I-905, Application for Authorization to Issue Certification for Health Care Workers

• Download Form I-905 (107KB PDF)
• Download Instructions for Form I-905 (65KB PDF)

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.

A new edition of this form is coming soon. In the meantime, customers may file using the 10/30/11 or other previous editions.

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