This form is used to request a waiver of the mandatory insurance for Summer Break for F-1 and J-1 students who will be outside of the US for at least three entire calendar months.
This form is used to request a waiver of the mandatory insurance for Winter Term for F-1 and J-1 students who will be outside of the US during the COVID-19 campus measures.
This form is used to request cancellation of your international health insurance coverage because you are now covered by health insurance provided by your Academic Training employer. If you are not a J-1 student currently on post-completion Academic Training, please do not use this form.
This form is to be used by *continuing* U-M students and scholars to request a replacement of the most recently issued DS-2019 due to loss, theft, or damage.
This form is used to request changes to your existing U-M International Student/Scholar Health Insurance coverage, such as a change to the coverage end date, the addition of a dependent, etc.
This form is used to notify the U-M International Center that you are leaving U-M or the U.S. temporarily or permanently. The U-M International Center uses the information to adjust or end your SEVIS record.
This form is used by students who are continuing U-M students but who need an initial, transfer back, or reinstatement DS-2019. Do not use this form if you are a new U-M student; contact your admissions office for your initial DS-2019.
This form is used by students who require additional time to complete academic program requirements and are requesting an extended DS-2019.
This form is used by J-1 visa holders who wish to remove their J-2 dependents from their DS-2019.
This form is used by J-1 students who have a change or correction in their personal information (name, citizenship, birthdate) and wish to be issued an updated DS-2019 reflecting this change.