Fillable Opt Update Form - 12-Month printable pdf download

Office of International Students and Scholars

120 Fitzgerald Student Services Building/0074

Reno, Nevada 89557

Tel.: (775) 784-6874 Fax: (775) 327-5845

oiss@unr.edu

OPT UPDATE FORM - 12-MONTH

Update your information within 10 days of any changes. Unless otherwise noted, all fields are required.

 If you have multiple employers, submit a separate form for each additional employer.

o Post-completion OPT is a full-time work authorization, you must work at least 20 hours/week.

o 90 days of unemployment are allowed during the total 12-month OPT period.

 Fax, scan and email to oiss@unr.edu, or bring the completed form to OISS.

 If your mailing and/or physical address or permanent address changed, submit a

Change of Address

Form.

Last Name: _____________________________________

First Name: __________________________________

NSHE ID: ______________________________________

SEVIS ID: N __________________________________

Telephone: _____________________________________

Email: _______________________________________

Current OPT EAD Start Date: _____________________

Current OPT EAD End Date: _____________________

 I am unemployed. Dates of unemployment: Start: ___________________

End (if known): ___________________

 I am employed  I have changed employers  I have added an employer. Fill out employer’s information below.

Dates of employment: Start: _______________________

End (if known): _______________________

Employer (Company/Institution) Name: _________________________________________________________________

Employer Identification Number (EIN): _____-__________________

(Also known as a Federal Tax Identification Number, is a 9-digit number the IRS uses to identify the company)

Is this your primary employer (you may only have 1 primary employer)?  Yes  No

Job Title: ________________________________________________________ Are you Self Employed?  Yes  No

Address Line 1/Department Name: ____________________________________________________________________

Address Line 2: ____________________________________________________________________________________

City: ___________________________________

State: _______________

Zip Code: ________________

Employment Type:  Full-time (20 hours or more/week)  Part-time (less than 20 hours/week – need to have more than

1 employer to maintain status)  Volunteer (at least 20 hours/week considered full-time)

How does the employment relate to your program of study? _________________________________________________

_________________________________________________________________________________________________

Notes: ___________________________________________________________________________________________

_________________________________________________________________________________________________

 I want a new I-20 with the new employer information.  I will pick it up.  Please mail it to me - submit a

Shipping

for us to mail the I-20 to you.  Someone will pick it up for me – submit the

Request Form

Authorization to Release

Information. We will email you when the I-20 is ready or has been mailed. Allow at least 2 business days.

Signature: ____________________________________________________

Date: _______________________

OISS USE

ISSM: _________________________

SEVIS: ____________________________

June 16

Opt Update Form - 12-Month

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