F-1 STEM Extension OPT Reporting Form

Students pursuing a 24-month STEM Extension must adhere to rules and requirements during the STEM period, including significant reporting obligations to ISO. At all times, our office must have accurate information regarding your activities and reliable contact information. Updates must be submitted within 10 days of any change.

Upon receiving the form by email, ISO will update your SEVIS record accordingly. However, if the information provided is incomplete or inaccurate, this will create delays for your required SEVIS reporting.

Failure to maintain qualified employment could result in the termination of your SEVIS record, based on STEM Unemployment Limits. If your STEM Extension OPT will expire or you will no longer maintain your F-1 status through University of Rochester, please use the Student Departure Form to notify us of your plans.

Identification (Required)

* Full Name:	(Please list your name as it appears on your I-20)
* Date of Birth:	mm/dd/yyyy
* University ID#:
* Current Email:
* Current Phone:

Reporting Purpose

* Reason to submit form:

Change in email/phone contacts
Change in residential address
End/Loss of employment
6-month Validation Report
check all that apply

US Residential Address

Street 1:
Street 2:
City:
State:
Zip Code:

Employment Details (for verification ONLY)

Employer Name:	Primary address/work location reported below MUST verify through US Postal Service: www.usps.com/zip4.
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Start Date:	mm/dd/yyyy
End Date:	mm/dd/yyyy
Hours/Week:
Description:	In your own words, briefly describe how the employment relates to your major area of study (1-3 sentences are sufficient).

Additional Information

Other Comments/Remarks:

Alternative STEM Reporting Shortcuts:

Student Departure Form: To report a change in immigration status or plans to depart the U.S. (either during or following completion of STEM authorization period).
Form I-983 Training Plan: To submit annual evaluation details OR report a change in STEM employment details.
Email to opt@rochester.edu: To provide additional documentation OR report an employer's failure to provide appropriate STEM training.

F-1 STEM Extension OPT Reporting Form

Alternative STEM Reporting Shortcuts:

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