This form is used by international students and scholars who would like to continue their U-M International Student/Scholar Health Insurance Plan coverage, but are no longer eligible for the plan because their status as a U-M F-1 student or J-1 student or scholar has ended. Use this form to request up to three months of continued coverage.
This form is to be used by J-1 students or scholars who wish to remove their J-2 dependents from their DS-2019.
This form is used to request a waiver of the mandatory insurance because you will be outside the US for at least three entire calendar months.
This form is used to request cancellation of your international health insurance coverage because you are now covered by health insurance provided by your Academic Training employer. If you are not a J-1 student currently on post-completion Academic Training, please do not use this form.
This form is used to request changes to your existing U-M International Student/Scholar Health Insurance coverage, such as a change to the coverage end date, the addition of a dependent, etc.
This form is used by students who are continuing U-M students but who need an initial, transfer back, or reinstatement DS-2019. Do not use this form if you are a new U-M student; contact your admissions office for your initial DS-2019.
This form is used by J-1 students who have a change or correction in their personal information (name, citizenship, birthdate) and wish to be issued an updated DS-2019 reflecting this change.
This form is used by J-1 students who have a significant change in their funding situation and wish to be issued an updated DS-2019 reflecting this change.
This form is needed to request official DS-2019 authorization to reenter from a trip outside the U.S.