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 Social Security Letter Request E-Form
  This form is to be completed when a continuing J-1 scholar is required to apply for a social security number.
  Applicant
   
• 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 Address and Contact Information Update
  Submit this form to notify OIS of any changes to your contact information. Exchange Visitors are required to notify OIS of any changes to U.S. residential address, phone number or e-mail address within 10 days of the change.
  Applicant
   
• J-1 Immigration Document Update
  Use this form to provide updated immigration documents (i.e. passport, Form I-94, visa stamp) to OIS.
  Applicant
   
• J-1 Medical Insurance Update
  Use this form to provide updated proof of medical/health insurance documents to OIS. See the J-1 Insurance section for more information on Department of State requirements.
  Applicant
   
• 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) E-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 E-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.