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Content Overview

The USCIS N-648 form plays a crucial role for applicants seeking a waiver of the English and civics requirements for naturalization due to a medical disability. This form is essential for individuals who may struggle to meet the standard language and knowledge requirements because of physical or developmental conditions. By submitting the N-648, applicants can provide evidence of their disability, which must be certified by a qualified medical professional. The form requires detailed information about the applicant’s medical history and the specific limitations that affect their ability to learn or demonstrate English and civics knowledge. It is vital to ensure that all sections are completed accurately and thoroughly, as any omissions or inaccuracies could lead to delays or denials in the naturalization process. Understanding the requirements and the proper procedures for completing the N-648 can significantly impact an applicant's journey toward U.S. citizenship.

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Form N-648 Edition 09/25/24
Page 1 of 5
Medical Certification for
Disability Exceptions
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form N-648
OMB No. 1615-0060
Expires 09/30/2027
START HERE - Type or print in black ink.
Part 1. Applicant Information
1.
Please read the instructions before examining the applicant and filling out this form.
In general, applicants for naturalization must demonstrate that they understand the English language, including the ability to read,
write, and speak words in ordinary usage. They must also demonstrate knowledge and understanding of the fundamentals of the
history, principles, and form of government of the United States. These are called the “English and civics requirements.” This form is
used for applicants to seek an exception to the English and civics requirements due to a physical or developmental disability or mental
impairment that has lasted, or is expected to last, 12 months or more. Applicants seeking such an exception should submit this form as
an attachment to the Form N-400, Application for Naturalization.
Only medical doctors, doctors of osteopathy, or clinical psychologists can certify the form.
Applicant's Legal Name
2.
Family Name (Last Name)
Given Name (First Name)
Middle Name (if any)
USCIS USE ONLY
This N-648 is:
Sufficient
Insufficient
Continued/RFE
Reviewer
Location & Date
Please note:
Additionally, they must be licensed to practice in the United States (including the U.S. territories of the Commonwealth of the
Northern Mariana Islands, Guam, Puerto Rico, and the Virgin Islands) to certify the form.
While staff of the medical practice associated with the certifying medical professional certifying the form may assist in its
completion, the certifying medical professional is responsible for the accuracy of the form's content and therefore must sign it.
Answer all the questions regarding medical information, using common terminology that a person without medical training can
understand, with no abbreviations. Failure to fully and accurately complete this form, including all applicable signatures, may
result in the form being found insufficient.
Alien Registration Number (A-Number) (if any)
A-
3.
Date of Birth (mm/dd/yyyy)
Part 2. Certifying Medical Professional Information
1. Certifying Medical Professional's Name
Family Name (Last Name)
Given Name (First Name)
Middle Name (if any)
Form N-648 Edition 09/25/24
Page 2 of 5
Part 2. Certifying Medical Professional Information (continued)
7. I am currently licensed as a (select all that apply):
Medical Doctor Doctor of Osteopathy Clinical Psychologist
3. License Number 4. Licensing State
Email Address (if any)Business Telephone Number5. 6.
8. Medical Practice Type:
Part 3. Information About Disabilities and/or Impairments
1.
A-
Did you use an interpreter:
Yes No
9.
10.
I am fluent in English and
, the language spoken by this applicant.
This applicant speaks English.
If No, I did not use an interpreter because:
Provide the clinical diagnosis and medical code for all physical or developmental disabilities and/or mental impairments that
affect the applicant's ability to meet the English and/or civics requirements. Also, clearly describe how each disability and/or
impairment prevents the applicant from learning English and/or civics. Responses should use common terminology, without
abbreviations, that a person without medical training can understand. Refer to page 2 of the Instructions for an example. Please
provide the relevant medical code as accepted by the U.S. Department of Health and Human Services (HHS). This includes the
Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD). For
example, “DSM-V 318.1 Intellectual Disability (Severe)” or “2022 ICD-10-CM F72 Severe intellectual disabilities.”
2. Certifying Medical Professional's Business Address
Street Number and Name
City or Town
Apt.Ste. Flr. Number
ZIP CodeState
Province Postal Code Country
(USPS ZIP Code Lookup)
Form N-648 Edition 09/25/24
Page 3 of 5
Part 3. Information About Disabilities and/or Impairments (continued)
A-
Have any of the applicant's disabilities and/or impairments listed in Part 3., Item Number 1. lasted, or do
you expect any of them to last, 12 months or more? If your answer is “No,” do not complete this form
because the applicant is not eligible for this exception.
3.
Yes No
