Ds-2019 Application Form - Documentation To Be Submitted To The Ifss Office Page 2

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Checklist of documentation to be submitted to IFSS
(Please include completed checklist with request)
IFSS will not process an incomplete application; an incomplete application will result in processing
delays. To avoid this, be sure to include:
DS-2019 application form fully completed and signed by the department (all questions must be
completed)
Copy of invitation/appointment letter from the hosting UW-Department on letterhead and signed (Begin-
date should be at least 3-months from the date the request is submitted to the IFSS Office)
If not funded by UW-Madison, provide documentation of all funding source(s): e.g. letter(s) from official
sponsor or official bank statement (in US$ and in English or with English translation) on letterhead
A copy of the passport identity page for prospective J-1 scholar and accompanying J-2 dependents
Optional- copy of Curriculum Vitae (CV)
For courier service delivery of DS-2019 to scholar: Completed UPS or FedEx express air-bill.
IFSS will not accept express air-bills from any other companies
Special Notes:
For J-1 visa holders already in the U.S. a visa transfer may be required. Please refer to the IFSS
Website for further information:
TITLE:
J-1 Transfer
For visitors who are MDs: a "5 point" letter from the Chair and Director of Clinical Affairs is
required if the visit will involve incidental patient contact. Please refer to the IFSS Website for further
information:
TITLE: Incidental Patient Contact
For information regarding Minimum Financial Support Requirements and Mandatory Health
Insurance (SHIP) Requirements please refer to the IFSS Website for further information:
TITLE: J-1 scholar and J-2 Dependent Living Expenses
DS-2019 application (with all required attachments) may be sent to IFSS by the following methods:
 dropped off in person at the IFSS main desk in 21 N. Park St., Suite 5101
 campus mailed
 scanned and e-mailed to
ischolars@ohr.wisc.edu
 faxed to 608-265-6547
Questions: Call Kim Maday at 265-5114 or e-mail at
ischolars@ohr.wisc.edu
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