When I last worked in Saudi and applied for a work visa, I learned what seemed like the normal and customary paperwork requirements are not necessarily what we understand to be normal and customary.  Here are my challenges...hopefully now addressed:

My doctor signed and and provided her licensing information for the Commonwealth of Massachusetts and backed by Beth Israel Deaconess/Harvard Hospitals to verify the test results of all my medical tests.  Some of those test results are not acceptably received simply on a doctor's signature.  It is an enormous challenge to by-pass the complex and legal issues of privacy for medical records in order to transfer the actual lab testing records, especially for HIV testing, since those are Federally invoked privacy and confidentiality laws.  This information was forwarded for visa review yesterday.

Every state has its own standard for criminal background checks done for employment purposes.  In Maine it is handled through the State Police in Augusta and in NY it is handled through a special administrative department of the Court.  None of the cities or towns are authorized to do individual criminal background checks for employment submissions.  However, for a Saudi Work Visa the local police must also verify a clear criminal background.   Thankfully, with a clear criminal check from the Central Administrative Court Office in NY City, there is willingness from the records department of the Utica Police to accomplish a notarized letter supporting my clear record for submission with the work visa paperwork.  I pick up the letter today and will scan and send and will also send the original overnight.

New visa pictures were submitted as mine had to be replaced with current shots.  With all this done it will be time to see if there are other challenges.