OPT Status Update Form—Employer Information

Use this form to report:

• Your first OPT employer, even if it is listed on your OPT I-20
• A new employer if you change jobs while on OPT
• A new location if you change department/division/location/etc. for the same employer. NOTE: Report change of location if you are working for a US-headquartered company and are sent to a branch that is not in the US. This will keep your OPT valid in case you are reassigned to a branch in the US.

* Required Field

Student's Michigan Tech ID Number *

Student's SEVIS ID

This can be found in the upper-right-hand corner of your I-20.

Name *

Email *

This date cannot be before the "Card Valid Date" on your EAD.

Employer—First day of OPT employment/change of location *

(Ex: MM/DD/YYYY)

If this is not your first OPT employment on OPT, on what date did your previous employment end?

(Ex: MM/DD/YYYY)

Employer Name *

Employer—Department/Division *

Report the physical location at which you are working:

Employer—Street Address Line 1 *

Employer—Street Address Line 2

Employer—City *

Employer—State *

Employer—ZIP Code *

Employer—Telephone *

Employer—Nation if outside US

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