I-20/DS-2019 Request Form

Student Center North, N203, Houston, TX 77204-3024

 Phone: (713) 743-5065  Email: isssohlp@central.uh.edu  http://uh.edu/oisss

The Purpose of this Form: A student may request a new I-20/DS-2019 at any time by completing the I-20/DS-2019 Request Form. A

travel signature allows a student to re-enter the U.S. after traveling outside of the U.S. with a valid student visa. For students currently

enrolled at UH the travel signature is good for 1 year and for OPT/OPTX students the travel signature is recommended to be within 6

months. Please keep in mind that your dependents must also have a travel signature to reenter the U.S. after departing. ISSSO

processing time is 5 business days from the time the student submits the request.

First Name Last Name

UHID Current Status: F-1 J-1 Visa Expiration Date

Anticipated Graduation Date Passport Expiration Date

Phone number Email

Please select the appropriate reprint request and attach any required documents:

 Replace a lost, stolen, damaged or missing I-20/DS-2019 (Attach a police report if lost or stolen)

 I-20/DS-2019 Changes (inc. reason for the change). Reason:

 Obtain a New Travel Signature I-20 or Travel Endorsement lines are full (complete additional information below)

For Students Traveling:

Purpose of travel: Personal Travel Visa Renewal Conference/Research/Study Abroad/Work

Travel Details (if known): Departure Date: ______________________ Return Date: ____________________________

NOTE: Our office is NOT required to retain a specific record of travel dates for F-1 students; our office is requesting this information in

order to best accommodate your request. As an F-1 student, if you already have a recent travel endorsement on your I-20 from our office,

you are not required to notify us of your travel plans.

 Show Updated/Current OPT/OPT-X Employment Information on p. 2 of I-20 (complete additional information below)

 Show H-1B Cap-Gap Extension Information on p.2 of I-20 (attach I-797 receipt/approval notice and fill out inf. below)

For Students Updating Employment Information on OPT/STEM/Cap-Gap Extension:

Current EAD Start Date: ____________________ Current EAD End Date: __________________________

 I am on post-completion OPT. I have reported my employment information via the SEVP Portal.

 I am on STEM OPT. I have reported my employment information as required for OPT-X.

NOTE: Students on OPT or OPT STEM Extension, an alumni fee is required for all I-20 reprint requests. You can pay the fee in-person at

the front desk or by mail. Follow the mailing instructions on the F-1 Payment Coupon”

How do you want your document to be sent to you? Please select only one of the following options.

 Pick-up original at the ISSSO front desk (for in person pick-up, bring photo ID)

 Electronic by email (I-20 will be emailed to your SEVIS/UH destination email address)

 Mail (shipping label must be included with this form)

I have attached a shipping label with this form. Tracking number __________________________

Student Signature: Date: / /

Month Day Year

Submit the completed form in-person at the ISSSO front desk or by e-mail to isssohlp@central.uh.edu

Delivery Method

Reason for Request

Please complete section below