Forms

F-1 Students
Form DESCRIPTION
Academic Advisor Recommendation for I-20/DS-2019 Extension

This form is to be filled out by an academic advisor who is recommending that a student be issued an extension I-20 or DS-2019.

Affidavit of Financial Resources

Each individual contributing financially to the named student's education must complete the Affidavit of Financial Resources.

Financial Resources Statement

This form must accompany certain I-20 or DS-2019 request forms. It is used to certify sufficient funding for the issuance of a new I-20 or DS-2019.

Health Insurance Temporary Absence Waiver Request Form

This form is used to request a waiver of the mandatory insurance because you will be outside the US for at least three entire calendar months.

Health Insurance Waiver Request Form (Summer Break)

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.

I-20 Request Form for Continuing/Returning Students

This form is used by students who are continuing U-M students but who need an initial, transfer back, or reinstatement I-20. Do not use this form if you are a new U-M student; contact your admissions office for your initial I-20.

I-20 Request Form to Remove F-2 Dependents

This form is used by F-1 students who wish to remove their F-2 dependents from their I-20.

International Arrival Questionnaire

This form is to be used by students with I-20 start dates in May, June, or July.

International Health Insurance Plan Change Form

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.

LSA Undergraduate Cross-Campus Transfer Request for F-1 Student

This form is used by Undergraduate LSA students who have received approval from the LSA Advising Center to transfer from another UM school to LSA and need an I-20 to reflect the new academic program. This I-20 must be obtained before beginning study in LSA.

Severe Economic Hardship Request for F-1 Student

This form is used to request recommendation for severe economic hardship employment authorization.

Social Security Letter for F-1 Student

This letter is used by F-1 students who have secured on-campus employment and need to verify employment and student status in order to apply for a social security number. Please read Getting a Social Security Number and Card.

J-1 Students
Form DESCRIPTION
Academic Advisor Recommendation for I-20/DS-2019 Extension

This form is to be filled out by an academic advisor who is recommending that a student be issued an extension I-20 or DS-2019.

Affidavit of Financial Resources

Each individual contributing financially to the named student's education must complete the Affidavit of Financial Resources.

Continuing Student Request for New DS-2019

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.

DS-2019 Request Form To Remove J-2 Dependents

This form is to be used by J-1 students or scholars who wish to remove their J-2 dependents from their DS-2019.

Financial Resources Statement

This form must accompany certain I-20 or DS-2019 request forms. It is used to certify sufficient funding for the issuance of a new I-20 or DS-2019.

Health Insurance Temporary Absence Waiver Request Form

This form is used to request a waiver of the mandatory insurance because you will be outside the US for at least three entire calendar months.

Health Insurance Waiver Request Form (Summer Break)

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.

International Health Insurance Plan Change Form

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.

International Health Insurance Waiver Request Form (AT)

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.

Off-Campus Employment Based on Economic Hardship for J-1 Student

This form is used to request recommendation for severe economic hardship employment authorization.

On-Campus Employment Authorization for U-M Sponsored J-1 Student

This form is used to request on-campus work authorization.

Social Security Letter for J-1 Student

This letter is signed by the International Center to verify your J-1 status to assist in your Social Security Number application. Please read Getting a Social Security Number and Card.

Transfer-out Request & Checklist for J-1 Student

This form is used to notify U-M of your intent to transfer your J-1 immigration status to another school. The U-M International Center uses the information to update your SEVIS record with the name of the school to which you will transfer and your transfer release date. The checklist guides you through the process of officially transferring from U-M to another educational institution in the U.S.

Travel Signature Request for J-1 Student/Scholar

This form is needed to request official DS-2019 authorization to reenter from a trip outside the U.S.

Update Financial Information Request on DS-2019

This form is used by J-1 students who have a significant change in their funding situation and wish to be issued an updated DS-2019 reflecting this change.

Update Personal Information Request on 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.

J-1 Scholars
Form DESCRIPTION
DS-2019 Request Form To Remove J-2 Dependents

This form is to be used by J-1 students or scholars who wish to remove their J-2 dependents from their DS-2019.

