UK Adult Dependent Relative Visa
Long-Term

01
Adult Dependent Relative (ADR) Visa
An Overview of Marriage Visitor Visa
The Adult Dependent Relative (ADR) visa allows a non-EEA national, such as a Pakistani citizen, to join a relative in the UK for long-term care if they meet strict criteria under Appendix Adult Dependent Relative of the UK Immigration Rules. This route is part of Appendix FM (Family Members) and is intended for adults (typically parents or grandparents) who require personal care due to age, illness, or disability that cannot be provided in their home country. The sponsor must be a British citizen (as in this case) or meet equivalent status. Applications are typically made from outside the UK, and success rates are low due to the evidential burden. As of, 2025, recent minor changes (effective from July 16, 2025) include updates to references in eligibility criteria (e.g., to “condition 1(a)(i)” for EEA sponsors) and clarifications on English language evidence for related family routes, but no major overhauls to ADR eligibility, fees, or requirements.
Who is this Visa For?
The UK Adult Dependent Relative Visa is for non-European Economic Area (EEA) adults who require long-term care and support that they cannot receive in their home country. This care must come from a family member—such as a parent, grandchild, brother, sister, son, or daughter—who is permanently residing in the UK. The family member in the UK must be a British or Irish citizen, have settled status, or have protection status. The visa is intended for those who are dependent on their UK-based relatives due to age, illness, or disability, and who are unable to live independently without the dedicated care that their relatives in the UK can provide.
Since March 2023, the eligibility for the ADR Visa is governed by the updated regulations under Appendix Adult Dependent Relative, which has replaced the previous provisions. This aligns with the UK’s commitment to ensure that the immigration routes meet the current societal and welfare needs while maintaining the integrity of its borders and immigration policies.
The Adult Dependent Relative Visa is more than just a permit to enter the country; it is an acknowledgment of the bond of family and the responsibilities that come with it. By allowing individuals to live with their close relatives in the UK, the visa not only fosters family unity but also ensures that the dependents are in a supportive environment where their needs can be adequately met.
In essence, the ADR Visa operates on the principles of compassion and familial duty, providing a means for families to support their most vulnerable members in a way that upholds their dignity and well-being.
The ADR Visa, therefore, is not just a travel document; it is a bridge reconnecting families and enabling the provision of care that transcends borders. It stands as a testament to the UK’s understanding of the importance of family and the support systems that are crucial for the well-being of its residents and their loved ones.
Purpose of the Visa
The purpose of the UK Adult Dependent Relative Visa is to allow individuals who are unable to care for themselves due to age, illness, or disability, to join their family members in the UK who can provide the necessary long-term care. This visa category aims to reunite families and ensure that dependent adults are not left without care in situations where adequate support cannot be accessed or afforded in their home country. It underscores the UK’s recognition of the importance of family support for individuals with significant care needs, enabling them to live in a supportive and familiar environment with their close relatives.
What Can You Do On this Visa?
On the UK Adult Dependent Relative Visa, the primary allowance is for you to live with a family member in the UK who can provide you with long-term care. This visa is not designed for work or study; its main purpose is to ensure that those with a proven need for care due to age, illness, or disability can receive it from a close family member in the UK. The family member must be a permanent resident, settled, or have protection status in the UK. If the sponsoring family member is a British citizen or settled in the UK, the dependent relative may have the possibility to stay indefinitely, which means there is no time limit to their stay. This visa acknowledges the significance of family support and the well-being that comes from being cared for by loved ones.
What You Cannot Do On this visa
On the UK Adult Dependent Relative Visa, there are several restrictions to consider. Primarily, the visa does not permit employment or engaging in business or professional activities. You are not allowed to claim most benefits, public funds, or the State Pension. The visa is specifically for those who need to be cared for by a relative, meaning you cannot use this visa to work, study, or seek employment in the UK. Additionally, you cannot usually switch to this visa from another category if you are already in the UK, and you cannot bring other family members with you as dependants on this visa. It is strictly meant for your care and support by the relative who is sponsoring you.
