USCIS Waives COVID-19 Vaccination Requirement for Adjustment of Status Applicants
Effective Jan. 22, 2025, USCIS is waiving any and all requirements that applicants for adjustment of status to that of a lawful permanent resident present documentation on their Form I-693, Report of Immigration Medical Examination and Vaccination Record, that they received the COVID-19 vaccination. USCIS will not issue any Request for Evidence or Notice of Intent to Deny related to proving a COVID-19 vaccination. USCIS will not deny any adjustment of status application based on the applicant’s failure to present documentation that they received the COVID-19 vaccination.
I-693, Report of Immigration Medical Examination and Vaccination Record
ALERT: Effective January 22, 2025, USCIS waives any and all requirements that applicants for adjustment of status to that of a lawful permanent resident present documentation on their Form I-693, Report of Immigration Medical Examination and Vaccination Record, that they received the COVID-19 vaccination. USCIS will not issue any Request for Evidence (RFE) or Notice of Intent to Deny (NOID) related to proving a COVID-19 vaccination. USCIS will not deny any adjustment of status application based on the applicant’s failure to present documentation that they received the COVID-19 vaccination.
ALERT: Effective Dec. 2, 2024, if you are required to submit Form I-693, or a partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, we may reject your Form I-485.
ALERT: Effective April 4, 2024, any Form I-693 that was properly completed and signed by a civil surgeon on or after Nov. 1, 2023, does not expire. You can use it indefinitely as evidence that you are not inadmissible on health-related grounds. For more information, see the Policy Alert.
Additionally, effective November 13, 2024, immigration medical examinations are valid indefinitely for certain Afghan nationals who arrived in the United States during Operation Allies Welcome. For more information on how this policy applies, see the Policy Alert.
ALERT: Urgent Message for USCIS Designated Civil Surgeons:
The Centers for Disease Control and Prevention (CDC) recently updated the Tuberculosis Technical Instructions for Civil Surgeons. Civil Surgeons must now register for access to eMedical, an electronic health processing system. Using eMedical will help the CDC maintain public health security and transition to electronic submission of immigration medical examinations. Civil Surgeons should have received emailed instructions to register; it is important that you follow these instructions and register immediately. If you did not receive the emails with instructions from the CDC and eMedical, please email OPSCivilSurgeons@uscis.dhs.gov.
If you are applying for adjustment status to become a lawful permanent resident, use this form to establish that you are not inadmissible to the United States on health related grounds.
A list of the health related grounds of inadmissibility can be found in section 212(a)(1) of the Immigration and Nationality Act(INA). For more information on the validity of Form I-693, see the USCIS Policy Manual Volume 8, Part B, Chapter 4.