Are any of the disabilities and/or impairment(s) listed in Part 3., Item Number 1. the result of the
applicant's illegal use of drugs? If your answer is “Yes” for all of the disabilities or impairments, do not
complete this Form because the applicant is not eligible for this exception.
4.
Yes No
If yes, for some disabilities or impairments, identify which disabilities or impairments are the result of the applicant's illegal use
of drugs.
5.
For disabilities and/or impairments listed in Part 3., Item Number 1., provide the date you last examined the applicant.6.
Date (mm/dd/yyyy)
Do any of the disabilities or impairments listed in Part 3., Item Number 1. prevent the applicant from demonstrating the
following? Select all that apply. If none applies, do not complete this Form because the applicant is not eligible for this
exception.
7.
The ability to:
Read English
Write EnglishSpeak English
Answer questions regarding United States history and civics, even in a language the applicant understands.
What clinical or laboratory diagnostic techniques did you use to diagnose each of the applicant's disabilities and/or
impairment(s) listed in Part 3., Item Number 1.?
2.
Part 4. Ability to Understand Oath of Allegiance
The applicant will not be able to naturalize without a legal guardian, surrogate, or an eligible designated representative unless they are
able to understand and communicate that they understand the meaning of the Oath of Allegiance. The Oath may be administered in
the applicant's language of choice and they may communicate their understanding in any manner (for example, by nodding).
Is the applicant able to understand and communicate that they understand the meaning of the Oath of
Allegiance to the United States?
1. Yes No
Form N-648 Edition 09/25/24
Page 4 of 5
Part 5. Interpreter Information and Certification
Interpreter's Contact Information
Interpreter's Daytime Telephone Number3.
Interpreter's Email Address (if any)5.
Interpreter's Mobile Telephone Number (if any)4.
A-
Interpreter's Signature (not required for telephonic interpretations)6. Date of Signature (mm/dd/yyyy)
Interpreter's Certification
I further certify that I have accurately and completely interpreted all communications between the certifying medical professional and
I certify that I am fluent in English and the following language,
the applicant that occurred on
.
, the date(s) of the examination(s) that form the basis of this certification.
Part 6. Applicant's (Patient's) Attestation/Release of Information
I,1. (Applicant's Name),
authorize (the Licensed medical doctor,
diagnosed by him or her. I am aware that the knowing placement of false information on Form N-648 and related documents
may also subject me to civil penalties under 8 U.S.C. section 1324c and INA section 274C. I understand that if this form is not
completely filled out or if I fail to submit any required documentation, I may be found ineligible for the requested medical
disability exception.
doctor of osteopathy, or clinical psychologist completing this form) to release to U.S. Citizenship and Immigration Services
(USCIS) all relevant physical and mental health information related to my medical status for the purpose of applying for an
exception from the English language and U.S. civics requirements for naturalization. I certify under penalty of perjury, pursuant
to 28 U.S.C. section 1746, that the information I provided to the certifying medical professional is true and correct. I certify
under penalty of perjury, pursuant to 28 U.S.C. section 1746, that I have attended an appointment with
(Licensed medical doctor, doctor of osteopathy, or clinical psychologist) and was then
Applicant Signature (or mark if applicant is unable to sign)2.
Date of Signature (mm/dd/yyyy)
2.
Family Name (Last Name)
Given Name (First Name)
Interpreter's Name
Middle Name (if applicable)
If in-person interpretation services were used during the medical examination, the interpreter must fill out this section, sign, and date
the certification. If telephonic interpretation services were used during the medical examination, the certifying medical professional
must complete all items in this section, except Item Number 6.
Was a telephonic or video facilitated interpreter used during the examination of the applicant?1.
Yes No
Form N-648 Edition 09/25/24
Page 5 of 5
Part 7. Medical Professional's Certification
A-
Additionally, I certify, under penalty of perjury under the laws of the United States of America, that the information on this form and
any evidence submitted with it are all true and correct. I am aware that the knowing placement of false information on Form N-648
and related documents may also subject me to criminal penalties including under 18 U.S.C. section 1546, civil penalties under 8
U.S.C. section 1324c and Immigration and Nationality Act (INA) section 274C, and civil license suspension or revocation by the
appropriate authorities.
Certifying Medical Professional Signature
4. Date of Signature (mm/dd/yyyy)
I have examined the applicant/patient listed in Part 1. above.1.
I will furnish relevant medical records to USCIS, if requested to do so by USCIS, based on the applicant's consent in
Part 6.
2.
This applicant's identity has been verified through the following United States or State government-issued photographic
identity document:
3.
Permanent Resident Card
Other Identification (Indicate type and ID Number):
State ID Number:
I certify that:

