Forms for J-1 Students

Form DESCRIPTION
Academic Advisor Recommendation for I-20/DS-2019 Extension

This form is to be filled out by an academic advisor who is recommending that a student be issued an extension I-20 or DS-2019.
Affidavit of Financial Resources

Each individual contributing financially to the named student's education must complete the Affidavit of Financial Resources.
Continuing Student Request for New DS-2019

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.
DS-2019 Request Form To Remove J-2 Dependents

This form is to be used by J-1 students or scholars who wish to remove their J-2 dependents from their DS-2019.
Financial Resources Statement

This form must accompany certain I-20 or DS-2019 request forms. It is used to certify sufficient funding for the issuance of a new I-20 or DS-2019. Documentation of funding must be submitted with the financial resources statement.
Health Insurance Temporary Absence Waiver Request Form

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.
International Health Insurance Plan Change 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.
International Health Insurance Plan Continuation Enrollment Form

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.
International Health Insurance Waiver Request Form (AT)

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.
Off-Campus Employment Based on Economic Hardship for J-1 Student

This form is used to request recommendation for severe economic hardship employment authorization.
On-Campus Employment Authorization for U-M Sponsored J-1 Student

This form is used to request on-campus work authorization.
Social Security Letter for J-1 Student

This letter is signed by the International Center to verify your J-1 status to assist in your Social Security Number application. Please read Getting a Social Security Number and Card.
Transfer-out Request & Checklist for J-1 Student

This form is used to notify U-M of your intent to transfer your J-1 immigration status to another school. The U-M International Center uses the information to update your SEVIS record with the name of the school to which you will transfer and your transfer release date. The checklist guides you through the process of officially transferring from U-M to another educational institution in the U.S.
Travel Signature Request for J-1 Student/Scholar

This form is needed to request official DS-2019 authorization to reenter from a trip outside the U.S.
Update Financial Information Request on DS-2019

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.
Update Personal Information Request on 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.