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

Download Instructions for Form I-905

Download Form I-905

Purpose of Form :

For an organization to apply for authorization to issue certificates to health care workers.

Number of Pages :

Form 2; Instructions 5.

Edition Date :

08/07/09. Previous editions accepted.

Where to File :

Send your I-905 application to the:

Nebraska Service Center
P.O. Box 87140
Lincoln, NE 68501-7140

Filing Fee :


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.

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