The Department of Homeland Security requires that all F-1 students on Post-completion OPT and the STEM Extension OPT provide regular, timely, update reports on your employment status to the IPS Office.  Please complete this form and submit it so that we can update your SEVIS record, as required.  After pressing Submit, make sure to print a copy of the Form Handler Confirmation Page as proof of your report.  Due to high demand, IPS is unable to personally respond to requests for confirmation.

Note: Each time your employment status changes (starting a new job or ending a job), you need to fill out this form again and submit to IPS with the updated information, within 10 days of the event you are reporting.

* Indicates a required field.

To:		International Programs & Services
From:
*Today’s Date:
*SJSU Student ID #:
*SEVIS ID #:
*Last/Family Name:
*First/Given Name:
*Current Address:
* Email
Select One:
I am reporting my employment start date:
or		(mm/dd/yyyy)
I am reporting my employment end date:
If unemployed, give dates of unemployment (accumulative):		days
*Current Employer/Company’s Name (primary employer if you have more than one employer):
*Employer’s Mailing Address:

Please provide a copy of your current Employment Authorization Document (EAD) to IPS, if you have not already given us a copy. 

 I certify that the above information is true and correct.