INTERNATIONAL STUDENTS & SCHOLARS
REQUEST FORM
Letters and I-20/DS-2019 forms may be picked up 2-3 business days after submission. Documents must be retrieved in
person, unless you authorize someone else in advance. Please submit this request to NYC: 163 William St., 16th Floor or
save as a PDF and e-mail to [email protected] and cc: [email protected].
UID#
LAST/FAMILY NAME
FIRST/GIVEN NAME(S)
ADDRESS
APT.
CITY
STATE
TELEPHONE
VISA:
F-1
ZIP
PACE E-MAIL
J-1
PROGRAM:
PURPOSE OF REQUEST
UNDERGRAD
GRAD
GLOBAL PATHWAYS CAMPUS:
NYC
PLV
PLEASE √ THE APPROPRIATE BOX
LETTER CERTIFYING STUDENT STATUS(FOR BANK ACCOUNTS, APARTMENT LEASES, DEPARTMENT OF MOTOR VEHICLES, ETC.)
LETTER TO SUPPORT VISA RENEWAL
LETTER TO APPLY FOR SOCIAL SECURITY NO. (MUST PROVIDE PROOF OF EMPLOYMENT, I.E. HR LETTER)
TRAVEL SIGNATURE – VISA EXPIRATION DATE:
/
/
For TRAVEL SIGNATURES, you must bring your Form I-20/DS-2019 to our office WITH THIS REQUEST FORM.
LETTER OF EDUCATIONAL EXPENSES
LETTER TO SUPPORT MILITARY POSTPONEMENT
REPLACEMENT FORM I-20 (F-1)
REASON:
LOST
DAMAGED
CHANGE OF MAJOR
REPLACEMENT FORM DS-2019 (J-1) REASON:
LOST
DAMAGED
CHANGE OF MAJOR
OTHER (PLEASE EXPLAIN)
SIGNATURE (INITIALS IF SIGNING ELECTRONICALLY)
International Students & Scholars
NYC: 163 William Street, 16th Floor
PLV: Kessel Student Center, 212
www.pace.edu/iss
DATE
/
/