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Letters of Support for the National Interest Waiver (NIW) Program

The Michigan Department of Health and Human Services provides letters of support for National Interest Waiver Petitions. 

To receive a letter of support the employer must fill out the request form, print it on the employer's letterhead, and sign it. 

Please also include the following:

  • A copy of the employment agreement or contract.
  • Documentation indicating that the employment site is in a federally designated shortage area  (HPSA or MUA/P). In the case of multiple work sites, please list them separately.

Michigan does not provide letters of support for physicians with prior service in Michigan without a minimum of 1 year further commitment in a Michigan underserved area.

Please email the request to Megan Linton at

Please allow up to 30 days for processing of this request.