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I-905, 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 :
Form 2; Instructions 6.
Edition Date :
10/30/11. Previous editions accepted.

Note on Expiration: USCIS continues to accept the 10/30/11 edition of Form I-905 available here despite the passing of the form's expiration date. An updated form will be posted as soon as it becomes available.
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.

This page can be found at http://www.uscis.gov/i-905



Last updated: 11/01/2012