Check your Form I-693 for errors before you file

Records the immigration medical examination and vaccination history that most adjustment-of-status applicants must submit to show they are not inadmissible on health-related grounds. A single blank field or wrong-edition page gets the whole package returned, and since 07/10/2026 an invalid signature can be denied outright — and I-693 carries no USCIS fee of its own, so what a rejection costs is the delay on everything it was filed with. Here is exactly what to verify on your completed I-693 before it goes to USCIS.

How do I check my I-693 for errors?

1. Confirm you have the current edition

USCIS accepts more than one edition of I-693 right now — 01/20/25 and 03/09/23. Any other edition is an automatic rejection. The date is printed at the bottom of every page, and all pages must come from the SAME edition even though two are acceptable. Download a fresh copy from uscis.gov right before you file.

Get a fresh 01/20/25 copy for any new examination. USCIS accepts the older 03/09/23 edition only where the civil surgeon signed it on or before July 2, 2025; for a signature on or after July 3, 2025 only the 01/20/25 edition is acceptable.

2. Verify every signature block

Unsigned or wrongly-signed forms are rejected — or, under the signature rule effective July 10, 2026, denied outright with the filing fee kept and no chance to fix it. A typed name, a cursive or script font, a stamp, or a digital e-signature (such as DocuSign) is not a valid signature on a paper filing; only a handwritten ink signature — or a scan, photocopy, or fax of one — is accepted. An electronic signature counts only when it is captured through a USCIS online account during online filing. I-693 has 5 signature blocks to check:

3. Make sure no required section is incomplete

Leaving required fields blank (instead of writing “N/A” or “None”) is one of USCIS's most common rejection reasons. On I-693, pay special attention to:

• Part 1, Items 1.a – 1.c: Your full legal name, spelled exactly as on the Form I-485 this accompanies
• Part 1, Items —: Your mailing address, date of birth, city/town/village and country of birth, and A-Number (if any)
• Part 2, Items 1 – 3: Your daytime telephone number, mobile number (if any) and email address (if any)
• Parts 5 – 10, Items —: COMPLETED BY THE CIVIL SURGEON ONLY — your identification, the summary of the medical examination, the civil surgeon worksheet, any referral evaluation, and the vaccination record. Do not fill any of these in yourself
• Sealed envelope, Items —: The civil surgeon must hand you the completed form in a SEALED envelope, and you must submit it still sealed. Do not accept it unsealed, and do not open it. USCIS returns a Form I-693 that is not in a sealed envelope, or whose envelope has been opened or altered in any way
• Validity, Items —: Form I-693 remains valid for TWO YEARS from the date of the civil surgeon’s signature — count from that date, not from the date of your examination or of your I-485

4. Check every date — format and consistency

Dates must be written mm/dd/yyyy and must agree with your supporting documents and any other forms in the package. The date fields that most often cause problems on I-693:

• The civil surgeon’s date of signature — Form I-693 is valid for two years from this date. A form signed more than two years before it is filed is expired, and this date — not the examination date — is the one that counts.
• The applicant’s date of signature — It must not predate the civil surgeon’s instruction to sign, and a date filled in at home before the appointment is the defect the form’s own note warns about.
• Part 10 — vaccination dates — Each dose needs a date, and a series recorded as complete with fewer dates than the series requires is an obvious internal contradiction.

5. Re-check the known I-693 filing problems

From USCIS's own instructions and guidance, these are the specific problems to rule out on I-693. Some get a filing rejected at intake; others surface later as a Request for Evidence or a denial:

• Not submitted in a sealed envelope, or submitted in an envelope that has been opened or altered — USCIS returns the form
• Signed and dated by the applicant before the civil surgeon instructed them to sign
• Filed more than two years after the civil surgeon’s signature date
• Examination performed by a doctor who is not a USCIS-designated civil surgeon
• Parts 5 to 10 completed, altered, or left blank by the applicant instead of the civil surgeon
• Not signed at all — USCIS states it will reject any unsigned form (a typed, script-font, stamped, or digital/e-signature is invalid where an ink signature is required; as of 07/10/2026 this is a denial with the fee kept, not merely a rejection)

Related

Form I-693 error check — frequently asked questions

How do I check my Form I-693 for errors before filing?

Work through the checklist on this page: confirm you have the current 01/20/25 edition, verify every signature block is signed and dated by the right person, make sure no required field is blank (write "N/A" or "None" instead), check every date is in mm/dd/yyyy format and consistent across your documents, and re-read the known problems below. Or upload your completed I-693 to FormGuard and get an automated line-by-line error report in about a minute for $39.

What problems most often hold up a Form I-693 filing?

Not submitted in a sealed envelope, or submitted in an envelope that has been opened or altered — USCIS returns the form; Signed and dated by the applicant before the civil surgeon instructed them to sign; Filed more than two years after the civil surgeon’s signature date; Examination performed by a doctor who is not a USCIS-designated civil surgeon; Parts 5 to 10 completed, altered, or left blank by the applicant instead of the civil surgeon.

Which edition of Form I-693 is current?

The current edition of Form I-693 is dated 01/20/25. USCIS rejects forms filed on a superseded edition, so download a fresh copy from uscis.gov right before you file and confirm the edition date printed at the bottom of every page matches.

What happens if my I-693 is rejected?

USCIS returns the entire package unprocessed — and because I-693 travels with other forms, everything filed alongside it comes back too. You correct the error and refile the whole package, losing weeks or months. That is why a careful pre-filing check is the cheapest step in the whole process.