J-1 TRANSFER REQUEST
from The University of Denver
Complete this form if you wish to transfer J-1 program sponsorship from The University of Denver to
another J-1 sponsor. The transfer should be requested before the effective date of transfer, and no
later than the ending date on your current DS-2019.
Name:
Last
First
SEVIS ID:
Middle
Date of birth:
Current address:
Current telephone:
E-Mail:
Name(s) of J-2 dependents in the U.S.:
I request transfer of my program sponsorship to:
Name of institution/program sponsor:
Program Number:
Effective Date of Transfer:
Field of research/teaching/activity at new institution:
I understand that I must report to the J-1 Responsible Officer/Alternate Responsible Officer of the
new program sponsor within 10 days after arriving at the new location. If I do not report within 10
days, I understand that my SEVIS record may be terminated and I may be out of status.
_______________________________________________
Signature of Exchange Visitor
____________________________________________
Name of Exchange Visitor
___________________
Date
*************************************************************
Transfer Approved
Date entered in SEVIS database:
Transfer release date entered in SEVIS database:
_______________________________________________
Signature of [Alternate] Responsible Officer
____________________________________________
Name of [Alternate] Responsible Officer
___________________
Date
Revised 01.30.2012