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OPT Reporting Requirements Form
OPT Reporting Requirements
Students on OPT use this form to report changes of address and employment status. Report changes within 10 days.
Name
*
First
Last
Email
*
Your Current Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Enter the address where you reside.
Employment Status
*
Currently unemployed
Employed
Employer Information
*
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Enter the name and address of your employer.
Employment Start Date
*
Date Format: MM slash DD slash YYYY
Report leaving the U.S before your OPT end date.
*
I am leaving the U.S. before my OPT end date.
No, I am not leaving the U.S. before my OPT end date.
Report changes to visa status.
Yes, my visa status has changed.
No, my visa status has not changed.
Enter your new visa status.
Certification
*
By checking this box, you certify that the above information is accurate.
I certify that the above information is true.
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