Key Takeaways of this visa
The UK Adult Dependent Relative Visa is tailored for vulnerable adults needing long-term care by a family member in the UK, highlighting the importance of family unity and support. Key takeaways include:
- It caters to adults who cannot independently care for themselves due to illness, disability, or age.
- The visa applicant must be supported by a UK resident who is either a citizen, has settled status, or has protection status.
- It’s not a route for work, study, or accessing public funds; the focus is purely on receiving care.
- The visa can lead to indefinite stay if the UK-based relative is a citizen or settled.
- Applicants must apply from outside the UK unless extending a current visa.
This visa underscores the UK’s commitment to compassionate family reunification for those in need of care.
1.1
Elucidating the Eligibility Criteria For Adult Dependent Relative (ADR) Visa
For those considering the path to the UK via the Adult Dependent Relative Visa, understanding the eligibility criteria is crucial. This visa is specifically tailored for individuals who cannot live independently and require long-term care that can only be provided by relatives in the UK. But who exactly qualifies for this visa, and under what conditions?
Validity Requirements for the Application
- The application must be made online using the specified form: “Join or accompany a family member” for entry clearance from outside the UK (e.g., Pakistan).
- Any required fee and Immigration Health Surcharge (IHS) must be paid in full (unless a fee waiver is granted in part or whole).
- The applicant must provide biometrics (fingerprints and photo) as required, typically at a Visa Application Centre (VAC) in Pakistan.
- A valid passport or travel document establishing the applicant’s identity and nationality must be provided.
- Both the applicant (mother) and sponsor (British citizen son) must be aged 18 or over on the date of application.
- If applying for extension inside the UK (rare for initial ADR, as most start from outside), the applicant must be in the UK with existing ADR permission and not in breach of immigration laws (except minor overstays under paragraph 39E).
- Applications failing these may be rejected as invalid without consideration.
2. Suitability Requirements
- The applicant must not fall for refusal under general suitability grounds in Appendix FM: For entry clearance, this includes S-EC.1.2 to S-EC.3.2 (e.g., criminality, deception, or threats to public good).
- No breach of immigration laws (for in-UK extensions) or immigration bail.
- The Home Office assesses character, conduct, and associations.
3. Eligibility Requirements for the Applicant (Mother)
- Must be outside the UK for initial entry clearance (cannot apply as a visitor and switch).
- Must be aged 18 or over.
- If the applicant is a parent or grandparent, they must not be in a subsisting relationship with a partner unless that partner is also applying as an ADR at the same time.
- Must obtain entry clearance before arriving in the UK.
4. Relationship Requirements
- The applicant must be the sponsor’s parent, grandparent, brother, sister, son, or daughter. (In this case, mother-son relationship qualifies.)
- Proof of relationship must be provided (e.g., birth certificates, adoption papers if applicable).
- The sponsor must remain the same for any extensions.
5. Sponsor Requirements (British Citizen Son)
- Must be a British citizen (qualifies), or settled in the UK (indefinite leave to remain), or have protection status (refugee/humanitarian), or be an EEA national with pre-settled status under Appendix EU (condition 1(a)(i), having started living in the UK before January 1, 2021).
- Must be aged 18 or over.
- Must sign a sponsorship undertaking confirming ability to maintain, accommodate, and care for the applicant without public funds.
6. Care (Dependency) Requirements
- The applicant (or their partner, if both are parents/grandparents applying) must require long-term personal care for everyday tasks (e.g., washing, dressing, cooking) due to age, illness, or disability.
- This care must not be available or affordable in the applicant’s home country (Pakistan), even with practical/financial help from the sponsor.
- No reasonable alternative provider in Pakistan (e.g., other family, paid carers, nursing homes, or state services) can provide the care.
- Evidence must show cultural, familial, or practical reasons why alternatives are unsuitable.
