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OPT Reporting

All international students in F-1 are required to report employer information to SEVIS within 10 days of the change. This information must be submitted to SEVIS each time there is a change of employer.
Additionally, you must report in by submitting this form during the 6th and 12th month of your OPT (from the startdate as posted on your work permit). If you have the 17-month STEM OPT extension, you also must report in during the 6th, 12th and 17th month of your STEM OPT. This filling period for this 3 weeks PRIOR to and ONE week AFTER eachreporting period.

Basic Information
Family/Last *
First Name *
Middle Name
CIN *
SEVIS Number *
Employment Information
Name of Employer *
Address of Employment *
City *
State & ZipCode *
Job Title *
Brief description of your Job Duties *
Start Date * Start Date of Employment
End Date End Date of Employment
Additional Information
Current U.S. Residence * Apt#
City *
State & ZipCode *
Telephone *
Email Address *


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Last Update: 08/25/2009