SEVIS Record Transfer Out Form

University of Northern Iowa School Information

What is your name?

What is your student ID?

What is your email address?

What is your SEVIS ID number?

Last Date to be Enrolled at UNI:

Copy of Academic Withdrawal Form

One file only.
768 MB limit.
Allowed types: pdf jpg jpeg.

New School Information

Name of the new school:

SEVIS School Code of New School:

Address of new school:

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Name of contact person at new school:

Email of Contact Person at New School:

Phone of Contact Person at New School:

Beginning Date of Classes at New School:

When would you like us to transfer your SEVIS file?

Attach Admission Letter to your new school here

One file only.
768 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.

Authorization

I hereby authorize the University of Northern Iowa to transfer my SEVIS record to the school listed above:

Student's Signature:

Date:

Important Notes:

If you are currently on OPT, your employment authorization will end on the date your record is transferred to the new school

Your SEVIS record must be transferred to the new school within 60 days of the last date of study at UNI
Before requesting a transfer out of your Sevis record, academic withdrawal needs to be completed
If you are transferring without attending the University of Northern Iowa, you must transfer within 30 days of the beginning date of your Form I‐20.
- Also, you must send a copy of each of the following documents
  - Visa
  - Passport
  - Both sides of your I‐94 card
  - Both sides of your Form I‐20
  - Your current U.S. address
You must begin your studies at the next possible start date at the new school. Your break cannot be longer than five (5) months
Upon receipt of the documents above, we will transfer your SEVIS record to the requested school. The school you are transferring to will issue you a new Form I‐20. You do not need to repay the SEVIS fee
Once your record is transferred to your new school it is very difficult to reverse the transfer

Contact the Office for International Engagement with any questions at international@uni.edu or at 319.273.6422