Copyright © 2019-2023 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved.
February 10, 2023
Page 2 of 2
STATEMENT OF NEED (SoN)
A new/updated SoN is required to apply for sponsorship continuation if any of the following criteria apply:
• The applicant is proposing to enter a new subspecialty.
• The letter on le with EVSP will expire prior to or during the proposed training period.
• The letter on le with EVSP is institution-specic and a change in host institution is proposed.
An original, ofcial SoN issued directly from the Ministry of Health in the country of most recent legal permanent residence
must be submitted directly to ECFMG. SoN letters are accepted in two ways—electronically OR by mail/courier service.
Regardless of submission method, per the U.S. Code of Federal Regulations (CFR), all SoNs
must:
• Be issued by the federal/central ofce of the applicant’s country of most recent legal
permanent residence
• Be issued on ofcial Ministry of Health letterhead and addressed to ECFMG
• Exactly follow prescribed wording outlined in the U.S. Code of Federal Regulations (CFR)
§62.27
• Specify a need that exactly matches the name of the training specialty/subspecialty being
pursued
• Contain the ofcial stamp or seal of the issuing government and dated signature of issuing
ofcial on the SoN
• Be issued in English; if not issued in English, a certied word-for-word English translation
is required (again, please note that the SoN and any translation must follow regulatory
prescribed language)
It is important to note that the source country for the SoN cannot be changed once an
applicant acquires J-1 status. Any/all subsequent SoNs must be issued from the same source country.
OFFICIAL DOCUMENTATION OF FUNDING SOURCE*
Provides proof of funding by the organization paying the trainee directly or conrmation of the applicant’s personal funds if the
source of funding is other than, or in addition to, the salary provided by the hospital or institution where the training will take place.
• Outside Organization: A signed letter, on organizational letterhead, from an ofcial of the organization providing direct funding
to the applicant. The letter must include the terms and conditions, dates, and amount in U.S. dollars.
• Personal Funds: Submission of a letter signed by a bank ofcial or a copy of a bank statement on letterhead conrming the
(self) funding amount specied in the on-line application. Foreign currency amounts must also include U.S. dollar equivalent.
IMPORTANT: Letters and/or statements issued by a bank should not show personal account information such as account
number or other personal identier.
*Minimum funding levels are $1,600 per month for the exchange visitor physician, $600 per month for a J-2 spouse, and $400
per month per child (any status).
EVIDENCE OF FAMILY RELATIONSHIP (marriage/birth/adoption certificate)
Required if requesting J-2 dependent sponsorship for a spouse and/or an unmarried minor child. If not in English, the certicate(s)
must include a certied, word-for-word English translation(s).
RETURN SHIPPING LABEL FOR EXPEDITED DELIVERY TO THE TPL (optional, but recommended)
If an application is approved, ECFMG will issue Form DS-2019, Certicate of Eligibility for Exchange Visitor (J-1) Visa Status,
to the TPL via rst-class U.S. mail. ECFMG is not authorized to release the Form DS-2019 directly to an applicant. For expedited and
trackable delivery, applicants must upload a prepaid/preaddressed courier service shipping label at the time of application (prior to
application review by EVSP). EVSP staff cannot complete a shipping label on behalf of an applicant or institution.
See https://www.ecfmg.org/evsp/applying-fees.html#ds2019 for additional information on the use of shipping labels.
EXCEPTIONAL EXTENSION BEYOND THE MAXIMUM DURATION REQUEST DOCUMENTATION
Additional documentation and fee are required if the proposed training program will necessitate an extension of the applicant’s
sponsorship beyond seven years (the regulatory maximum duration of ECFMG-sponsored clinical training). Such an extension must
be reviewed and authorized by the U.S. Department of State (DoS). Detailed information and documentation requirements for
applicants seeking exceptional extensions beyond the maximum duration are available on the EVSP website at
http://www.ecfmg.org/evsp/evspeememo.pdf.
Additional Documentation (required if applicable)
Whether an SoN is sent
electronically or by mail/
courier service, there are
specic, respective submission
procedures and requirements. If
an SoN is received that does not
meet these requirements, it will
not be accepted.
View the submission
requirements, and the required
SoN format and wording, on
the EVSP website at https://
www.ecfmg.org/evsp/applying-
general.html#need