Request for New I-20/DS-2019 (students only)

Family Name*

First Name*

UIN*

SEVIS ID # (NOTE: For CHANGE OF STATUS applications, enter 0s. Current F/Js **must** enter their number for processing to begin.*

Current Academic Program Start Date (If you are applying for a change of status, write "N/A.")*

Current I-20/DS-2019 Expiration Date (NOTE: If applying for a CHANGE OF STATUS, enter "N/A".)*

Current U.S. Address*

City, State & ZIP Code*

If you answered "No," you must submit your updated address via the SEVIS U.S. Address Update form (click here or locate on the FORMS page of our web site.)

Phone Number (XXX.XXX.XXXX)*

ODU Student E-Mail (e.g. msmit001@odu.edu)*

If "Other," what is your current visa status?

NOTE: If your dependents have left the U.S. permanently, please provide documentation to ISSS as we are required, by law, to terminate their SEVIS record. Documentation can be in the form of a travel itinerary or a scan of the stamp given when they entered your home country.

For items above with the "@" symbol next to them, please provide the necessary additional information.

IF YOU ARE REQUESTING AN EXTENSION OF YOUR CURRENT FORM: Extensions may not be processed until 30 days before your document expires. If you have a special circumstance where you may need your paperwork earlier than that, please contact ISSS. Your document can be extended for a maximum of two (2) semesters (or three for PhD students). Your electronic request must be followed up with two items:

1) submission of financial documentation (assistantship letter, bank statement, etc.); see EXPENSES below for more information

2) Recommendation for Extension of Visa Document ; the student portion is must be filled out online