Optional Practical Training (OPT) Form

Immigration regulations require that all non-citizens report their residential addresses within 10 days of their entry to the United States and subsequently report any change of address within l0 days to the immigration authorities. This requirement applies to all non- U.S. citizens who intend to stay in the United States for more than 30 days. F-1 students who have graduated and have Optional Practical Training (OPT) must report their new residential address as well as their employer information. This information must be updated if any changes occur during the authorized OPT period. The U.S. Government takes these requirements very seriously.
Required fields are in red.
First Name:
Last Name:
Middle Name(s):
SEVIS ID #: (this number is found on your SEVIS Form I-20 in the top right hand corner, above the bar code. The “number” begins with the letter “N”)
Current Address:
Address 1:
Address 2:
Address 3:
City:
State:
Zip Code:
The HIO *must* be able to communicate with you. Therefore please provide a primary e-mail address which you will use during your F-1 visa status.
Email address:
Confirm email address:
New Address:
New address as of:
Address 1:
Address 2:
Address 3:
City:
State:
Zip Code:
New Employment (including self-employment):
Employment effective as of:
Employer Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Change of Visa Status:
I have changed my visa status from F-1 OPT to I understand that my visa status under SEVIS will be terminated, and that I may no longer use my F-1 OPT documents for travel or employment.