Change Of Address Form
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1CHANGE OF ADDRESS FORM
Date:_________________________________
UIN:_________________________________ SEVIS Number:________________________________________________
Family Name:___________________________________ Given Name: ________________________________________
Current (new) physical address:
Local Street Address:______________________________________________________________ Apt: _______________
City: _________________________________________ State: _______________________ Zip Code: ________________
Email:___________________________________________________ Phone Number: ____________________________
International Student Services, University of Illinois at Springfield, HRB 10, Springfield, IL 62703
iss@uis.edu (217) 206-6678
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Parent category: Legal