Departure/Exit Form for F-1/J-1 Students

This request is to be completed by any student who is leaving ESU:

• For more than one week but less than 5 months
• For longer than 5 months
• For an entire semester
• Or permanently 

Please read through ALL the options below to understand the situation that applies to you:

I am terminating my program at ESU

• Your SEVIS record will be terminated with the reason "Authorized Early Withdrawal."
• You have 15 days from your withdrawal date to depart the U.S.A

I have completed my program and plan to depart the U.S. I am NOT interested in applying for OPT

• Your SEVIS record will change to a status of "Completed."
• You must depart the U.S. within 60 days of your degree completion date.

I am reaching 90 days of unemployment.

• Your SEVIS record will change to a status of "Completed."
• If you notified ISS prior to your 90th day, you have 60 days to depart the U.S.A., get admitted to a new program or gain another status.
• If you did not report this information prior to the 90th day, you must leave the U.S immediately.

Submit Departure/Exit Form

Note: If you have already started a request, do not start a new request. Please go to your User Home Page to continue working on your request.