- For couples applying, only one needs to meet the care requirement.
7. Maintenance, Accommodation, and Care Provision Requirements
- The sponsor must provide adequate maintenance, accommodation, and care without recourse to public funds for 5 years (if British/settled sponsor) or the duration of the sponsor’s permission.
- No minimum income threshold (unlike partner visas); assessment is case-by-case based on sponsor’s income, savings, housing costs, and care expenses.
- Evidence of sponsor’s finances: Income from employment (payslips, P60, employer letter for 6 months prior), self-employment (tax returns), savings over £16,000, pensions, or other permitted sources.
- Accommodation must be adequate, owned/rented by sponsor, without overcrowding, and suitable for care needs.
- Sponsor must demonstrate ability to provide or arrange care (e.g., via family or paid services in UK).
8. Health and Other Requirements
- Tuberculosis (TB) Screening: As Pakistan is a listed country, the applicant must provide a valid TB test certificate from an approved clinic showing no active pulmonary TB.
- No English language requirement for ADR (unlike other family routes).
- Immigration Health Surcharge (IHS): Must be paid; £1,035 per year of stay (e.g., £5,175 for indefinite leave if British sponsor).
9. Required Documents and Evidence
- Passport/travel document with blank page for visa.
- Biometric information (provided at VAC).
- Relationship proof: Birth certificates, family records.
- Care needs evidence: Medical reports/letters from doctors detailing condition, daily needs, prognosis; evidence of current care in Pakistan and why inadequate.
- Home country care availability: Reports from local experts on care options/costs in Pakistan; explanations why family/paid/state care is unavailable/unaffordable.
- Financial evidence: Sponsor’s bank statements, payslips (6 months), tax returns, employer letter; savings proofs.
- Accommodation: Property deeds, rental agreements, floor plans showing space.
- TB certificate.
- Translations for non-English documents (certified).
- Sponsorship form/undertaking from sponsor.
- Personal details: Names, DOB, criminal history, previous applications, NI number (if any), parents’ details.
- Any children/partners’ details, even if not applying.
10. Application Fees (as of July 2025)
- Entry clearance from outside UK: £3,413 per applicant.
- Extension inside UK: £1,321 per applicant.
- IHS: £1,035 per year (pro-rated; e.g., £5,175 for 5 years if settlement).
- Biometrics enrolment: Included in fee (no extra cost).
11. Application Process
- Apply online, completing Form VAF4A Appendix 1.
- Attend VAC in Pakistan for biometrics and document submission.
- Processing time: Usually 12 weeks from outside UK (priority services may be available for extra fee).
- Decision: Granted if all met; refusals can be appealed on human rights grounds.
12. Visa Validity, Conditions, and Settlement
- If sponsor is British/settled: Indefinite leave to enter (unlimited stay, leading directly to settlement).
- If sponsor has limited leave (e.g., pre-settled/protection): Permission aligned with sponsor’s; must extend/settle when sponsor does.
- Conditions: No recourse to public funds; can work/study but must rely on sponsor for support.
- Settlement: Automatic if indefinite; otherwise, apply for indefinite leave when eligible (e.g., after 5 years, meeting ongoing requirements).
1.2
Navigating the Application Process For Adult Dependent Relative (ADR) Visa
Embarking on the application process for an Adult Dependent Relative Visa is a journey that requires attention to detail and a clear understanding of the procedural steps. The objective of this section is to navigate applicants through the maze of requirements, ensuring they understand how to apply, what documents to prepare, and the timeline they can expect for the application process.
Application Submission
The application must be completed online. Applicants need to fill out the required forms and appendices, specifically Appendix 1, which is a critical part of the application dossier.
Document Preparation
A vital step is gathering all necessary documents and information that will support the application. This includes evidence of the family relationship, the need for long-term care, financial stability, and accommodation arrangements.
