OPT Update
F-1 students on an approved period of Optional Practical Training (OPT) are required to report changes in name, contact
information, and/or employment status to the Office of International Services (OIS) within ten days of the change occurring.
The OPT Update form may be submitted in person to OIS, via email (ois@uic.edu), or fax (312-996-9432). You will receive email
notification once the update to your SEVIS record is complete. Students who will return permanently to their home countries or
change status from F-1 should submit a Status Update form.
Family Name: ____________________________________
First/Given Name: __________________________________
UIN: ____________________________________________
Date of Birth (mm/dd/yyyy): _________________________
E-Mail: __________________________________________
Phone #: _________________________________________
Home Address: __________________________________ ________ __________________ _________________ ____________
Street Address
Apt #
City
State
Zip Code
Please select the category of information you are reporting. You may select as many categories as needed. Attach the required
documents and sign at the bottom of page one.

I want to submit a copy of my new/updated EMPLOYMENT AUTHORIZATION DOCUMENT
Please attach a copy of your EAD.

I want to report a NAME CHANGE
Please attach a copy of your passport showing your new name.

I want to report a CONTACT INFORMATION CHANGE
Please enter your correct contact information above.

I want to report a CHANGE IN MY EMPLOYMENT STATUS
Please complete the appropriate Employment Status Update section(s) on page 2 >>>>
Documentation: If your job is at UIC, please attach a copy of the UIC job offer letter.

I want to REQUEST A REPRINT OF MY I-20 showing updated OPT authorization or employment
information
>> Signature of Student: ____________________________________________ Date: ______________
Office of International Services
1200 West Harrison Street
Chicago, IL 60607-7164
University of Illinois at Chicago
Phone (312) 996-3121
Fax (312) 996-9432
www.ois.uic.edu
ois@uic.edu
Revised 05/2016
Page
1
As the undersigned, I have read the above and understand the need to maintain my F-1 lawful immigration status. I also
understand that immigration regulations are subject to change, and ultimately it is my responsibility to be aware of such
changes. Further, I hereby authorize the University to disclose copies of documents related to my immigration status to federal
agencies if requested to maintain compliance.
OPT Update
EMPLOYMENT STATUS UPDATE
Please complete the sections below as needed to report changes in your employment status.

I need to report NEW EMPLOYMENT
Employer Name:
__________________________________________________________________________________
Employer Address:
___________________________________ ________ ____________________ _________ ________
Street Address
Unit
City
State
Zip Code
Start Date:
________ / ________ / _________
mm
dd
yyyy
Supervisor
Information:
Family Name: _____________________________ First/Given Name: _________________________
Full Time/Part Time:


Full Time (21+ hrs/wk)
Part Time (0-20 hrs/wk)
Phone #: _______________________ E-Mail: ____________________________________________
How does this job
relate to your degree?
Please write 1-2
sentences explaining
the connection.
Please clarify your new job by checking the appropriate boxes below as needed:
 My new job is a ‘work from home’ position. I will complete the work at my home address listed on page 1.
 My new job is as a ‘self-employed business owner.’ The employer address listed above is the registered business
address for my company.
 My new job is arranged through a staffing agency or parent company. The staffing agency/parent company that
placed me in this position is:
Staffing Agency/Parent Company Name: _______________________________________________________________
Address: _______________________________________ _________ ______________________ _________ ________
Street Address
Unit
City
State
Zip Code


The Employer Identification Number (EIN) for my employer and the Staff Agency/Parent Company are the same.
Before starting my new job, I was employed at:
Previous Employer Name: __________________________________________________________________________


Last day working with this employer: ________ / ________ / ____________ (mm/dd/yyyy)

I will continue working with this employer. I will hold multiple jobs simultaneously.
I need to report DEPARTURE FROM EMPLOMENT
Unemployment for OPT purposes includes days between jobs or periods during which you are working less than 20 hrs/week.

I was previously employed at:

Last day working with this employer: ________ / ________ / ____________ (mm/dd/yyyy)
Office of International Services
1200 West Harrison Street
Chicago, IL 60607-7164
University of Illinois at Chicago
Phone (312) 996-3121
Fax (312) 996-9432
www.ois.uic.edu
ois@uic.edu
Revised 05/2016
Page
Address: ______________________________________ _________ ______________________ _________ ________
Street Address
Unit
City
State
Zip Code
2
Previous Employer Name: __________________________________________________________________________