What Documents Are Needed for a Conrad State 30 Waiver?
A Conrad waiver requires the physician's DOS filing plus the state-sponsored package containing the physician's immigration history, CV, state request letter, facility information, shortage evidence, employment contract, and any state-specific supporting documents.
All DS-2019 or IAP-66 forms
DOS requires copies of all DS-2019 or IAP-66 forms issued to the physician.
Curriculum vitae and state request
The state package includes the physician's curriculum vitae and the state designated official's public-interest waiver letter with the identifying information required by DOS.
Facility and shortage evidence
The package includes a letter from the hiring facility and evidence establishing the applicable HPSA or MUA placement, subject to any qualifying flex arrangement.
Signed employment contract
Current DOS instructions require the signed three-year, 40-hour-per-week contract. If the physician received home-government funding, the additional Conrad-specific No Objection Statement is also required.
Frequently Asked Questions
Does DOS require every DS-2019?
Yes. Current instructions call for copies of all DS-2019 or IAP-66 forms.
Is a CV required?
Yes. DOS lists the physician's curriculum vitae in the state supporting package.
Is the employment contract part of the DOS package?
Yes.
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