Form Ds 3035 PDF Details

The DS-3035 form, managed by the U.S. Department of State, is an essential document for exchange visitors wishing to apply for a waiver of the two-year home country physical presence requirement. Navigating through the application process entails a detailed submission of this form along with a specified application fee and a spectrum of supporting documents tailored to demonstrate the applicant's eligibility for the waiver. Among these requirements are a detailed statement justifying the waiver request, copies of all DS-2019 forms previously issued, and potentially a G-28 form if the applicant is represented by an attorney or representative. This process also involves the provision of personal information, including current and past program details, and requires careful adherence to instructions such as avoiding staples, using single-sided 8 1/2" x 11" paper, and including self-addressed, stamped envelopes to facilitate communication. The instructions further clarify the application's processing procedures, including payment details, and emphasize the importance of precise and accurate responses to avoid delays or denial. Thus, the DS-3035 plays a pivotal role in the journey of J-1 visa holders seeking to mitigate the mandatory two-year return, highlighting the procedural and documentary precision required for successful waiver applications.

QuestionAnswer
Form NameForm Ds 3035
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesds 3035 form ds3035form

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U. S. Department of State

J-1 VISA WAIVER RECOMMENDATION APPLICATION INSTRUCTIONS

Keep this page for your records

Complete the following two pages of this form and send them, along with the fee

and supporting documentation listed below, to:

U.S. Department of State

Waiver Review Division

P.O. Box 952137

St. Louis, MO 63195-2137

PLEASE DO NOT STAPLE ANY DOCUMENTS

PLEASE AVOID TWO-SIDED DOCUMENTS AND ONLY USE 8 1/2" X 11" PAPER

Supporting documents and fee

1.Application fee of $215 PER J-1 APPLICANT. Please send a cashier's check or money order in U.S. currency drawn on a U.S. bank, made payable to THE U.S. DEPARTMENT OF STATE. Include your name, date and place of birth on whatever form of payment you submit. DO NOT SUBMIT MORE THAN ONE APPLICATION FEE PER PERSON.

2.Any additional pages needed to full respond to the questions in this form.

3.A statement demonstrating why the exchange visitor is eligible to receive a waiver of the two-year home country requirement of the exchange visitor program. The length of the statement may vary.

4.Copies of all DS-2019 "Exchange Visitor Program Certificate Of Eligibility For Exchange Visitor (J-1) Status" (formerly IAP-66) forms.

5.Notice of Entry of Appearance as Attorney or Representative (G-28 form), if the exchange visitor is represented by an attorney.

6.Copy of the data page of the exchange visitor's current passport containing name and birth date.

7.Two self-addressed, stamped envelopes.

Once your application has been processed, you will receive your case number and further instructions on how to proceed. Please do not call to verify that the application has arrived. Current processing times are listed on the U.S. Department of State web site, www.travel.state.gov.

PAPERWORK REDUCTION ACT

*The response time is an estimated average including the time needed to look for, get, and provide the information required. You do not have to provide the information requested if the OMB approval has expired. We would appreciate any comments on the estimated response and cost burdens, and recommendations for reducing them. Please send your comments to: U.S. Department of State (A/ISS/DIR) Washington, DC 20520.

DS-3035

Instruction Page 1 of 1

07-2007

U.S. Department of State

OMB No. 1405-0135

EXPIRATION DATE: 04-30-2008

J-1 VISA WAIVER RECOMMENDATION APPLICATION ESTIMATED BURDEN: 1 Hour

TYPE OR PRINT YOUR ANSWERS IN THE SPACE PROVIDED.

YOU MAY APPEND ADDITIONAL PAGES IN ORDER TO FULLY RESPOND TO THE QUESTIONS

1. Title

Dr. Mr. Mrs. Ms.

Surname (As in Passport)

Given Names (As in Passport, First and Middle)

Maiden Name (If Any)

Please indicate any other names that you are, or have been, known by. These can include aliases, previous

married names, religious names, professional names, etc.

Other Surname(s)

 

 

 

 

 

 

 

 

 

 

 

 

Other Given Name(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Gender

 

 

 

3. Date of Birth(mmm-dd-yyyy)

 

 

 

 

 

 

 

 

 

Male

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Country Information (As shown on your most recent DS-2019/formerly IAP-66.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City of Birth

 

 

 

Country of Birth

 

 

 

 

 

Citizenship Country

 

 

 

Legal Permanent Residence Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

I am requesting a recommendation for a waiver of the 212(e) requirement based on: (Check Only One)

 

 

 

 

Exceptional Hardship

 

 

 

 

 

 

 

 

Persecution

 

 

Interested Government Agency (Physician)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interested Government Agency (non-physician)

 

 

 

 

State Health Agency Request

 

No Objection Statement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Did your exchange visitor program(s) include U.S. Government funds, funds from your own government or funds from an international

 

organization?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Current Address of Exchange Visitor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

City

 

 

 

 

 

State/Province

ZIP/Postal Code

Country (If Not U.S.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Phone

 

 

 

Business Phone

 

 

 

 

Facsimile

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Last U.S. city and state, if not currently living in U.S.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Are you represented by an attorney or other organization?

