STEM OPT Validation Report

Last Name *

First Name *

Student ID (A0...) *

SEVIS ID (N0...) *

Email Address (not Texas State email) *

Phone Number *

U.S. Current Residential Address: Street Address (include apartment number, if any) *

U.S. Current Residential Address: City *

U.S. Current Residential Address: State *

U.S. Current Residential Address: Zip code *

Employer Name *

Current Employer Start Date *

Employer Site Address (where you are physically located when working): Street Address (include suite number, if any) *

Employer Site Address: City *

Employer Site Address: State *

Employer Site Address: Zip Code *

I am submitting my Validation Report for: *

6 months after start of STEM OPT Extension

12 months after start of STEM OPT Extension (Please also submit Form I-983 Self-evaluation: https://www.international.txstate.edu/Work-Authorization/optstem/STEM-OPT-Reporting/STEM-OPT-Form-I-983-Self-and-Final-Evaluation.html)

18 months after start of STEM OPT Extension

24 months after start of STEM OPT Extension (Please also submit Form I-983 Final Evaluation: https://www.international.txstate.edu/Work-Authorization/optstem/STEM-OPT-Reporting/STEM-OPT-Form-I-983-Self-and-Final-Evaluation.html)

I acknolwedge the following: *

1. I am responsible for submitting this validation report every 6 months. Failure to submit the validation report will result in the termination of my SEVIS record.

2. I am responsible for updating my personal contact information in the SEVP Portal within 10 days of any change.

3. All of the information provided in this validation report is true.

Submit