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Optional Practical Training (OPT) Update Form

(U.S. Immigration Regulations, 8 CFR 214.2(f)(12))
This Form is for all active OPT participants. You must update any changes in your name, address and employer's name, address, and employment dates.
* Required Field
* Last Name
* First Name
*Student ID
* SEVIS Identification Number
* Street Address
Address
* City
* State
* Zip
* Tel No
* E-mail Address:
Current Employer
* Employer's/Company Name
* Work Tel No:
Employer's E-verify Number
If you changed employers while on 17 month OPT extension
* Street Address1
Address2
* City
* State
 * Zip
* Employment Start Date
Employment End Date
* Job Title
* Supervisor's Name
* Supervisor's Phone Number
Supervisor's E-mail
Previous Employer on OPT
Employer's/Company Name
Work Tel No:
Previous Employer's E-verify Number
For student on 17 month OPT extension
Address1
Address2
City
State/Zip
State Zip
Last Employer Report Date to SEVIS
Completing OPT and Exiting US Prior to the OPT end Date?
* ....If Yes, indicate date of Exit
Comments: