STEM OPT Reporting/Travel Signature Request Form
Please allow 3-5 business days for processing

By completing the following form and signing on the next page,
I understand that during my STEM OPT period:
1. It is my responsibility to report changes in my STEM OPT employment within 10 days and I am aware of and understand my STEM OPT reporting requirements.
2. ALL employment must be with an E-Verify employer.
3. All employment must be directly related to the major field of study that my STEM OPT is based on
4. I must be working full-time (over 20 hours per week) with each employer I may have
5. All employment must be PAID
6. I have 60 days of unemployment (in addition to any of the 90 unemployment days not used during Post-completion OPT) during my STEM OPT period and it is my responsibility to keep track of them.
I understand that if I am changing employers, I must complete and submit a final self-evaluation with my previous employer and complete and submit a new I-983 before I begin working with my new employer.

I have read and understand the above statement. *