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

J-1 and J-2 visas holders and their families may use this form to apply for a waiver of the two-year foreign residence requirement.

Number of Pages

Form 7; Instructions 7.

Edition Date

04/24/17. Starting 07/24/2017, we will only accept the 04/24/17 edition. Until then, you can use the 12/23/16 edition. 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 Because Of:Mail Your Form To:
  • Exceptional hardship to your U.S. citizen or lawful permanent resident spouse or child; or
  • Your belief that returning your country of nationality or last residence would subject you to persecution on account of race, religion, or political opinion

For U.S. Postal Service:

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 Rd.
2nd Floor, Room 2312
Laguna Niguel, CA 92677

  • You received a request from an interested U.S. government agency;
  • You received a written statement from your country of nationality or last foreign residence that it has no objection to the waiver; or
  • A state department’s department of public health, or its equivalent, sent a request to the U.S. Department of State for you to work in a medically underserved area (Conrad Waiver Program)
The address listed on the Department of State’s website. 

Don’t forget to sign your form!  We will reject and return any unsigned form.

Filing Fee

$930

Special Instructions

Last Reviewed/Updated:

ADDITIONAL INFORMATION