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Official form guide
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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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.
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
AI co-pilot
Form selector
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
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
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
Not stated in the official source.
Checklist
Disability description
Detailed statement of how the disability prevents learning English or civics · Form N-648 medical certification section
Physician signature
Handwritten ink signature of certifying medical professional · Form N-648 signature line
Exam date
Date the medical examination was completed · Physician’s notes attached to Form N-648
Applicant signature
Handwritten ink signature of applicant or legal guardian · Form N-648 applicant signature line
Supporting medical records
Lab reports, diagnostic test results · Applicant’s medical file
Field map
Eligibility
1 items
Select: 5-year permanent resident, 3-year married to U.S. citizen, or military service.
Personal Info
3 items
Your name exactly as shown on your Green Card.
Found on your Green Card. Required.
MM/DD/YYYY from your Green Card.
Residence
2 items
All addresses for the past 5 years (or 3 years if married to U.S. citizen).
Calculate days outside the U.S. in the past 5 years — must total less than 30 months.
Moral Character
1 items
Answer questions about criminal history, taxes, and immigration violations honestly.
Signatures
1 items
Certifies all answers are true under penalty of perjury.
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Fillable formOpen in Editor->The form shows an expiration of 09/30/2027 and the instruction page is dated 09/25/24, indicating the current edition.
Quick Facts
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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.
Workflow map
Before
Current
⚠ If something goes wrong
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.
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.
Upload the completed Form N-648 as additional evidence with the electronic naturalization application.
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.
If the form is incomplete or missing required information, USCIS may deem it insufficient and reject the request.
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.
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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