IPS Forms
The following files contain forms that are frequently requested by international students. Some of these forms are interactive, i.e. they can be submitted online or as an email attachment. If your signature is required then form must be downloaded and brought to the International Programs and Services Office.
F1/J1 International Students (University Students)
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Alternate Insurance Petition Form
If you wish to use your own insurance and not purchase from a pre-approved insurance company.
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Certification of Status Request
Certify your international student status.
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Change of Address
You moved or changed contact information. You must also update GET.
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Curricular Practical Training
Work permit to perform an off-campus internship that is required or integral component of a course.
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Deferred Payment Plan
For students who want to pay quarterly fees in installment.
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Departure Form
You are leaving U.S. and will not return to continue at Cal State L.A.
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DS-2019 Request Form (J-1) DS-2019 Request Instructions J-1 International Student (new and extension) request form.
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Dual Registration Application
Permission to take classes outside of Cal State L.A.
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Extension of Stay
Instruction for extending your international student status to continue with your current degree program at Cal State L.A.
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F1 / J1 Contract
Summary of F-1/J-1 regulations.
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I-20 Request & Financial Affidavit Form
Requesting changes to or replace lost I-20 and Verification of financial support for the entire academic year.
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Insurance Claim Form
Claim reimbursement for medical expenses from Renaissance insurance.
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Insurance Refund Cancellation Request
Required to comply with Executive Order 622 during period of enrollment.
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On Campus Employment Verification
Proof of on campus employment for application for SSN.
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OPT Reporting Form (OPT Employment Update)
Update employment information during OPT.
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Optional Practical Training Packet OPT Workshop Schedule I-765 Application for Employment Authorization Photo Requirement One-year work permit at the completion of your studies.
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OPT Extension Agreement Instructions Employment List STEM Designated Degree Programs 17-month extension for students who received a degree in a STEM major.
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Personal Data Form
To be completed during initial check in by new students.
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Reinstatement for F-1 Students You are out of status and wish to revalidate you F-1 student status.
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Request for Reduced Course Load
Student cannot maintain full time enrollment and requesting a reduced load.
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SEVIS Transfer Release Request You are out of status and wish to revalidate you F-1 student status.
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Travel Authorization Form
Travel authorization for international students with I-20 and DS-2019.
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English Language Program Students
| Form Names | Online |
PDFs |
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Certification of Status Request
Certify your international student status.
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Change of Address
You moved or changed contact information. You must also update GET.
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I20 Extension Form
Instruction for extending your international student status to continue with your current ELP program at Cal State L.A.
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Travel Request Form
Travel Request Form.
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Transfer Out Request Form Transfer Out Request Form.
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Departure Form
Departure Form.
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Outbound Exchange Students
| Form Names | PDFs |
| Application For National Student Exchange | |
| Exchange Program Application | |
| Budget/Resource Worksheet | |
| Program of Study Statement | |
| Reference - Academic | |
| Reference - Other | |
Employment Sponsorship (Exchange Visitors, Staff and Faculty)
| Form Names | PDFs |
| DS-2019 Request Form Instructions |
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| H-1B Sponsoring Request Form | |
| H-1B Employee Bio Data Form | |
| H-1B Departmental Agreement Form | |
| Statement by H-1B Holder | |
| TN Sponsor Request TN Sample Letter TN Guidelines |
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Note: Adobe Acrobat Reader is required to view these forms.