COVID-19 Departure Form

Per the guideline issued on July 24, 2020 by ICE/SEVP, a new I-20 must be issued to students that departed the United States and will engage in a full course of study while abroad. Complete the fields below to request your new I-20.

Surname: *

Given Name: *

CWID: *

SEVIS Number: *

This number is located on your I-20

Date of Departure from the United States: *

Month

Day

Year

Major: *

Minor:

Anticipated Graduation Date:

Month

Day

Year

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

          ___   _   _   _  _     _____   _   _ 
   __ _  |_ _| | | | | | || |   |_   _| | | | |
  / _` |  | |  | |_| | | || |_    | |   | | | |
 | (_| |  | |  |  _  | |__   _|   | |   | |_| |
  \__, | |___| |_| |_|    |_|     |_|    \___/ 
     |_|

Enter the code above *

Enter the code depicted in ASCII art style.