Employment Authorization Document (EAD) Form

This form is to be used by students who are currently on OPT or STEM OPT and have received his or her Employment Authorization Document (EAD) Card.

Tags:

F-1 Students

Personal Information

Last Name: *

First Name: *

UMID: *

Uniqname: *

Current Email: *

Program End Date on I-20: *

Month

Day

Year

Start Date on EAD Card: *

Month

Day

Year

End Date on EAD Card: *

Month

Day

Year

Document

OPT or STEM *

Post-Completion OPT EAD Card

STEM OPT EAD Card

Pre-Completion OPT EAD Card

Copy of your current Employment Authorization Document (EAD) (just the front side) *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

Comments

Certify *

I certify that I have read the document form instructions and information in full and the information I have provided is, to the best of my knowledge, accurate.

	1500 Student Activities Building 515 E. Jefferson Street Ann Arbor, MI 48109-1316
	734.764.9310
	icenter@umich.edu

Search form

You are here

Employment Authorization Document (EAD) Form