Form I 602 PDF Details

At first glance, the I-602 form may appear to be yet another piece of bureaucracy, a hurdle for those seeking a new start. However, it stands as a vital lifeline for refugees who find themselves labeled inadmissible under certain sections of the Immigration and Nationality Act (INA). This form, officially known as the Application by Refugee for Waiver of Grounds of Excludability, is a critical step in the journey towards resettlement and a new life in the United States. It offers individuals an opportunity to explain the circumstances that have led to their inadmissibility and to request a waiver for reasons such as humanitarian concerns, family unity, or the public interest. Specifically designed for refugees and asylees, the form navigates through the complexities of immigration law, providing a pathway to challenge inadmissibility on various grounds except for a few specified under sections 207 or 209 of the INA. Filling out the form requires detailed information about the applicant’s personal history, reasons for inadmissibility, and a compelling argument for why a waiver should be granted. The meticulous process also includes provisions for applicants with medical concerns, outlining steps to ensure public health and safety. This form embodies the intersection of law, humanitarianism, and public policy, underscoring the nuanced challenges refugees face and the mechanisms in place to address those challenges within the U.S. immigration system.

Form NameForm I 602
Form Length3 pages
Fillable fields0
Avg. time to fill out45 sec
Other namesI_602 filing i 602 waiver form

Form Preview Example

OMB No. 1615-0069; Exp. 7/31/05

U.S. Department of Homeland Security

Bureau of Citizenship and Immigration Services

I-602, Application by Refugee for Waiver of Grounds of Excludability

To be completed by all applicants. Type or print in black ink.


First Name


Middle Name

A File #

Family Name (in capital letters)























Present Address: Number and Street


City or Town





Zip Code

























Date of Birth (mm/dd/yyyy)

Place of Birth City or Town

Country of Birth

Country of Citizenship


I have been declared inadmissible or ineligible for adjustment of status under the following section(s) of 212(a) of the Immigration and Nationality Act (INA): (NOTE: Sections 212(a)(4), 212(a)(5) and 212(a)(7)(A) do not apply to refugees under Sections 207 or 209 of the INA.)

I am inadmissible because: (List the specific acts, convictions or physical or mental conditions. If you have active or suspected tuberculosis, fully complete Part 3 on Page 2. If you have, or have had, a physical or mental disorder and behavior asociated with the disorder that may pose, or has posed, a threat to the property, safety, or welfare of you or others, fully complete Part 3A on Page 2.)

I request a waiver of the grounds inadmissibility listed above for the following reasons (check the appropriate block and explain



For humanitarian reasons


To assure family unity


In the public interest















Applicant's Signature:


Do not write below this line. FOR BCIS USE ONLY.

Waiver of grounds of inadmissibility is granted. Basis for Favorable Action:

Waiver of grounds of inadmissibility is denied. Basis for Denial:

Date of Action

BCIS Office Director

BCIS Field Office

Form I-602 (Rev. 05/06/03)N (Prior versions may be used until 12/31/03)

PART 3. To be completed for appplicants with active or suspected tuberculosis or who have or have had a physical or mental disorder and behavior associated with the disorder.

A. Statement by applicant:

Upon admission to the United States I will:

1.Go directly to the physician or health facility named in Part B below; and

2.Present copies of diagnostic tests used in the medical examination to substantiate the diagnosis; and

3. Submit to counseling and such examminations, treatment and medical regimen as may be required: and

4.Remain under prescribed treatment or observation whether on inpatient or outpatient basis, until I am discharged.



NOTE to Applicant's Sponsor in United States: Arrange for medical care of the applicant and have the physician complete Section B below:

B. Statement by physician and/or health facility:

This section of Form I-602 may be executed by a private physician, health department, other public or private health facility or military hospital. NOTE: Upon arrival of the alien in the United States, Form CDC 75.18, Report on Alien With Tuberculosis Waiver, will be sent to the address given below.

I agree to supply any treatment or observation necessary for the proper management of the alien's tuberculosis condition.

I agree to submit Form CDC 75.18 to the health officer named below (Section C) either (a) within 30 days of the alien's reporting for care, indicating presumtive diagnosis, test results and plans for future care of the alien; or (b) 30 days after receiving Form CDC 75.18, if the alien has not reported. (NOTE: Military Hospitals should submit this form directly to the Centers for Disease Control, Atlanta, GA 30333.)

