how to add child to the application post submission?

[cantn]

Child is born after application is submitted. How to add her to the application?
Child is a USA citizen.
Is upfront medical required?

 

[canuck_in_uk]

Email the VO and inform them of the birth. They should tell you what updated forms they will require. A medical will need to be done; for an infant, this is basically just a simple physical check.