I-20 Travel Signature Request
In order to provide proper immigration assistance, this form must be submitted,
completed, and signed, along with your passport and I-20 for signature before
your departure. Failure to do so may delay your departure and/or reentry plans.
TRAVELER’S NAME TODAY’S DATE:
STUDENT’S R-MC ID#:
LOCAL PHONE EMAIL:
DATE OF DEPARTURE DATE OF RETURN:
Abroad Information ( in case of emergency):
Country: Phone Number:
Is your PASSPORT valid at least 6 months beyond the date you plan to return? YES
If YES, Expiration date (month and year)
Is your I-20 information CORRECT? (Name, Major, degree, financial support) YES NO
The information provided on this form is accurate to the best of my knowledge.
STUDENT SIGNATURE [OFFICE NOTES]
Please bring your passport and I-20 to your appointment!
TRANSIT ADVISORY: If you are traveling through another country’s airport
on your way to your final destination, make sure to contact that country’s embassy
regarding transit visa requirements.
Click here to download
the form in Word version.