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

**ALERT:** On Jan. 31, 2024, we published a final rule in the Federal Register that adjusts the fees required for most immigration applications and petitions. The new fees will be effective April 1, 2024.

Applications and petitions postmarked on or after April 1, 2024, must include the new fees or we will not accept them.

What to Know About Sending Us Your Form

The new filing fee is effective for filings postmarked April 1, 2024, and later. If you are filing an acceptable prior form edition on or after April 1, 2024, you must include the new filing fee.

Use this form if you work with an organization and want to apply for authorization to issue certificates to health care workers.

## Forms and Document Downloads

Form I-905  (PDF, 333.48 KB)

Instructions for Form I-905  (PDF, 264.29 KB)

## Form Details

04/01/24. Starting June 3, 2024, we will accept only the 04/01/24 edition. Until then, you can also use the 11/10/20, 02/11/14, and 10/30/11 editions. You can find the edition date at the bottom of the page on the form and instructions. The new filing fee is effective for filings postmarked April 1, 2024, and later. If you are filing an acceptable prior form edition, you must include the new filing fee.

Dates are listed in mm/dd/yy format.

If you complete and print this form to mail it, make sure that the form edition date and page numbers are visible at the bottom of all pages and that all pages are from the same form edition. If any of the form’s pages are missing or are from a different form edition, we may reject your form.

If you need help downloading and printing forms, read our instructions. 

Mail your application to:

Nebraska Service CenterP.O. Box 82521Lincoln, NE 68501-2521

You can find the filing fee for Form I-905 by visiting our Fee Schedule page.  

The fee is effective for filings postmarked April 1, 2024, and later. 

You can pay the fee with a money order, personal check, cashier’s check or pay by credit card or debit card using Form G-1450, Authorization for Credit Card Transactions. If you pay by check, you must make your check payable to the U.S. Department of Homeland Security.

**When you send a payment, you agree to pay for a government service. Filing fees are final and nonrefundable, regardless of any action we take on your application, petition, or request, or if you withdraw your request.**If you pay by credit card or debit card, you cannot later dispute the payment.

If you are submitting multiple forms, pay each filing fee separately. We are transitioning to electronically processing immigration benefit requests, which requires us to use multiple systems to process your package. We may reject your entire package if you submit a single, combined payment for multiple forms.

**Filing Tips:** Review our Tips for Filing Forms by Mail page for information on how to ensure we will accept your form.

**Don’t forget to sign your form.**We will reject any unsigned form.

You must submit two complete copies of this application.

04/01/2024

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