DS-2019 Validation Form for Travel Signature for J-Scholars & J-Student Interns Only

Name Name First Last
CWID/Banner ID
E-Mail Address
SEVIS#

Please check your I-20/ DS 2019 to check your SEVIS ID
Program End Date Program End Date / MM / DD YYYY
Passport Expiration Date Passport Expiration Date / MM / DD YYYY
Visa Expiration Date Visa Expiration Date / MM / DD YYYY
Is your address updated in Self Service?

If your Address in Stillwater has changed, you should update it in Self Service
Make sure to update your address in Self Service. If your address is not updated, your travel signature request will be denied.
To change your Address in Self Service, click here to read the instructions.
Please list the new address Please list the new address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Are you employed by OSU?
Have you notified your OSU supervisor and got an approval for travel?
Are you traveling for more than 30 days?
What is the reason for traveling out of country for more than 30 days?
Comments (If Other)
Maximum of 20 words allowed. Currently Entered: 0 words.
Expected Departure Expected Departure / MM / DD YYYY
Expected Return Expected Return / MM / DD YYYY
Are you travelling to your country of citizenship?
Please check the country information of your destination from this link .
Please list all the countries you are visiting.
If you are traveling to a country that is not your home country, it is your responsibility to find out the current visa requirements.
Do you plan to travel again within the next 6 months beside this intended travel?
When? When? / MM / DD YYYY
Where?
How many dependents do you need travel validation for?
Dependents Needing Travel Validation of DS-2019s
Name#1
SEVIS#
Name#2
SEVIS#
Name#3
SEVIS#
Name#4
SEVIS#
I certify that:
• The above information is true and correct.
• I will be taking my dependents with me if I will be out of the country for longer than 30
days.
• It is my intention to return to the US to continue my J-1 Exchange Visitor Program on or
around the date listed above.
• I am aware that I will need to have a valid visa in my passport to re-enter the US.
• I have read the information provided by the ISS about travel.
• As long as I am on a J-1 program, I will maintain my insurance coverage regardless of where I am.
Agree

Agree
Signature

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.
Link

DS-2019 Validation Form for Travel Signature for J-Scholars & J-Student Interns Only

Make sure to update your address in Self Service. If your address is not updated, your travel signature request will be denied.To change your Address in Self Service, click here to read the instructions.

Please check the country information of your destination from this link .

If you are traveling to a country that is not your home country, it is your responsibility to find out the current visa requirements.

Dependents Needing Travel Validation of DS-2019s

Make sure to update your address in Self Service. If your address is not updated, your travel signature request will be denied.
To change your Address in Self Service, click here to read the instructions.