Satisfactory financial arrangements have been made. (NOTE: This statement does not relieve the alien of submitting such evidence as the consul may require to establish that the alien is not likely to become a public charge.)

I represent (check the appropriate box and give the complete name and address of the facility):

1. Local Health Department Outpatient Clinic

2. Military Hospital

3. Other Public or Private Health Facility

4. Private Practice

Signature of Physician:

Address: (If military, enter name and address of receiving hospital.)


NOTE to Applicant's Sponsor in United States: If medical care will be provided by a physician who checked Box 3 or 4 in Section B above, have Section C completed by the local or state health officer who has jurisdiction in the area where the applicant plans to reside in the United States. Provide the health officer with the address where the applicant plans to reside in the United States.

Form I-602 (Rev. 05/06/03)N (Prior versions may be used until 12/31/03) Page 2

C. Endorsement by local or state health officer:

Endorsement signifies recognition of the physician or facility for the purpose of providing care for tuberculosis. If the facility or physician who signed in Section B is not in your health jurisdiction and is not familiar to you, you may wish to contact the health officer responsible for the jurisdiction of the facility or physician prior to endorsing.



Enter name and address of the local health department to which Form CDC 75.18, Notice of Arrival of Alien With Tuberculosis Waiver, should be sent when the alien arrives in the United States.

Local Health Department Address

Paperwork Reduction Act Notice.

Under the Paperwork Reduction Act Notice, an agency may not conduct or sponsor an information collection and a person is not required to respond to a collection of information unless it contains a currently valid OMB control number. We try to create forms and that are accurate, can be easily understood and that impose the least possible burden on you to provide us with information. Often this is difficult because some immigration laws are very complex. The estimated average time to complete and file this application is 15 minutes per application. If you have comments regarding the accuracy of this estimate or suggestions for making this form simpler, you may write to the Bureau of Citizenship and Immigration Services, 425 I Street, N.W., Room 4304, Washington, DC 20536. (Do not mail

your completed application to this address.)

Form I-602 (Rev. 05/06/03)N (Prior versions may be used until 12/31/03) Page 3

How to Edit Form I 602 Online for Free

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If you want to complete this PDF form, ensure that you enter the necessary information in each and every blank field:

1. Before anything else, once filling in the Form I 602, start with the page containing following fields:

Find out how to complete Form I 602 stage 1

2. Once your current task is complete, take the next step – fill out all of these fields - I request a waiver of the grounds, below, For humanitarian reasons, To assure family unity, In the public interest, Applicants Signature, Date, Do not write below this line FOR, Waiver of grounds of, Basis for Favorable Action, Waiver of grounds of, and Basis for Denial with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Form I 602 completion process clarified (part 2)

3. This third part is quite straightforward, Signature, Date, NOTE to Applicants Sponsor in, Statement by physician andor, This section of Form I may be, I agree to supply any treatment or, I agree to submit Form CDC to the, Satisfactory financial, I represent check the appropriate, and Local Health Department Outpatient - every one of these empty fields is required to be filled in here.

Form I 602 completion process explained (step 3)

4. This fourth subsection comes next with the following fields to focus on: Local Health Department Outpatient, Military Hospital, Other Public or Private Health, Private Practice, Signature of Physician, Date, Address If military enter name and, and NOTE to Applicants Sponsor in.

Private Practice, NOTE to Applicants Sponsor in, and Military Hospital in Form I 602

As to Private Practice and NOTE to Applicants Sponsor in, be certain that you get them right in this section. Those two are the most important ones in the page.

5. This last point to finalize this PDF form is critical. Ensure that you fill out the appropriate blank fields, which includes Signature, Date, Enter name and address of the, Local Health Department Address, Paperwork Reduction Act Notice, and Under the Paperwork Reduction Act, before using the document. Failing to do this could end up in an unfinished and possibly invalid form!

Stage no. 5 for completing Form I 602

Step 3: Revise all the details you've typed into the blank fields and click on the "Done" button. Right after registering a7-day free trial account here, you'll be able to download Form I 602 or send it through email right off. The file will also be easily accessible through your personal account page with your every edit. FormsPal is dedicated to the personal privacy of all our users; we make sure that all personal information entered into our tool remains confidential.