Northeastern University Request To Change Funding, Replace Ds- 2019, Or Issue J-2 Dependent Ds-2019 (Form D)
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4Request to Change Funding, Replace DS-
2019, or Issue J-2 Dependent DS-2019
(Form D)
*Please note that the Office of Global Services (OGS) requires 10 business days for this process. The J-1 Scholar must possess a
DS-2019 notated with “current program sponsor funds,” and have completed an I-9 prior to receipt of Northeastern University
funds.
Please mark the appropriate box below:
Amended DS-2019 to reflect a change in salary level, paid/unpaid or reverse change, other funding source changes, and
any changes not listed on the initial Form DS-2019 issued to the scholar.
Anticipated date of change: _______ / _______ /__________
Month
Day
Year
Please provide the following:
a) If the amendment is based on the same funding source, but a change in the amount of funding, please submit
a copy of the new funding document. If the amount meets the Northeastern funding requirement for the
scholar and, if applicable, dependent(s), only a copy of the new document is needed. If not, please
supplement with a bank letter or statement to meet the Northeastern J-1 funding requirement.
b) If the amendment is based on a funding change from paid to unpaid, the scholar must be reappointed into an
appropriate unpaid academic appointment and a copy of the new appointment letter must be submitted
with this form. In addition, a copy of a new source of funding must be submitted to meet the Northeastern J-
1 funding requirement for the scholar and, if applicable, dependent(s).
c) If the amendment is based on a funding change from unpaid to paid, the scholar must be reappointed into an
appropriate paid academic appointment and a copy of the new appointment letter must be submitted with
this form. If the amount meets the Northeastern funding requirement for the scholar and, if applicable,
dependent(s), only a copy of the new letter is needed. If not, please supplement with a bank letter or
statement to meet the Northeastern J- 1 funding requirement.
d) If the amendment is based on receiving additional financial sponsorship, including funding from scholar’s
home government, the U.S. government, or any government agency, please attach a copy of the scholarship
or funding document. If in a language other than English, please provide a translation and currency
conversion to USD. It is mandatory to provide all sources of funding received for the purpose of the J-1
exchange visit to the OGS. Accepting any form of government funding for the purpose of exchange without
including the funding on the DS-2019 is a violation of the Department of State J-1 regulations.
Request for DS-2019 (s) for the scholar’s family (spouse and/or children) to enter the U.S. separately. (Please note that
only the spouse and children under the age of 21 may be claimed as J-2 dependents.)
Please provide the following:
a) Copy of passport data page for each dependent
b) Copy of document providing additional funding to cover dependent(s), including salary, scholarship, bank
statement or letter to prove personal funding, etc.)
c) Copy of the OGS Health Insurance Compliance Form
Request to replace lost or damaged DS-2019 for
J-1 scholar
J-2 dependent(s).
Please provide the following:
a) Copies of original document to be replaced, if available
b) Print-out of electronic Form I-94 (available at: cbp.gov/I94) or copy of paper Form I-94
Office of Global Services, 405 Ell Hall, 360 Huntington Ave, Boston, MA 02115
northeastern.edu/ogs | ogs@northeastern.edu | (p) 617.373.2310 | (f) 617.373.8788
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