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International Student Services
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New Students
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Arrival
International Students Admissions
About Rochester, NY
International Student Orientation
The World at RIT
Life in the US
Living in Rochester
Safety
Transportation and Driving
The World at RIT
Social Security Number
Taxes
Legal Advice
Rochester Global Connections
Immigration and Employment
Maintaining Visa Status
Optional Practical Training (OPT)
OPT Reporting
Curricular Practical Training (CPT)
Employment
Dependents and Visitors
Transfers
Travel
Extending Your Stay
Social Security Number
Forms
Resources
Contact
Departure Form
RIT
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International Student Services
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Forms
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Departure Form
This forms allows international students and scholars to adjust or end their F-1 or J-1 SEVIS record because they are leaving the United States.
Name
SEVIS ID Number (ex: N0012345678)
Email
Phone
Number of Dependents
0
1
2
3
More
Have you spoken to an ISS advisor about your plans to leave the United States?
Yes
No
Please check the box that applies to your situation
I am leaving the U.S. for an academic term but for less than five months. I will not be registered at RIT.
I am leaving the U.S. temporarily and will be away for five months or more. I will not be registered at RIT.
I am permanently withdrawing from RIT.
I have finished my studies at RIT, but my I-20 program completion date (section 5) is in the future.
I am on post-completion OPT/STEM OPT but have decided to leave the U.S. and abandon my OPT.
I am on Academic Training but have decided to leave the U.S. and abandon my Academic Training.
I am a J-1 scholar and I am departing the U.S. temporarily.
I am a J-1 scholar and have completed my program and am leaving the U.S.
Date of Departure from the United States
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