Part 1: The applicant organization
Company or organization name, address, IRS tax number, a point of contact with name and title, and the date the organization was created.
I-905
Application for Authorization to Issue Certification for Health Care Workers
- Agency
- USCIS
- Revision
- Edition 04/01/24
- Fillable fields
- 73
- Pages
- 3
- Official source
- USCIS form page
- Checked
- October 20, 2026
Form I-905: Application for Authorization to Issue Certification for Health Care Workers
Form I-905, Application for Authorization to Issue Certification for Health Care Workers, is filed by an organization, not by an individual worker. The instructions say its purpose is for an organization to apply for authorization to issue certificates to health care workers under section 212(a)(5)(C) or section 212(r) of the Immigration and Nationality Act.
The instructions describe the review: USCIS checks the application for completeness, then forwards a copy to the Secretary of Health and Human Services (HHS) for an opinion. After HHS gives its opinion, USCIS decides and sends the decision in writing. A denial comes with information on how to appeal.
An approval lasts 5 years. The instructions say the organization applies for reauthorization before that period ends, and USCIS reviews continued compliance with the standards along with that request.
What's on Form I-905
Part 1 narratives
Space to describe the organization, the occupations it seeks authorization for, the process it will use to issue certificates, its expertise in those occupations, how it meets the standards, and how USCIS can verify its certificates.
Part 2: Applicant statement and signature
Boxes 1.a. or 1.b. on reading English or using an interpreter, Item 2 on a preparer, the certification under penalty of perjury, the signature, telephone and email.
Part 3: Interpreter
The interpreter's name, business, mailing address, telephone, email, certification and signature.
Part 4: Preparer
Details and the declaration of a person who prepared the application for the organization, including whether they are an attorney or accredited representative.
How to fill out Form I-905
- 1
Use the current edition
The USCIS page lists edition 04/01/24. On a printed copy, it asks that the edition date and page numbers stay visible on every page and that all pages come from the same edition, or the form may be rejected.
- 2
Answer every item in black ink
Type or print legibly in black ink. The instructions say to write N/A where a question does not apply and None where a numeric answer is zero.
- 3
Address the standards
The instructions ask for a statement on how the organization meets the standards on structure, resources, candidate evaluation, duties to applicants, current information, fair examinations, awarding certificates and keeping accreditation.
- 4
Add extra sheets the right way
For more space, the instructions say to attach a sheet with the organization name at the top, the page, part and item number, and a signature and date on each sheet.
- 5
Sign Part 2
USCIS rejects an unsigned form. This page lets you fill the form online free, then print it for the organization's signature.
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Where to file, copies and fees
Filing by mail
The USCIS page lists one address: Nebraska Service Center, P.O. Box 82521, Lincoln, NE 68501-2521. The instructions point to uscis.gov/I-905 for the most current filing information.
Two complete copies
The special instructions on the USCIS page say to submit two complete copies of this application.
Fee
The fee is on the USCIS Fee Schedule page (Form G-1055), which can change. Check it on the day you file.
Evidence and translations
Send legible photocopies unless an original is requested. A foreign-language document needs a full English translation with the translator's certification of completeness and competence.
Attorney or representative
An attorney or accredited representative who prepares the application files Form G-28 with it, and the box at the top of page 1 shows that Form G-28 is attached.
After approval
The instructions say an organization that revokes a certificate notifies USCIS through the Nebraska Service Center and the state regulatory authority, and reports pass rates of certificate holders to HHS each year.
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Who files Form I-905?
Official sources and the blank
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Questions about Form I-905
Can a nurse or therapist file Form I-905?
No. The instructions describe Form I-905 as an application by an organization for authorization to issue certificates to health care workers. It is not a worker's own application.
Which occupations does Form I-905 cover?
The instructions list nurses (licensed practical, licensed vocational and registered), occupational therapists, physical therapists, speech language pathologists and audiologists, medical technologists, physician assistants and medical technicians.
How long does an approval last?
The instructions say an approved application is valid for 5 years. The organization applies for reauthorization before it expires, and USCIS reviews compliance at that time.
Can Form I-905 be filed online?
The USCIS page lists a mailing address at the Nebraska Service Center and does not list online filing. It also says to send two complete copies.
What is the Form I-905 filing fee?
USCIS fees change, so this page does not list one. The I-905 page points to the USCIS Fee Schedule, and the instructions point to Form G-1055.
What role does HHS play?
The instructions say USCIS forwards a complete application to the Secretary of Health and Human Services for an opinion, and makes its decision after HHS provides that opinion.