Form Specifications

Fact Name Description
Purpose The USCIS N-648 form is used to request a waiver of the English and civics requirements for naturalization due to a physical or developmental disability or mental impairment.
Eligibility Applicants must demonstrate that their disability significantly impairs their ability to learn English or civics, making them eligible for this waiver.
Professional Certification The form must be completed and signed by a licensed medical or psychological professional who can attest to the applicant's condition.
Submission The N-648 must be submitted along with the naturalization application (Form N-400) to USCIS.
Processing Time Processing times for applications including the N-648 may vary, but applicants can generally expect delays due to the additional documentation required.
State-Specific Laws While the N-648 is a federal form, state-specific regulations regarding disability rights may apply and can influence the application process.

USCIS N-648: Usage Guidelines

After gathering all necessary information and documents, you are ready to fill out the USCIS N-648 form. This process involves providing accurate details about your medical condition and how it affects your ability to meet certain requirements. Follow these steps carefully to ensure a complete submission.

  1. Begin by downloading the USCIS N-648 form from the official USCIS website.
  2. Read the instructions provided with the form to understand the requirements.
  3. Fill in your personal information at the top of the form, including your full name, date of birth, and address.
  4. Provide details about your medical condition. Be clear and concise, describing how it impacts your daily life.
  5. Include information about your healthcare provider. This should include their name, address, and contact information.
  6. Have your healthcare provider complete the relevant sections of the form, ensuring they sign and date it.
  7. Review the entire form for accuracy. Make sure all sections are filled out completely.
  8. Make a copy of the completed form for your records before submitting it.
  9. Submit the form along with any required documents to the appropriate USCIS address.

After submission, you will receive a confirmation from USCIS. It is essential to keep track of your case status and respond promptly to any requests for additional information.

Your Questions, Answered

What is the USCIS N-648 form?

The USCIS N-648 form, also known as the Medical Certification for Disability Exceptions, is used by applicants seeking an exception to the English and civics requirements for U.S. citizenship. This form is specifically for individuals who have a physical or developmental disability or mental impairment that prevents them from fulfilling these requirements. The form must be completed by a licensed medical professional who can certify the applicant's condition.

Who can complete the N-648 form?

A qualified medical professional must complete the N-648 form. This includes licensed physicians, clinical psychologists, or other medical professionals who are authorized to diagnose and treat the applicant's condition. The medical professional must provide a detailed assessment of the applicant’s disability and explain how it affects their ability to learn English or civics.

What information is required on the N-648 form?

The N-648 form requires detailed information about the applicant's medical condition, including a diagnosis and how it impacts their daily life. The medical professional must also explain the specific reasons why the applicant cannot meet the English and civics requirements. Additionally, the form requires the medical professional's contact information and credentials to verify their qualifications.

How should the N-648 form be submitted?

