​​The Office of Workforce Development Maryland J-1 Visa Waiver Program 

Checklist and Application Forms​


The following information must be submitted in this order to the Maryland Department of Health, Office of Workforce Development, 201 W. Preston Street, 4th Floor Baltimore, Maryland 21201, Attention: Sadé​ Diggs 

The Review File number and the J-1 physician’s last name must be typed on the lower right hand corner of every page. Please submit an electronic copy to mdh.providerworkforceprograms@maryland.gov along with the hard copy original/copy by mail.

  • Cover Letter from the employer wishing to hire the physician for three years. (See J-1 Visa Waiver Policy, Section F, 1. for details.)
  • HPSA/MUA evidence documents (as applicable).
  • An employment agreement or contract between the physician and an eligible practice. (For details, please see the J-1 Visa Waiver Policy, Section C, 3).
  • J-1 Physician’s Curriculum Vitae.
  • Exchange Visitor Attestation (signed and notarized).
  • Copies of all forms DS-2019 (formerly IAP-66).
  • Form G-28/Letter of Representation.
  • Completed Data Sheet (DS 3035).
  • Statement of Reason.
  • Third Party Barcode page.
  • Recruitment: Provide proof of at least six-month’s efforts by employer within the last year (does not have to be continuous) to recruit a U.S. citizen or a permanent resident physician. (For details, please see the J-1 Visa Waiver Policy, Section D, 11).
  • Copy of all diplomas.
  • Copy of all academic transcripts.
  • Copy of all Physician Licenses and/or proof of paid application for Maryland licensure.
  • Copy of Educational Commission for Medical Graduates credentials.
  • Copy of U.S. Medical Licensing Examination Score Reports for Steps 1, 2 and 3.
  • Letters of Recommendation.
  • Sliding Fee Scale and Sliding Fee Scale Policy.
  • J-1 Site Application​​​
  • Employer Attestation (signed by President/CEO and notarized)
  • J-1 Visa Waiver Policy​​​​​: Signed.
  • J-1 Visa Waiver/National Interest Waiver Programs Verification of Employment​
  • Statement of No Financial Obligation in Lieu of No Objection Letter (signed and notarized).
  • All other forms that are required by the U.S. Department of Justice Immigration and Naturalization Service.
  • An original and one copy of the entire waiver request package must be submitted.

Additional Forms and Information


To be completed by J-1 Physician after waiver is received:

J-1 Visa Waiver Certification of Arrival Agreement​​​