Skip Global Navigation to Main Content
Skip Breadcrumb Navigation
Request an earlier interview date

Application Form for an Expedited Visa Interview

This form is only for applicants who have already scheduled a visa appointment online but who have an urgent need to be interviewed at an earlier time OR for those applicants who hold an APEC Business Travel Card (ABTC). All fields must be completed unless otherwise marked. After clicking “submit”, we will contact you via email as soon as your application for an expedited visa interview has been reviewed but no later than one business day after submission.
(*) Optional fields  
1. Surname: 
2. Given Name: 
3. Sex: Male  Female 
4. Date of Birth: 
6. Nationality:
7. Passport No.: 
8. Workplace, Company or Organization: (Write “NO” if not applicable)
9. Contact Telephone: 
10. Email: 
11. Purpose of Travel: 
12. Reason for Expedited Visa Interview Request:
13. Date of Online Scheduled Interview Appointment:
14. Date of Proposed Travel/Departure:
* 15. Have you ever been refused a visa to the United States: Yes No
Date of last refusal:
* 16. Have you ever been issued a visa to the United States:  Yes No
Date of last issuance:
Note: If you were refused a visa within 3 months, it is unlikely that your request will be approved.