Change Arrival Date Form

If you cannot arrive in the U.S. within 30 days before OR after the start date listed in Section 3 of your DS-2019 form, it is very important that you complete the following form immediately to let the Partners Office for International Professionals and Students (PIPS) know your new arrival date.

If your new arrival date is more than 3 months after your original arrival date, rather than complete this form, contact your hiring department so that they can file new J-1 application paperwork on your behalf.

REQUEST TO CHANGE ARRIVAL DATE

*Required Fields

First/Given Name*

Last/Family Name*

J-1 SEVIS ID Number*

Your SEVIS ID starts with the letter “N” and is located on the top right side of your DS-2019.

Estimated U.S. Arrival Date*

Estimated Start Date at the U.S. Hospital*

Email Address*

Phone Number*

Address to which the DS-2019 should be mailed (no Post Office Boxes):

Recipient Name*

Street Name and Number*

Apartment/Floor/Room/Suite

City*

Province/District*

Postal Code*

A postal/zip code is a series of numbers or letters added to an address to help sort mail. If you do not know your postal/zip code, click here for details.

Country*

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Change Arrival Date Form

REQUEST TO CHANGE ARRIVAL DATE

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