OPT Reporting Form

This form is for individuals currently on OPT to report any changes to their employment or contact information.

Federal regulations require all HPU F-1 students on OPT to inform the Office of International Students and Scholars (OISS) of any legal changes to employment, legal status, or contact information within 10 days. Please contact OISS directly with any questions.

I am currently on

I am currently on Pre-Completion OPT Post-Completion OPT STEM OPT

-Pre-completion OPT: work authorization given to active HPU students

-Post-completion OPT: work authorization given to graduated HPU students

-STEM OPT: work authorization extension given to eligible OPT individuals
I am reporting a change to

I am reporting a change to My contact information My employer information Both
Name Name First Last
HPU Student ID
Your HPU Email
Your Non-HPU Email
Your U.S. Cell Phone Your U.S. Cell Phone - ### - ### ####
Your Current Physical Address Your Current Physical Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
I have submitted a copy of my EAD card to OISS (front and back)

I have submitted a copy of my EAD card to OISS (front and back) Yes No, not yet
Please upload a copy of the front and back of your EAD card (pictures are fine as long as the information is legible)

Attach Files
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.