Form I-910 template
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Form I-910, Application for Civil Surgeon Designation
- Country USA
- Language English
- Department U.S. Citizenship and Immigration Services
Application for Civil Surgeon Designation
Use this form to apply for civil surgeon designation. You do not need to apply for civil surgeon designation if you fall under the limited blanket designations for military physicians and state and local health departments.
This form provides instructions and requirements for requesting an interpreter to assist with filing a USCIS application or attending an interview. It includes sections for the interpreter's information, contact information, certification, and signature. There is also a section for the person preparing the application if it is not being filed by the applicant.
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What is Form I-910?
Form I-910, Application for Designation as a Civil Surgeon, is used to apply for designation as a civil surgeon by medical professionals who wish to perform immigration medical examinations on behalf of the U.S. Department of Homeland Security (DHS), U.S. Citizenship and Immigration Services (USCIS).
What types of government agencies may verify the submitted information in Form I-910 application?
Federal, state, local, and foreign government agencies may verify the submitted information in the Form I-910 application using methods such as reviewing public records, contact through written correspondence, fax, other electronic transmissions, telephone, unannounced physical site inspections of medical clinics or practices, and interviews.
What is the primary purpose of providing all requested information on Form I-910 application?
The primary purpose of providing all requested information on Form I-910 application is to establish eligibility for the desired designation and to consent to USCIS verification and release of any necessary information.
What is the Privacy Notice related to in Form I-910 application?
The Privacy Notice related to Form I-910 application describes the collection, use, disclosure, and routine uses of any information submitted, as well as the individual's consent for USCIS verification and release of any relevant information.
What is the primary purpose of submitting Form I-910 to USCIS?
The primary purpose of submitting Form I-910 to USCIS is to apply for designation as a civil surgeon, allowing the medical professional to perform immigration medical examinations on behalf of DHS and USCIS.
What is the legal authority for USCIS to verify information submitted in Form I-910 application?
USCIS' legal authority to verify information submitted in Form I-910 application is found in 8 U.S.C sections 1103, 1155, and 1184, and 8 CFR parts 103, 204, 205, and 214.
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