Timeline for Decision
If applying from outside the UK, applicants should expect to receive a decision within 24 weeks. For those applying from within the UK, such as when extending a visa, the decision usually comes within 8 weeks.
Extension Applications
For those already in the UK and seeking to extend their stay, the process also involves an online application, aligning with the duration of the UK relative’s permission to remain in the country.
With these steps, applicants are equipped with the knowledge of how to proceed with their Adult Dependent Relative Visa application, ensuring they are prepared for each stage of the process.
1.3
Studying a Course in the UK Under Adult Dependent Relative (ADR) Visa
The UK Adult Dependent Relative Visa is specifically for individuals who require long-term care and is not intended for other purposes such as study. Individuals on this visa are expected to focus on their health and well-being, supported by their family members in the UK. If an individual holding this visa wishes to pursue studies, it would not typically be permissible under the conditions of the visa. Those seeking to study in the UK would generally need to obtain an appropriate student visa, which has its own set of criteria and conditions separate from the Adult Dependent Relative Visa.
1.4
Medical Treatments Under the UK Adult Dependent Relative Visa
Holders of the UK Adult Dependent Relative Visa have access to the National Health Service (NHS) for medical treatment, as their visa implies a need for long-term care due to health conditions. While routine medical care related to their condition is covered, it is important to note that the visa does not specifically cater to medical tourism. The care must be provided by the relative in the UK and not solely through the NHS. This access to healthcare is critical to ensure the well-being of visa holders, as their presence in the UK is predicated on the necessity of receiving care that is not available in their home country.
1.5
UK Adult Dependent Relative (ADR) Visa If You're Under 18
The UK Adult Dependent Relative Visa is not applicable to individuals under 18 as it is specifically designed for adults who require long-term care. Those under 18 would need to apply under a different category, such as the ‘child of a settled person’ visa, which caters to minors needing to live with a parent or relative in the UK. The ADR visa stipulates applicants must be over the age of 18.
02
After You Have Applied for the Visa
After applying for a UK Marriage Visitor Visa, await confirmation. It may take up to three weeks or longer, so be patient. Keep track of your application status online. Meanwhile, start preparing for your trip by researching about local customs, laws, and places you’d like to visit. It’s also essential to organise travel insurance covering health, travel delays, and losses. If you’ve not booked your flights and accommodations, wait and DO NOT buy ticket until your visa is approved to avoid potential losses. Remember to pack essential documents, including your passport with your visa, proof of financial sustenance, and return tickets. Lastly, make sure your passport validity extends beyond your travel dates.
Visa Fee and Processing Time
Application Fees (as of July 2025)
- Entry clearance from outside UK: £3,413 per applicant.
- Extension inside UK: £1,321 per applicant.
- IHS: £1,035 per year (pro-rated; e.g., £5,175 for 5 years if settlement).
- Biometrics enrolment: Included in fee (no extra cost).
Tracking Progress on Your Visa Application
Though there is no standard and easy way to track your visa application, you can ask for the concerned authorities for an update on your visa application. But you should not expect a quick response.
Getting a Decision on the Visa Application
In most of the cases you are informed about the decision on your visa application by the email for which the email address you gave during your visa application, is used. If you have requested an SMS alert service, you will also get an alert about the completion of your visa application processing process through an SMS.
What to Do if the Visa is Refused
In this visa category you don’t get a right of appeal or an administrative review. This means that the only option for you is to try to remove the objection and apply again (unless you were refused with 720A).
Extending Your Stay Under the UK Adult Dependent Relative (ADR) Visa
Holders of the UK Adult Dependent Relative Visa may seek to extend their stay if they continue to meet the eligibility criteria. The extension application must be completed online, with the dependent proving the ongoing need for long-term care that their UK-based relative can provide. The relative must still have the capacity to accommodate and support the visa holder without recourse to public funds. If the UK relative is a citizen or has settled status, the dependent may potentially remain indefinitely, but if the relative’s status is temporary, extensions would align with that timeframe. It is crucial for dependents to maintain their eligibility status to ensure continuity of their care and legal stay in the UK.
