U. S. Department of State
J-1 VISA WAIVER RECOMMENDATION APPLICATION INSTRUCTIONS
Keep this page for your records
Complete the following two pages of this form and send them, along with the fee
and supporting documentation listed below, to:
U.S. Department of State
Waiver Review Division
P.O. Box 952137
St. Louis, MO 63195-2137
PLEASE DO NOT STAPLE ANY DOCUMENTS
PLEASE AVOID TWO-SIDED DOCUMENTS AND ONLY USE 8 1/2" X 11" PAPER
Supporting documents and fee:
1. Application fee of $215 PER J-1 APPLICANT. Please send a cashier's check or money order in U.S.
currency drawn on a U.S. bank, made payable to THE U.S. DEPARTMENT OF STATE. Include your
name, date and place of birth on whatever form of payment you submit. DO NOT SUBMIT MORE
THAN ONE APPLICATION FEE PER PERSON:
2. Any additional pages needed to full respond to the questions in this form;
3. A statement demonstrating why the exchange visitor is eligible to receive a waiver of the two-year
home country requirement of the exchange visitor program. The length of the statement may vary;
4. Copies of all DS-2019 "Exchange Visitor Program Certificate Of Eligibility For Exchange Visitor (J-1)
Status" (formerly IAP-66) forms;
5. Notice of Entry of Appearance as Attorney or Representative (G-28 form), if the exchange visitor is
represented by an attorney;
6. Copy of the data page of the exchange visitor's current passport containing name and birth date.
7. Two self-addressed, stamped envelopes.