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FORM  I-612

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

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.

Filling Fee

$585

Download Free US Immigration Forms

Edition Date

05/04/16

(06/22/15 edition also accepted)

Download Free and Fillable INS Forms Online

Number of Pages

8 Pages; 7 Instructions.

Download DOL and Department of State Forms

WHERE TO FILE I-612

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:

Via US Postal Service to:

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

Via courier service to:

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:

Yes, I would like to check my US visa eligibility
OR

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.

I-612 SPECIAL INSTRUCTIONS

Note on where to file: The where to file information on the form's instructions are incorrect. Use the filing information provided above. Updated filing instructions will be provided as soon as possible.

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

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