Hi Guys,
I would like to ask a question about the vac supplement.As you all know, my fiance got the k1 visa and after the marriage, he would have to submit a vaccination supplement with his AOS package.

Since he had the medical portion done in Nigeria before a visa was granted him.Does he still have to go to a civil surgeon in the u.s to get another vaccination supplement(i.e I-693A) or just submit the one given to him in Nigeria.

Thanks

Are you talking about the booster shots for the HepB? If so I think he needs to be current on his shots. My husband got the first two HepB in Nigeria and the third one here. I dont know about doing it for AOS purposes though.
Regards

Hi
He should bring a copy of his Vaccination Worksheet to a designated civil surgeon here in the U.S. They will transfer this info onto a Vaccination Worksheet and give him any further shots necessary. I had to get the chicken pox (varicella) vaccine as it wasn't available in Ireland.

Check out here for FAQ's for Form I-693, Medical Examination of Aliens Seeking Adjustment of Status. It states that:
Ks: If you were admitted to the United States as a fiance(e) (K-1), child of a fiance(e) (K-2), Spouse of a U.S. citizen (K-3), or child of K-3 (K-4), and received a medical examination prior to admission, then you do not require another medical examination as long as your application for adjustment of status (Form I-485) is filed within one year of your overseas medical examination. You will, however, be required to submit a vaccination supplement with our adjustment of status application. The vaccination supplement must be completed by a designated civil surgeon.

And here is the Civil Surgeon Locator...ring around for a good quote.

Thank you very much.

How much does this cost,cos the bill is piling up again.Do we have to pay the civil sugeon for transferring this information to the I-693A form?

It really depends, some VJers have paid $20, some, a lot more.

To get my Worksheet transferred to the Supplemental form cost $50, the sting in the tail was that the chicken pox vaccine cost another $85. Ouch!! Definately call/ring around to get some quotes.

Thanks Mand.
i also need to ask a question about the marriage licence.Is it the same as the marriage certificate?
If we do get the marriage licence and have a minister witness the marriage, we detach the bottom part of the licence and get the top part notorized. Can we include that with the I-485

Thanks again

Well, the form given for the medicals for a fiancé before theinterview is DS-3025 which is the vaccination worksheet, but the form that is requested for AOS is the vaccination supplement I-693A. Some people have sent in just the worksheet (or a copy of it) and been fine, and others have got a RFE.

It also matters if your fiancé needs more shots. Some shots are not routinely available in their countries, which means they still need the shots once they come here. At least that is my understanding, which is why they want a "supplement". If you are trying to go ahead and schedule an appointment and everything before he arrives and before your marriage, ask him what shots he has checked off on his form. Or if is he here already then just look at it and go from there. To be able to accurately tell you how much your costs will be the civil surgeons office will need to know what vaccinations he will need.

I know I already posted about the civil surgeons in my area (I think we are in the same area) and how I thought they were ridiculously expensive and one lady was rude. So I took my hubby right acroos the border to a different state for his "supplemental" vaccinations. It was $10 to transfer the record (from DS-3025 to I-693A), $45 for the blood titre(?) (to test for chickenpox resistance/antibodies) and $20 for a Td shot ---- for a grand total of $75. Which I thought wasn't that bad.

Also, I think different states call the marriage document different things. I think in TN, the license is the certificate; the certified copies of the license are just mini-versions of the original license. I suggest getting a certified copy from the clerk's office a week or two after your license (which is signed by the officiant who performed your marriage ceremony) is returned to their office. If you get a certified copy it is certified by the clerk's office (which means it is as good as the original) and you get to keep your original license for your own personal sentimental purposes.

K.

p.s. If they want to charge a ridiculous amount at least ask them for a break down of the charges and see what they say.

The marriage license is not the same as the marriage certificate. The official marriage license is all the USCIS will take (we just sent regular black and white copies of ours with the I-485, and we were approved, no interview).

The official marriage license is issued by the state and usually has a raised seal (or in Tennessee, a gold seal). Also, it does not take that long to receive. We got ours about a week or so after our wedding, and we don't even live in Tennessee (we live in Georgia, married in TN).

It is worth the wait because if you just send in the certificate, you will get an RFE.

I don't know if it helps but here's what I found on the web:

A marriage license is the document that authorizes you to get married and a marriage certificate is the document that proves you are married.

Typically, couples obtain a marriage license, have the wedding ceremony, and then have the person who performed the ceremony file a marriage certificate in the appropriate county office within a few days. This may be the office of the County Clerk, Recorder or Registrar of Vital Statistics, depending on where you live. The married couple will be sent a certified copy of the marriage certificate within a few weeks after the marriage ceremony. Most states require both spouses, the person who officiated and one or two witnesses to sign the marriage certificate; often this is done just after the ceremony. In most cases, a marriage license may never be used outside the state in which it was issued, and a license issued in another state may never be used.

Usually, you may apply for a marriage license at any County Clerk's office in the state where you want to be married. Be sure to contact the office of the County Clerk, Recorder or Registrar well in advance of the wedding to find out on what days and during what hours they will be in the office. In some circumstances, you must apply in the county or town where you intend to be married - this depends on state law. You'll probably have to pay a fee for your license, and you may also have to wait a few days before it is issued. In most states you need a photo ID and in some cases a birth certificate may be requested for proof of age and parentage. If one or both applicants are divorced, you should bring a copy of the final decree or decrees for examination or a statement by the judge as to when the final decree was signed. In some states, even after you get your license you'll have to wait a short period of time before the marriage, but if you wait too long, your license will expire. Licenses are good for 30 days to up to one year, depending on the state. If your license expires before you get married, you can apply for a new one.

Thanks, k
for the information.I appreciate it.Keep that in mind

I think what's confusing in this case is just semantics. The words "license" and "certificate" are sometimes used interchangeably, but they are not the same thing.

Regardless of what it's called (I get confused myself!), what USCIS is looking for is the one with the seal on it. It looks very official too, like a diploma almost. The document that the preachers and witnesses sign is not what USCIS is looking for. That's just what you mail in to receive your license. Or certificate. Or whatever. hehe

For the medical part, I called the Immigration number listed on the sheet and they said just to send in the WHO yellow medical card. As was said before, countries don't provide some of the vaccinations so they have to be done here. You can always call and check what needs to be done for your specific case. I was GLAD when all we needed was a copy of the yellow card.

I called a civil surgeon's office in Nashville and they quoted $100.00. For what? Transferring. That is ridiculous. Could you let me know what office you went to out of state. Hopefully,somwhere we could drive down to.

Thanks.

I simply added a letter to my AOS stating that we had no copies (some countries you get no copies of the medical) of the medical and or vaccination record and that we could not be expected to supplement what we don't have.

My wifes AOS was approved without any interview leading me to believe that if the beneficiary has received all shots in-country that it is not required to submit a supplement.....