Free online tool
USADV-5 Three-Year Compensation Visa Statement
Fill in the form and download a PDF — your answers are printed onto the official consulate form. Print it and sign by hand.
When you need it
All must apply: your multiple-entry visa issued before March 28, 2020 has expired and was not cancelled; you can provide the original visa; your personal details (name, sex, date of birth, etc.) have not changed; you are applying for the same visa type; and your current passport has more than one year of validity left. Other cases follow the consulate's instructions.
Please read before you start
- Formatting only. Your answers are printed onto the official form exactly as typed; we do not verify or guarantee their accuracy.
- The signature fields are blank. Print the form and sign by hand (a guardian signs for applicants under 16 as the form explains). Electronic signatures are not accepted.
- Acceptance is up to the consulate. We cannot guarantee the form will be accepted; always follow the consulate's latest notice.
- Please be truthful. False or incomplete information may lead to visa refusal or denial of entry; the applicant bears the consequences.
- Used only to generate, then deleted. What you enter is used only at the moment the PDF is generated and is deleted from server memory immediately afterwards — never stored in a database, never logged, no copy kept.
Prefer paper? Download the blank official form and fill it in by hand: Download blank PDF
Want us to check it for you?
This form is just one part of a visa application. If you'd like us to review it, or to handle the whole application for you, leave your details and we will get in touch. This is optional.