Unlike the English exemption, civics test accommodations are available for applicants with disabilities that interfere with taking the standard 10-question oral test.

Accommodations can include sign language interpreters, extra time, large-print materials, or taking the test at home.

This guide explains how to request accommodations under the ADA and USCIS policy, including exactly what medical documentation you need.

Types of Accommodations Available

If you have a disability but can still learn civics (unlike the N-648 exemption), you may request reasonable modifications to how the test is administered.

Common accommodations:

  • Sign language interpreter (for deaf or hard of hearing applicants).
  • Extra time (double or triple the standard 10-15 minutes).
  • Written test instead of oral (for speech impairments or severe anxiety).
  • Large-print or braille materials (for visual impairments).
  • Home interview (for mobility impairments or severe medical conditions requiring bed rest).
  • Use of assistive devices (hearing aids, magnifiers, communication boards).
Critical distinction: Accommodations help you take the SAME test. The civics questions (100 official questions) do not change. Only the method of delivery changes. If you cannot learn or understand civics at all, you may need an N-648 disability waiver (different process).

How to Request Accommodations (Form G-1148 is NOT the right form)

There is no single USCIS form for accommodations. Instead, you submit a written request along with your N-400 or at any time before your interview.

Follow these steps:

  1. Write a cover letter stating: 'Request for Reasonable Accommodation under Section 504 of the Rehabilitation Act.' Include your name, A-number, date of birth, and requested accommodation.
  2. Attach medical documentation (see below).
  3. Submit to the USCIS field office where your interview will be held — NOT the lockbox. You can upload online if you filed online, under 'Additional Evidence.'
  4. Call the USCIS Disability Helpline (1-888-226-4220) to confirm receipt.

Required Medical Documentation

USCIS requires a letter from a licensed medical professional (MD, DO, psychologist, audiologist, optometrist, or speech-language pathologist).

The letter must include:

  • Diagnosis and ICD-10 code (e.g., 'H90.3 Sensorineural hearing loss, bilateral').
  • Functional limitations specific to test-taking: 'Patient cannot hear spoken questions without amplification' or 'Patient's hand tremor prevents writing but not speaking.'
  • Recommended accommodation matching the disability: 'Sign language interpreter required for all verbal communication' or 'Extra time — double standard — due to slow processing speed from traumatic brain injury.'
  • Duration (temporary or permanent). For temporary disabilities (e.g., broken arm), accommodation is for a limited period.
  • Doctor's signature, license number, date, and contact information.

For permanent disabilities, older documentation (2+ years) is acceptable if the condition is stable.

For temporary conditions, documentation within 3 months is required.

Examples of Strong vs. Weak Documentation

Weak (likely denied): 'Patient John has anxiety. Please give more time.' — No diagnosis details, no description of functional impact.

Strong (approved): 'Diagnosis: Mixed receptive-expressive language disorder (F80.2) secondary to autism spectrum disorder.

Patient cannot process multi-step verbal instructions and requires visuals. Accommodation requested: Written version of civics questions with single-step formatting, plus 100% extra time.

This is permanent.'

Pro tip: If you need a sign language interpreter, request it at least 45 days before your interview. USCIS contracts with interpreters and needs lead time. Show up to the interview with your own interpreter anyway (they must be certified). USCIS will provide one but may also allow yours.

What If USCIS Denies Your Accommodation?

You have two options:

  • File an administrative appeal using Form I-290B (motion to reopen/reconsider) within 33 days.
  • File a disability discrimination complaint with the USCIS Office of Civil Rights and Civil Liberties (CRCL) — no fee, but slower.
  • Request a supervisor review at the field office on the day of interview (not guaranteed but often works if you bring updated medical letters).

Remember: Accommodations are your right under federal law. USCIS cannot refuse unreasonably.

However, they can deny if your documentation is insufficient — so invest in a thorough doctor's letter.