FAQs
Q1: What is the success rate of UK ADR visa applications?
A1: The success rate for ADR visa applications is very low, typically below 10 percent, owing to the rigorous eligibility standards and substantial evidence required.
Q2: What are common reasons for ADR visa refusals?
A2: Common reasons encompass insufficient proof of the need for long-term personal care, demonstration that similar care could be obtained in the home country, inadequate financial or accommodation details, and missing or inconsistent supporting documents.
Q3: Can the government recover costs if an ADR visa holder claims public funds?
A3: Yes, the government can pursue recovery of any public funds claimed by the visa holder from the sponsor, based on the signed maintenance undertaking.
Q4: Is legal advice recommended for ADR visa applications?
A4: Yes, given the complexity, low approval rates, and detailed evidential demands, consulting a qualified immigration specialist is strongly advised to enhance application quality.
Q5: Can an ADR visa be granted outside the standard rules on human rights grounds?
A5: Yes, in rare instances, if denial would violate Article 8 of the Human Rights Convention by imposing unjustifiably harsh outcomes on the applicant or family.
Q6: Is there a separate ADR route for Hong Kong BN(O) status holders?
A6: Yes, a distinct pathway exists under Appendix Hong Kong British National (Overseas) for adult dependents of BN(O) status holders.
Q7: Can third-party financial support be used for maintenance in ADR applications?
A7: No, commitments of support from third parties are not accepted; maintenance must derive from the sponsor or the applicant directly.
Q8: What if the ADR applicant owes money to the NHS?
A8: Applicants owing 500 pounds or more to the NHS are ineligible to apply for the visa.
Q9: Can the ADR visa holder lose their indefinite leave status?
A9: Yes, indefinite leave may be lost if the holder remains outside the common travel area for over two consecutive years.
Q10: Are there alternatives to the ADR visa for bringing dependent relatives to the UK?
A10: Options may involve the EU Settlement Scheme for qualifying cases or short-term visitor visas, though these do not permit permanent residency or long-term care arrangements.
Q11: What role does a property inspection report play in ADR applications?
A11: It serves as professional evidence from a surveyor confirming that the proposed accommodation is suitable, non-overcrowded, and meets health standards for the dependent’s needs.
Q12: How does the ADR visa process differ for sponsors with refugee or humanitarian protection status?
A12: Such sponsors without indefinite leave may not need a full maintenance undertaking, and the visa aligns with their limited leave duration.
Q13: Can the ADR applicant include their own dependent children in the application?
A13: No, the visa applies solely to the adult dependent; any children must pursue separate eligible immigration routes.
Q14: Why is the ADR visa refusal rate so high?
A14: The elevated refusal rate stems from the challenging burden of proving exclusive dependency and the absence of viable care options in the applicant’s home nation.
Q15: Can an Irish citizen sponsor an ADR visa?
A15: Yes, Irish citizens qualify as sponsors, treated equivalently to British citizens under UK immigration regulations.
Q16: Is the ADR visa application fee refundable upon refusal?
A16: No, the fee remains non-refundable regardless of the application’s outcome.
Q17: How long can an ADR visa holder stay outside the UK without risking status loss?
A17: Holders with indefinite leave risk status revocation for absences exceeding two years in the common travel area.
Q18: Can the ADR visa be applied for by switching from another UK visa category?
A18: No, initial applications require submission from outside the UK, with no provision for in-country switching from categories like visitor visas.
Q19: What impact has Brexit had on ADR visa sponsorship by EEA nationals?
A19: EEA nationals can sponsor only with pre-settled status if they began residing in the UK prior to January 1, 2021; post-Brexit arrivals generally do not qualify.
Q20: Can the sponsor be under 18 for an ADR visa?
A20: No, sponsors must be at least 18 years old to qualify.