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Delta Doctors PNIW-Checklist-and-Guidelines

The Delta Doctors Program outlines a National Interest Waiver (NIW) review checklist for physicians seeking a J-1 visa waiver. It specifies required documentation, including an employment contract, employer support statement, and legal opinion letter, to ensure compliance with program guidelines. Incomplete applications will be returned to the attorney, and the DRA will review submitted materials to issue a support letter for the NIW.

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11 views5 pages

Delta Doctors PNIW-Checklist-and-Guidelines

The Delta Doctors Program outlines a National Interest Waiver (NIW) review checklist for physicians seeking a J-1 visa waiver. It specifies required documentation, including an employment contract, employer support statement, and legal opinion letter, to ensure compliance with program guidelines. Incomplete applications will be returned to the attorney, and the DRA will review submitted materials to issue a support letter for the NIW.

Uploaded by

hassank8520
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Delta Doctors Program

National Interest Waiver Review Checklist

Process Start Date:


Date Received:
____________

Reviewer Date:
Copy of FCC’s Letter File:
Copy of Shipping Receipt:
Emailed Attorney Letter:
Tracking Number:

Physician’s Name:

DOS Case Number:

DOB:

Current Address:

Country of Origin:

Specialty:

Worksite Name & Address:

MUA Number:
HPSA Number:

County/Parish:

*Provide additional worksites with MUA/HPSA numbers on a separate page.

Attorney:

Firm Name:

Attorney Address:

Attorney Phone Number:

Attorney Fax Number:

Attorney Email:

Employer’s Name:

Employer Contact:

Employer’s Address:

Employer Phone Number:

Employer Fax Number:

Employer Email:
1 Letter of Opinion from Legal Representatives

2 Form G-28

3 Physician Statement

4 Copy of Executed Contract

Signed/dated by Physician/Employer

5 Year (NIW)
40 Hours per week or 160 hours per month of direct
patient care
Service to Medicaid/Meidcare/Indigent Patients

Base Salary: ___________________________________

Name of each worksite and address

5 Copies of Diplomas, licenses or applications for licenses

State medical license or applicaton for license

USMLE Scores

6 Complete passport (Verify all pages)

I-129 Immigration Petition Approval Notice

H-1B Approval Notices

Copy of I-94

Summary of Reviewer’s Findings:


J-1 Visa Waiver Program

National Interest Waiver Letter of Support Requirements

Each national interest waiver packet must contain the items listed within the NIW checklist.

If documentation required in the checklist is omitted or does not meet the "Delta Doctors"
Program Guidelines, the application will be mailed back to the attorney and will be placed in the
back of the current applications that are in the DRA queue for review. The DRA checklist should
be completed and included in the J-1 visa waiver application to the Authority.

 Send the original application and one copy directly to Delta Regional Authority.

 Place the U.S. Department of State Case Number on all pages.

 Tab the application by the numbers listed below in the following order.

DRA will make a decision on issuing a support letter upon receipt and review of the following:

Documents required for NIW support letter requested in conjunction with a J-1 waiver:

1. An executed employment contract between the physician and his/her employer, which commits
the physician to five years of service in a DRA underserved county or parish.

2. A statement from the physician’s employer committing support for the physician’s NIW, which
should be in the Employer Cover Letter.

3. A short testimonial from the physician expressing his/her reason for pursuing an NIW, which
should be expressed in the physician statement.
4. A letter of opinion from a legal counsel stating “to the best of their knowledge, the information
in the application is truthful, and that he/she believes the applicant is eligible for a NIW”; this
should be stated in the original letter of opinion.
Documents required for NIW support letter requested after waiver has been granted:

1. An executed employment contract between the physician and his/her employer which commits
the physician to two or more additional years of service in a DRA underserved county or parish.
Self-employed physicians must present an affidavit committing him/her to two or more
additional years of service.

2. A statement from the physician’s employer committing support for the physician’s NIW.

3. A short testimonial from the physician expressing his/her reason for pursuing an NIW.

4. A letter of opinion from a legal counsel stating “to the best of their knowledge the information in
the application is truthful, and that he/she believes the applicant is eligible for a NIW.”

5. Copies of diplomas, licenses, board certifications, and USMLE scores.

6. A copy of the physician’s complete passport, I-129 Immigrant petition, H-1B approval notices
and I-94.

7. A copy of Form G-28

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