How Do I Submit Form I-693 With My I-485 Application?
Quick Answer
Form I-693 can be submitted together with Form I-485 (Application to Register Permanent Residence) or separately in response to a USCIS request. When submitting together, the sealed Form I-693 envelope is included in the same package as your I-485. When submitting separately, you must follow the specific instructions in your USCIS interview notice or RFE.
Submitting Form I-693 With Your I-485
The most common approach is to submit Form I-693 together with Form I-485 in a single mailing package. The sealed Form I-693 envelope is placed inside the I-485 package without being opened. USCIS instructions specify that the sealed envelope should be included as a separate item within the package — do not staple or tape the sealed envelope to other documents. Include the sealed envelope along with your I-485, supporting documents, and filing fee.
Submitting Form I-693 Separately
In some cases, USCIS may request Form I-693 separately — for example, if you filed your I-485 without it, or if USCIS sends an interview notice asking you to bring it. When submitting separately by mail, follow the instructions in the USCIS notice exactly, including the correct mailing address and any required cover sheets. When bringing it to an interview, keep the sealed envelope intact and hand it to the USCIS officer.
Sealed Envelope Requirements
Form I-693 must be submitted in the sealed envelope provided by the civil surgeon. The envelope must be sealed and stamped or signed across the seal by the civil surgeon. Do not open the envelope under any circumstances. If the envelope has been opened or tampered with, USCIS will reject the form and require a new examination. Keep the sealed envelope in a safe place until you are ready to submit it.
What Happens at the USCIS Interview?
If you submitted Form I-693 with your I-485, USCIS will have it on file before your interview. The officer may ask you questions about your medical examination but will not open the sealed envelope in front of you. If you were asked to bring Form I-693 to the interview, hand the sealed envelope to the officer at the beginning of the interview. The officer will open it and review the contents.
Timing Considerations
Form I-693 must be submitted no later than 60 days after the civil surgeon signs it, and it must be received by USCIS while it is still within its two-year validity period. If you are filing your I-485 and have not yet completed your medical examination, schedule your appointment promptly so that the form is ready when you file. Do not schedule your examination too far in advance of your I-485 filing, as the form may expire before your case is decided.
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