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If yes, please enter the following information about his attorney or organization.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney, Representative, and/or Organization Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

 

 

 

 

 

 

 

 

City

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Phone/Extension

 

 

Facsimile

 

 

 

 

 

 

 

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If this form is being prepared by an attorney, the attorney must sign here.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Mailing Address of Exchange Visitor (If different from your current or attorney address.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

 

City

 

 

 

 

 

State/Province

ZIP/Postal Code

Country (If Not U.S.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. I request that all correspondence, including my recommendation, be sent to my: (Check Only One)

 

 

 

 

 

 

 

 

Current Address (Line 7)

 

 

 

Attorney Address (Line 9)

 

 

Mailing Address (Line 10)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. List all exchange visitor programs in which you participated, beginning with the first program.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SEVIS Number

 

Program Number

 

Purpose of the Form

 

 

Begin Date

 

 

End Date

 

Subject/Field Code

Funding Amount

 

 

 

 

 

 

 

 

 

 

 

 

(mmm-dd-yyyy)

 

 

(mmm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DS-3035

Page 1 of 2

07-2007

13. Is there any period of time in the U.S. that is not covered by your form DS-2019/formerly IAP-66?

Yes (If yes, please explain below.)

No

 

 

 

 

 

 

 

14. Does this application include any J-2 dependents?

Yes (If yes, please enter information about these J-2 dependents below.)

No

 

 

 

 

 

 

 

Surname

Given name

 

Date of Birth

Country of Birth

Relationship

 

 

 

 

(mmm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

15. Is your spouse in J-1 status?

Yes (If yes, he or she must apply separately for a waiver.)

 

No

16. If your spouse has applied for a waiver, please enter information about his/her J waiver case below:

Surname

Given name

Date of Birth

(mmm-dd-yyyy)

Country of Birth

J Waiver Case Number

17.Date and place of first entry into the U.S. on your original exchange visitor (J-1) visa. Entry information should refer to the first time the J-1 visa was used to enter the U.S. If the EV changed to J-1 visa status while already in the U.S., enter the date of status change, control number and issuing post of that first J-1 visa.

Date (mmm-dd-yyyy)

Port of Entry

State of Entry

Visa Control Number

Issuing Post

18.Alien Registration Number, if any

A

19. I-94 Number

20.If you have ever applied for a J visa waiver recommendation or advisory opinion, please enter your most recent case number

21.I certify that I have read and understood all the questions set forth in this application and the answers I have furnished are true and correct to the best of my knowledge and belief. I understand that any false or misleading statement may result in the refusal of a waiver recommendation.

Signature of Exchange Visitor

 

Date(mmm-dd-yyyy)

DO NOT WRITE BELOW THIS SPACE - FOR OFFICE USE ONLY

Case Number

Date Received

 

Fee Paid

 

G-28

 

 

 

 

 

DS-3035

Page 2 of 2

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1. It is crucial to complete the Form Ds 3035 correctly, thus be careful when filling out the sections containing these fields:

Writing section 1 of Form Ds 3035

2. The next step is to fill in all of the following blank fields: Home Phone, Business Phone, Facsimile, Email Address, Last US city and state if not, City, State, Yes, Are you represented by an, If yes please enter the following, Attorney Representative andor, Street, City, State, and ZIP Code.

The way to fill in Form Ds 3035 portion 2

3. Within this stage, check out Page of. Each one of these should be taken care of with highest accuracy.

Form Ds 3035 completion process clarified (part 3)

4. This next section requires some additional information. Ensure you complete all the necessary fields - Is there any period of time in, Yes, If yes please explain below, Does this application include any, Yes, If yes please enter information, Surname, Given name, Date of Birth, Country of Birth, Relationship, mmmddyyyy, Is your spouse in J status, Yes, and If yes he or she must apply - to proceed further in your process!

Form Ds 3035 completion process explained (step 4)

5. Since you approach the finalization of this form, there are just a few more things to do. Notably, Date, mmmddyyyy, Port of Entry, State of Entry, Visa Control Number, Issuing Post, Alien Registration Number if any, I Number, If you have ever applied for a J, I certify that I have read and, correct to the best of my, Signature of Exchange Visitor, Date, mmmddyyyy, and Case Number should all be filled out.

The best way to prepare Form Ds 3035 part 5

It's very easy to make an error when filling in the Issuing Post, hence make sure that you take another look before you'll send it in.

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