OPT Reporting Form

* = Required

Personal Information:

Please note that the university occasionally has issues receiving emails from Gmail or Yahoo email accounts. It is recommended you use your university myLEO email for this form.

Previous Employer:

New Employer Information:

An Employer Identification Number (EIN) is also known as a Federal Tax Identification Number and is used to identify a business entity.  The EIN is a nine (9) digit number and the format is often XX-XXXXXXX.  Do not include dash when writing the number below.

Supervisor or Manager's Information:

If you are working for more than one employer please resubmit the OPT Reporting Form again with the information for your additional employers.