Address update form for J-1 scholars

Government regulations require J visa holders to report within 10 days any change of address in the United States. (“Address” is where the exchange visitor lives, not where he or she works.) The exchange visitor complies with this regulation by reporting the change of address so that the SEVIS record can be updated to reflect the change.

Please complete the information below and submit to International Scholars Operations:

Exchange Visitor's Name*

Last (Family Name), First (Given Name)(as listed on DS-2019 form)

Birthdate*

SEVIS# N*

10 digit number, beginning with "N"(found in the top right hand corner of the DS-2019 form)

UW School/College/Campus*Select OneCollege of Arts & SciencesCollege of Built EnvironmentsSchool of DentistryCollege of EducationCollege of EngineeringCollege of the EnvironmentEvans School of Public AffairsFoster School of BusinessGraduate SchoolInformation SchoolSchool of LawSchool of MedicineSchool of NursingSchool of PharmacySchool of Public HealthSchool of Social WorkUW BothellUW LibrariesUW Tacoma

UW Unit/Department

Email Address for confirmation*

New Address

Address Line 1*

Address Line 2

City*

State*ALAKARAZCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code*

Phone Number*

Please include all 10 digits starting with the area code.