Exchange Visitor Information Form

The Exchange Visitor Information Form is for newly invited exchange visitors to provide information to their host departments. Do not submit this directly to the International Center; return it to your inviting academic department.

International Health Insurance Plan Change Form

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.

J-1 Continuing Program Out of Country

This form is used by J-1 scholars who will continue to pursue their J-1 program objective while they are outside the United States for more than 30 days but less than one year.

J-1 Scholar Notice of Early Departure

This form is used to notify the U-M International Center that you are leaving U-M or the U.S. earlier than the current end date on your DS-2019. The U-M International Center uses the information to adjust or end your SEVIS record.

Social Security Letter for J-1 Scholar

J-1 Scholars receive this signed Social Security letter at check-in. If you have not yet attended the mandatory check-in, please wait and do not download this letter now. If you have attended check-in and subsequently lost this letter, print this on-line letter and bring it to the International Center for a signature.  Please read Getting a Social Security Number and Card.

Travel Signature Request for J-1 Student/Scholar

This form is needed to request official DS-2019 authorization to reenter from a trip outside the U.S.

Visa Assistance Web Form

If you are a F-1/J-1 student, please submit your request through the M-Passport portal > Requests > Visa Assistance.

If your travel to the Ann Arbor campus will be delayed for any of the following reasons, please fill out this form.

Faculty/Staff
Form DESCRIPTION
Actual Wage Determination Form

This form is used in the H-1B process by U-M department administrators to document the "actual wage," which is based on internal wage data and on the salaries of individuals who are considered to be “similarly employed” to the foreign national.

Employment Change Notification Form

To be completed when requesting a change to the employment (e.g. salary, title, hours, location, including a transfer to another UM department) of an employee in H-1B, TN, E-3 or O-1 status.

H-1B/ TN/ E-3 Process Authorization Form

This form is used by U-M department administrators to initiate an H-1B, TN or E-3 visa petition with the U-M International Center.

H-1B/E-3/O-1 Termination & Transfer Form

This form is used by U-M department administrators to report that an H-1B, E-3 or O-1 will be leaving the department and/or ending their U-M employment.

Permanent Residency Process Authorization Form

This form is used by U-M department administrators to initiate a permanent residency case that will be filed by the U-M International Center, i.e. all EB-2 and EB-3 cases for individuals who have teaching duties

Request for Retained Immigration Counsel Form

This form is used by U-M department administrators to submit a request for a permanent residency case (EB-1 and non-teaching positions), O-1 petition or certain waivers of the 2-year home residency requirement.

Visa Assistance Web Form

If you are a F-1/J-1 student, please submit your request through the M-Passport portal > Requests > Visa Assistance.

If your travel to the Ann Arbor campus will be delayed for any of the following reasons, please fill out this form.

O-1 Visa
Form DESCRIPTION
Employment Change Notification Form

To be completed when requesting a change to the employment (e.g. salary, title, hours, location, including a transfer to another UM department) of an employee in H-1B, TN, E-3 or O-1 status.

H-1B/E-3/O-1 Termination & Transfer Form

This form is used by U-M department administrators to report that an H-1B, E-3 or O-1 will be leaving the department and/or ending their U-M employment.

Request for Retained Immigration Counsel Form

This form is used by U-M department administrators to submit a request for a permanent residency case (EB-1 and non-teaching positions), O-1 petition or certain waivers of the 2-year home residency requirement.

H-1B Visa
Form DESCRIPTION
Actual Wage Determination Form

This form is used in the H-1B process by U-M department administrators to document the "actual wage," which is based on internal wage data and on the salaries of individuals who are considered to be “similarly employed” to the foreign national.

Employment Change Notification Form

To be completed when requesting a change to the employment (e.g. salary, title, hours, location, including a transfer to another UM department) of an employee in H-1B, TN, E-3 or O-1 status.

H-1B/ TN/ E-3 Process Authorization Form

This form is used by U-M department administrators to initiate an H-1B, TN or E-3 visa petition with the U-M International Center.

H-1B/E-3/O-1 Termination & Transfer Form

This form is used by U-M department administrators to report that an H-1B, E-3 or O-1 will be leaving the department and/or ending their U-M employment.

