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USCIS proposes revisions to N-648, Medical Certification for Disability Exceptions

  1. Original Date Announced

    April 26, 2019

    USCIS requests comments on proposed changes to Form N-648, Medical Certification for Disability Exceptions. USCIS uses the Form N-648 to substantiate a claim for an exception to the requirements of section 312(a) of the INA. By certifying Form N-648, the doctor states that an applicant filing an Application for Naturalization, Form N–400, is unable to complete the English and/or civics requirements because of a physical or developmental disability or mental impairment(s).

    Among the proposed changes to the form and instructions include expanding the list of questions on the disability and impairment from 12 questions to 23 questions. The new form has added new questions regarding the date that each disability/impairment began; the date of diagnosis; the severity of each disability/impairment; how each disability/impairment affects the applicant’s daily life activities; why each disability/impairment is expected to last over 12 months; which disability/impairments are the result of illegal drug use; the frequency of treatment; and if the medical professional questioned the interpreter about his/her fluency in English and accuracy/completeness in interpretation.

    [ID #1239]

    60 Day Notice and Request for Comments N-648 Table of Changes to Instructions Table of Changes Form Supporting Statement Submitted to OMB

Current Status

Fully in Effect

Original Trump Policy Status

Status: Final/Actual
Trump Administration Action: Forms and Information Collection
Subject Matter: Naturalization
Agencies Affected: USCIS

Pre Trump-Era Policies


  • CLINIC comment to proposed form changes

    CLINIC submits comments on proposed revisions to N-648.

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