I-485 Filed Without I-693: Automatic Denial or RFE?

An applicant filed Form I-485 (Application to Register Permanent Residence) without the accompanying Form I-693 (Medical Examination and Vaccination Record), citing long wait times to see a civil surgeon as the reason for the separate filing. The applicant later discovered that USCIS rules now require both forms to be submitted together, raising concerns about potential denial. USCIS policy has evolved regarding the concurrent filing of I-485 and I-693. While the agency has at times issued Requests for Evidence (RFE) to allow applicants to submit missing medical documentation, recent policy updates have emphasized the importance of submitting I-693 alongside the I-485 to avoid processing delays or rejection. For EB-3 applicants in similar situations, it is important to understand that USCIS does not always automatically deny applications missing the I-693. In many cases, the agency may issue an RFE giving the applicant an opportunity to submit the medical exam results. However, this is not guaranteed and depends on current USCIS discretion and workload. Applicants facing this situation should consult with an immigration attorney before deciding whether to withdraw and refile or wait for an RFE. Withdrawing and refiling could reset processing timelines and potentially affect priority dates, while waiting carries the risk of denial if an RFE is not issued. To avoid this situation, EB-3 applicants are strongly advised to schedule civil surgeon appointments well in advance of filing I-485, as appointment availability can vary significantly by location. Staying current on USCIS form instructions and policy updates is essential to ensure all required documentation is submitted concurrently.