Change Of Address Phone Or Email Form
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1Change of Address, Phone or Email Form
Please complete all sections of form. USCIS regulation requires non-U.S. citizens to report
a change of address, phone, or email within 10 days of moving within the United States
or its territories.
First Name:
Last Name:
UAFS Email:
@UAFS.edu
Student ID: @
Student Type:
J Program
F Program
Change in:
Address
Phone
Email
Previous Address:
New Address:
Previous Phone number:
New Phone Number:
Previous Email:
New Email:
Student Signature: ______________________________________ Date: __________________
Once completed, please submit form to Office of International Relations located in Vines 104-
106. OIR will issue new I-20 with changes within 2 to 3 days.
OIR Office Use Only:
Received By: _______________________ Date: _______________
Processed in SEVIS by: ________________________ Date: ___________________
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