PR Visa
Form DESCRIPTION
Permanent Residency Process Authorization Form

This form is used by U-M department administrators to initiate a permanent residency case that will be filed by the U-M International Center, i.e. all EB-2 and EB-3 cases for individuals who have teaching duties

Request for Retained Immigration Counsel Form

This form is used by U-M department administrators to submit a request for a permanent residency case (EB-1 and non-teaching positions), O-1 petition or certain waivers of the 2-year home residency requirement.

U-M Departments
Form DESCRIPTION
Actual Wage Determination Form

This form is used in the H-1B process by U-M department administrators to document the "actual wage," which is based on internal wage data and on the salaries of individuals who are considered to be “similarly employed” to the foreign national.

Department INSZoom Authorization Form

This form is used by U-M department administrators to request access to the INSZoom on behalf of their departments.

Employment Change Notification Form

To be completed when requesting a change to the employment (e.g. salary, title, hours, location, including a transfer to another UM department) of an employee in H-1B, TN, E-3 or O-1 status.

H-1B/ TN/ E-3 Process Authorization Form

This form is used by U-M department administrators to initiate an H-1B, TN or E-3 visa petition with the U-M International Center.

H-1B/E-3/O-1 Termination & Transfer Form

This form is used by U-M department administrators to report that an H-1B, E-3 or O-1 will be leaving the department and/or ending their U-M employment.

Permanent Residency Process Authorization Form

This form is used by U-M department administrators to initiate a permanent residency case that will be filed by the U-M International Center, i.e. all EB-2 and EB-3 cases for individuals who have teaching duties

Request for Retained Immigration Counsel Form

This form is used by U-M department administrators to submit a request for a permanent residency case (EB-1 and non-teaching positions), O-1 petition or certain waivers of the 2-year home residency requirement.

SEVIS Business Processes Documents

This section contains links to the most current, approved SEVIS Business Processes and other relevant documents. All process documents are in Adobe "pdf" format. (Authorized Use Only)

TN Visa
Form DESCRIPTION
Employment Change Notification Form

To be completed when requesting a change to the employment (e.g. salary, title, hours, location, including a transfer to another UM department) of an employee in H-1B, TN, E-3 or O-1 status.

H-1B/ TN/ E-3 Process Authorization Form

This form is used by U-M department administrators to initiate an H-1B, TN or E-3 visa petition with the U-M International Center.

E-3 Visa
Form DESCRIPTION
Employment Change Notification Form

To be completed when requesting a change to the employment (e.g. salary, title, hours, location, including a transfer to another UM department) of an employee in H-1B, TN, E-3 or O-1 status.

H-1B/ TN/ E-3 Process Authorization Form

This form is used by U-M department administrators to initiate an H-1B, TN or E-3 visa petition with the U-M International Center.

H-1B/E-3/O-1 Termination & Transfer Form

This form is used by U-M department administrators to report that an H-1B, E-3 or O-1 will be leaving the department and/or ending their U-M employment.

Health Insurance
Form DESCRIPTION
Health Insurance Temporary Absence Waiver Request Form

This form is used to request a waiver of the mandatory insurance because you will be outside the US for at least three entire calendar months.

Health Insurance Waiver Request Form (Summer Break)

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.

International Health Insurance Plan Change Form

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.

International Health Insurance Waiver Request Form

This form is used to request a waiver of the mandatory insurance requirement for F-1 and J-1 students or scholars whose Forms I-20 or DS-2019 were issued by U-M. If you are currently on F-1 Optional Practical Training, please use the the International Health Insurance Cancellation and Waiver Form (OPT).

International Health Insurance Waiver Request Form (AT)

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.

International Health Insurance Waiver Request Form (OPT)

This form is used to request cancellation of your international health insurance coverage because you are now covered by health insurance provided by your Optional Practical Training employer. If you are not currently on Optional Practical Training, please do not use this form.

Supplemental Repatriation and Medical Evacuation Insurance Enrollment Form

This form is used to enroll in supplemental medical evacuation/repatriation insurance.