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:
DESTINATION(S):
DATE OF DEPARTURE DATE OF RETURN :
Abroad Information ( in case of emergency):
Address:
Country:
Phone Number:
Is your PASSPORT valid at least 6 months beyond the date you plan to return? YES NO
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.
JTN/PB 11/12
Click here to download the form in Word version.