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Federal forms, ICRs, and supporting documents

OMB control number

Medical Clearance Update

OMB 1405-0131 · STATE/AFA.

OMB 1405-0131

The information requested on the DS-3057 is required for professional medical staff of the Bureau of Medical Services to make decisions on the type of medical clearance an individual and family members are assigned. This medical clearance, in turn, is used by the Foreign Service to determine posts abroad where the Foreign Service member and family may serve.

The latest form for Medical Clearance Update expires 2027-01-31 and can be found here.

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