The completed N-648 form should be submitted along with the applicant's Form N-400, Application for Naturalization. It is important to ensure that the form is signed and dated by the medical professional. Applicants should keep a copy of the N-648 for their records. Submitting the form correctly and on time is crucial for a smooth application process.

Common mistakes

  1. Incomplete Information: Many applicants fail to provide all required details. Missing sections can lead to delays or denials.

  2. Incorrect Medical Terminology: Using incorrect or vague medical terms can confuse reviewers. Clear and precise language is essential.

  3. Failure to Sign: Some individuals forget to sign the form. An unsigned form is automatically considered incomplete.

  4. Not Including Supporting Documents: Applicants often neglect to attach necessary medical documentation. This omission can weaken the application.

  5. Inconsistent Information: Discrepancies between the N-648 and other forms can raise red flags. Consistency is crucial for a smooth process.

  6. Using Outdated Versions: Submitting an outdated form can result in rejection. Always ensure you are using the most current version of the N-648.

  7. Ignoring Instructions: Each section of the form comes with specific instructions. Ignoring these can lead to errors that complicate the application process.

Documents used along the form

The USCIS N-648 form is a critical document for individuals seeking a waiver of the English and civics requirements for naturalization based on a disability. When submitting the N-648, there are several other forms and documents that may be required or helpful in the process. Understanding these forms can streamline the application and ensure all necessary information is provided. Below is a list of commonly associated documents.

  • Form N-400: This is the Application for Naturalization. It is the primary form that individuals must complete to apply for U.S. citizenship.
  • Medical Documentation: This includes any medical records or evaluations that support the claims made in the N-648 form regarding the applicant's disability.
  • Form I-912: This is the Request for Fee Waiver. If the applicant cannot afford the application fee, this form can be submitted to request a waiver.
  • Form G-28: This is the Notice of Entry of Appearance as Attorney or Accredited Representative. It is used if an attorney or representative is assisting with the application.
  • Form N-565: This is the Application for Replacement Naturalization/Citizenship Document. It is used if the applicant needs to replace a lost or damaged citizenship certificate.
  • Evidence of Residence: Documents such as utility bills or lease agreements that prove the applicant's residence in the U.S. may be necessary.
  • Identification Documents: A copy of a government-issued ID, such as a passport or driver's license, may be required to verify identity.
  • Form I-551: This is the Permanent Resident Card. If the applicant is a lawful permanent resident, this document is essential to show their status.
  • Form N-600: This is the Application for Certificate of Citizenship. It may be relevant for applicants who are claiming citizenship through their parents.

Gathering these documents can help ensure a smoother application process for naturalization. Each form and document serves a specific purpose, and having them ready can minimize delays and complications. Always check the latest USCIS guidelines to confirm the necessary documentation for your specific situation.

Similar forms

  • I-485 Application to Register Permanent Residence or Adjust Status: This form is used by individuals who are already in the U.S. and wish to apply for a green card. Similar to N-648, it requires supporting documentation, including medical evaluations in some cases.
  • I-601 Application for Waiver of Grounds of Inadmissibility: This document is for individuals who need a waiver for certain immigration violations. Like the N-648, it may require medical documentation to support the applicant's case.
  • I-130 Petition for Alien Relative: Used by U.S. citizens or permanent residents to sponsor relatives for immigration. Both forms require detailed information about the applicant's situation and may involve medical assessments.
  • I-751 Petition to Remove Conditions on Residence: This form is for conditional residents seeking to remove their conditional status. Similar to N-648, it may require proof of a genuine relationship and can involve medical evaluations.
  • N-400 Application for Naturalization: This form is for lawful permanent residents who want to become U.S. citizens. Like N-648, it assesses eligibility, including language and civics knowledge, often requiring medical documentation for certain applicants.
  • I-864 Affidavit of Support: This document ensures that a sponsored immigrant will not become a public charge. It requires financial information, similar to how N-648 requires medical information to support an application.
  • I-131 Application for Travel Document: This form allows individuals to apply for re-entry permits or refugee travel documents. Both N-648 and I-131 require careful documentation to justify the request.
  • I-140 Immigrant Petition for Alien Worker: This document is used by employers to sponsor foreign workers for permanent residency. Similar to N-648, it requires extensive documentation to prove eligibility and qualifications.
  • I-765 Application for Employment Authorization: This form allows individuals to request permission to work in the U.S. Like the N-648, it requires proof of eligibility and often involves medical documentation for certain categories.

