I-612, Application for Waiver of the Foreign Residence Requirement (under Section 212(e) of the Immigration and Nationality Act, as Amended)

Purpose of Form

For certain exchange visitors (J-1 and J-2 visas) and their families to apply for a waiver of the requirement that they reside outside the United States for at least two years prior to returning or leaving the United States.

Number of Pages

Form 7; Instructions 7.

Edition Date

12/23/16. No previous editions accepted. You can find the edition date at the bottom of the page on the Form and Instructions.

Where to File

If you are filing Form I-612 for either of the following two reasons:

1. Exceptional hardship to the exchange visitor’s U.S. citizen or lawful permanent resident spouse or child; or

2. The exchange visitor’s belief that returning to the country of his or her nationality or last residence would subject him or her to persecution on account of race, religion, or political opinion.

File your form I-612 with the California Service Center:

For regular postal delivery:

USCIS California Service Center
I-612 Unit P.O. Box 30112
Laguna Niguel, CA 92607-0112

For express or courier delivery:

USCIS California Service Center
24000 Avila Road
2nd floor, room 2312
Laguna Niguel, CA 92677

If you are filing Form I-612 for one of the following reasons:

1. A request by an interested U.S. Government agency (IGA); or

2. A written statement from your country of nationality or last foreign residence that it has no objection to the waiver (no objection); or

3. A request from a state’s department of public health, or its equivalent, to the Department of State (DOS) to work in a medically underserved area. (Conrad Waiver Program)

Information on how to apply can be found on the Department of State website.

Filing Tips for Form I-612, Application for Waiver of the Foreign Residence Requirement (under Section 212(e) of the Immigration and Nationality Act, as Amended)
 
Complete all sections of the form.

Sign the form in Part 5, Item Number 6.a., Applicant’s Signature. The fillable version of Form I-191 now includes a “Don’t forget to sign!” message and an arrow pointing to the signature box as a reminder for when you print the completed form for mailing. If there is no signature in Part 5, USCIS will reject the form and return it for correction and re-filing.

Filing Fee

$930

Special Instructions

Do not send Change of Address Requests to the USCIS Lockbox facilities.

This page can be found at https://www.uscis.gov/i-612

Last Reviewed/Updated:

ADDITIONAL INFORMATION