Forms

Forms for Faculty/Staff/Scholar Processes

Administrator forms must be filled out by the sponsoring department.

General Documents

• Faculty/Staff Departure Verification Form
  Complete when an international faculty / scholar / staff member in the department is terminated from their appointment, resigns, or completes their stay.
  Administrator and Applicant

J-1 Exchange Visitor Applications

• DS-2019 Request Form
  

  To request paperwork for a new J-1 Exchange Visitor program in the Research Scholar, Professor, or Short-Term Scholar categories. This includes scholars transferring-in from another institution. To request paperwork for a J-1 Student Intern program, see the J-1 Student Intern Request Form below.
  Administrator
  Applicant

• DS-2019 Extension Form
  

  To request paperwork to extend the stay of a J-1 Exchange Visitor in the Research Scholar or Professor categories.
  Administrator
  Applicant

• No Patient Care Statement
  To be completed on department letterhead for any Exchange Visitors that possess foreign MDs.
  Administrator

• J-1 Student Intern Request Form
  

  To request paperwork for a new J-1 Exchange Visitor in the Student Intern category, or to extend an existing Student Intern program.
  Administrator
  Applicant

• J-1 Student Intern Evaluation
  Sample template for the required J-1 Student Intern program evaluation.
  Administrator

• J-1 Travel Signature Request Form
  

  For J-1 Exchange Visitors already in the U.S. who need a travel signature for international travel or "out of country" authorization for a prolonged absence.
  Applicant

• J-1 Request to Add Dependent(s) Form
  

  For J-1 Exchange Visitors already in the U.S. who would like to add a J-2 dependent spouse and/or children
  Applicant
  

• J-1 Change of Funding Request Form
  

  For J-1 Exchange Visitors already in the U.S. who need to report a change in funding.
  Applicant

• J-1 Replace Lost DS-2019 Request Form
  For J-1 Exchange Visitors already in the U.S. who need to request a replacement of a lost, stolen or damaged DS-2019 form.
  Applicant

•  J-1 Transfer Out Form
  For J-1 Exchange Visitors to request a transfer of their Exchange Visitor program from UIC to another U.S. institution.
  Administrator and Applicant

• J-1 UIC Internal Transfer Form
  For J-1 Exchange Visitors to request an internal transfer from one UIC department to another.
  Administrator and Applicant
  

• J-1 Transfer In Request Form
  For J-1 Exchange Visitors intending to transfer to UIC from another institution or program. The Transfer In Form is included within our standard DS-2019 Request Form on page 4.