Dos and Don'ts

When filling out the USCIS N-648 form, it is important to follow certain guidelines to ensure accuracy and completeness. Here are six things to consider:

  • Do: Read the instructions carefully before starting the form.
  • Do: Provide clear and legible answers to all questions.
  • Do: Include all required supporting documents.
  • Do: Review your completed form for any errors or omissions.
  • Don't: Rush through the form; take your time to ensure accuracy.
  • Don't: Leave any questions unanswered unless instructed to do so.

By following these guidelines, you can help ensure that your N-648 form is processed smoothly.

Misconceptions

The USCIS N-648 form is often misunderstood, leading to confusion among applicants. Here are ten common misconceptions about this form, along with clarifications to help you better understand its purpose and requirements.

  1. The N-648 form is only for individuals with severe disabilities.

    While the N-648 is primarily for applicants who have disabilities that prevent them from demonstrating knowledge of English and U.S. history and government, it can also be used for individuals with less severe disabilities who still face challenges in meeting the standard requirements.

  2. You do not need a doctor to complete the N-648.

    A licensed medical professional must complete the N-648. This ensures that the information provided is accurate and credible, as it is based on a thorough evaluation of the applicant's condition.

  3. The N-648 form guarantees an exemption from the English and civics tests.

    While the N-648 can lead to an exemption, it does not guarantee it. USCIS will review the submitted form and the accompanying medical evidence to determine eligibility for the exemption.

  4. All disabilities qualify for an exemption.

    Not all disabilities will qualify. The disability must significantly impair the applicant's ability to learn and demonstrate the required knowledge of English and civics.

  5. You can submit the N-648 form after the citizenship interview.

    The N-648 must be submitted at the time of the citizenship application or during the interview. Submitting it later can complicate the process and may lead to delays.

  6. The N-648 form is a lengthy process with no support available.

    While completing the N-648 may take time, applicants can seek assistance from qualified professionals or community organizations that specialize in immigration services.

  7. The N-648 must be filled out in English.

    The form can be completed in the applicant's native language. However, a certified English translation must accompany any non-English documents submitted.

  8. Once the N-648 is submitted, you cannot provide additional information.

    Applicants can provide additional information or documentation if requested by USCIS. Communication is encouraged to ensure all necessary information is considered.

  9. The N-648 form is only for older applicants.

    The N-648 can be used by applicants of all ages who have qualifying disabilities, not just older individuals.

  10. Submitting an N-648 form will slow down the application process.

    While additional documentation may require time for review, submitting a complete and accurate N-648 can ultimately help streamline the process by addressing potential issues upfront.

Understanding these misconceptions can help applicants navigate the USCIS process more effectively. It is important to approach the N-648 form with accurate information and support to ensure the best possible outcome.

Key takeaways

The USCIS N-648 form is crucial for individuals seeking a waiver for the English and civics requirements of naturalization. Here are some key takeaways to consider:

  • The N-648 form is specifically designed for applicants who have a medical condition that prevents them from fulfilling the English and civics requirements.
  • It must be completed by a qualified medical professional, such as a licensed physician or psychologist.
  • Detailed medical information is required. The medical professional must provide a diagnosis and explain how it affects the applicant's ability to learn or demonstrate knowledge of English and civics.
  • The form must be signed and dated by both the applicant and the medical professional to be considered valid.
  • Submitting the N-648 does not guarantee a waiver. USCIS will review the application and make a determination based on the provided information.
  • Keep a copy of the completed N-648 form for your records. This can be helpful for future reference or if there are any questions about your application.
  • Filing the N-648 can add time to the naturalization process, so it is important to submit it as soon as possible.
  • Ensure that the information provided is clear and accurate. Incomplete or unclear information can lead to delays or denials.