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 StudentsPersonal Information Last Name: * First Name: * UMID: * Uniqname: * Current Email: * Program End Date on I-20: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20152016201720182019202020212022202320242025 Start Date on EAD Card: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20152016201720182019202020212022202320242025 End Date on EAD Card: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20152016201720182019202020212022202320242025 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.
