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Application for Authorization to Issue Certification for Health Care Workers

Purpose of Form :
For an organization to apply for authorization to issue certificates to health care workers.
Number of Pages :
Instructions: 5; Form: 2.
Edition Date :
07/30/07. Previous editions accepted.
Where to File :

Send your I-905 application to the:

Nebraska Service Center
P.O. Box 87140
Lincoln, NE 68501-7140

Filing Fee :
$230
Special Instructions :

Checks should be made payable to Department of Homeland Security or U.S. Citizenship and Immigration Services.

 

Note on Filing Requirement:

This application must be filed in duplicate.

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