OPT Reporting Requirements Form

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 ZIP Code

Enter the address where you reside.
Employment Status*
- Currently unemployed
- Employed
Employer Information*
Street Address Address Line 2 City State 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.