturalization, even with reasonable accommodations under the Rehabilitation Act, must file Form N-648.

What information does USCIS Form N-648 require?

The form collects the applicant’s medical diagnosis, how the disability impairs the ability to learn English and civics, and the certifying physician’s detailed certification.

Where do I file USCIS Form N-648?

Upload the completed Form N-648 as additional evidence with the electronic naturalization application.

How do I complete USCIS Form N-648?

The certifying medical professional answers every question on Form N-648 in legible black ink, then provides the completed form to the applicant. The applicant signs the form by hand and includes it with the naturalization filing, either by uploading it as additional evidence for electronic filing or by mailing it according to USCIS instructions.

What happens if USCIS Form N-648 is filed incorrectly?

If the form is incomplete or missing required information, USCIS may deem it insufficient and reject the request.

Can I submit Form N-648 after filing Form N-400?

Unclear timing may lead to the form being older than 180 days. Verify the exam date is within 180 days of the N-400 filing date.

Do I need to pay a fee with Form N-648?

Fee information is referenced but not listed on the form. Check Form G-1055 for the correct fee amount before submitting.

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Source transparency

Copyright & Licensing - US Government Forms

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BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
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