Employment Verification Letter Template

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Employment Verification Letter for STEM OPT Extension
This letter must be printed on a company letterhead, signed and dated by the employer!
From: Name of the Employer
Address
Contact Information
To:
USCIS
Re:
Name of the Employee
Date of Birth
Date:
To Whom It May Concern:
This letter must include the following:
1. Confirm whether this is a self-employed position or not
2. Explain how employment is related to student's course of study at the University of
Dallas
3. Employer EIN
4. Confirm the employer is an E-verify employer
5. Job title
6. Detailed job description
7. Start date of employment (month/day/year)
8. End date of employment if applicable (month/day/year)
9. Full Time (more than 20 hours/week) or Part Time (20 or less hours/week)
10. Work location if different from the employer address mentioned above
11. Supervisor information
 Last and First Name
 Telephone Number including ext.
 Email Address
12. Salary
13. A statement: This is to confirm that we agree to report the termination or departure of the
above-mentioned OPT employee to the DSO at the University of Dallas through
email/letter if the termination or departure is prior to the end of the authorized period of
OPT. Such reporting must be made within 48 hours of the event. We shall consider the
above-mentioned worker to have departed when we know he/she has left the employment
or if he/she has not reported for work for a period of 5 consecutive business days without
our consent, whichever occurs earlier.
Name
Title
Signature

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