OPT Self Report Form

Student Information

N
Are you also reporting OPT/OPT-X employment?
Are you currently on OPT or OPTX (OPT Extension)?
Is this first time reporting the employment?

OPT Card Information

Email the copy of your OPT card to Gina B McCready, with subject as "OPT Validation" .Fax Number: 713/743-5079

Please follow the instructions sent to you from do-not-reply.SEVP@ice.dhs.gov to create an account for SEVP portal access. For further details, visit SEVP Portal Help. Access to the SEVP portal login. If your account is locked, please contact sevis@central.uh.edu with your name, PeopleSoft ID, SEVIS ID, and birthdate in order to request a password reset.

Please follow the instructions sent to you from do-not-reply.SEVP@ice.dhs.gov to create an account for SEVP portal access if you have not already done so. For further details, visit SEVP Portal Help. Access to the SEVP portal login:https://sevp.ice.gov/opt/#/login. If your account is locked, please contact sevis@central.uh.edu with your name, PeopleSoft ID, SEVIS ID, and birthdate in order to request a password reset.

Have you submitted your OPT-X EAD Card?

Email: Send it to Gina B McCready, with subject as "OPT-X Validation" .Fax Number: 713/743-5079

Do you have a Current Employer?
Yes No
Is this job self Employed position?
Yes No

Current employer information 1

Company Name:
Company EIN:
Start Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Is the Company Office address is your address:
yes no
Office Street Address:
APT/Suite number:
City:
State:
Zip:
Office Telephone:
Office Email Address:
Company Telephone:
Company Email Address:

Current employer information 1

Employer Name:
Employer EIN:
Job Title:
Start Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Emp Address:
Apt/Suite Number:
City:
State:
Zip:
Supervisor Last Name:
Supervisor First Name:
Supervisor Telephone:
Supervisor Email Address:
Is it related to your course of study?
Yes No
Please,send I-983 File to Gina B McCready, with subject as "OPT Validation" .Fax Number: 713/743-5079
Do you have one more Current Employer?
Yes No
Is this job self Employed position?
Yes No

Current employer information 2

Company Name:
Company EIN:
Start Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Is the Company Office address is your address:
yes no
Office Street Address:
Apt/Suite number:
City:
State:
Zip:
Office Telephone:
Office Email Address:
Company Telephone:
Company Email Address:

Current employer information 2

Employer Name:
Employer EIN:
Job Title:
Start Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Emp Address:
Apt/Suite Number:
City:
State:
Zip:
Supervisor Last Name:
Supervisor First Name:
Supervisor Telephone:
Supervisor Email Address:
Is it related to your course of study?
Yes No
Please,send I-983 File to Gina B McCready, with subject as "OPT Validation" .Fax Number: 713/743-5079
Do you have one more Current Employer?
Yes No
Is this job self Employed position?
Yes No

Current employer information 3

Company Name:
Company EIN:
Start Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Is the Company Office address is your address:
yes no
Office Street Address:
APT/Suite number:
City:
Zip:
State:
Office Telephone:
Office Email Address:
Company Telephone:
Company Email Address:

Current employer information 3

Employer Name:
Employer EIN:
Job Title:
Start Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Emp Address:
Apt/Suite Number:
City:
State:
Zip:
Supervisor Last Name:
Supervisor First Name:
Supervisor Telephone:
Supervisor Email Address:
Is it related to your course of study?
Yes No
Please,send I-983 File to Gina B McCready, with subject as "OPT Validation" .Fax Number: 713/743-5079
Do you have a Former Employer?
Yes No
Is this job self Employed position?
Yes No

Former employer information 1

Company Name:
Company EIN:
Start Date:
End Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Is the Company Office address your address?
yes no
Office Street Address:
Apartment Number:
City:
State:
Zip:
Office Telephone:
Office Email Address:
Company Telephone:
Company Email Address:

Former employer information 1

Employer Name:
Employer EIN:
Job Title:
Start Date:
End Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Emp Address:
Apt/Suite Number:
City:
State:
Zip:
Supervisor Last Name:
Supervisor First Name:
Supervisor Telephone:
Supervisor Email Address:
Do you have one more Former Employer?
Yes No
Is this job self Employed position?
Yes No

Former employer information 2

Company Name:
Company EIN:
Start Date:
End Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Is the Company Office address your address?
yes no
:
Office Street Address:
APT/Suite number
City:
State:
Zip:
Office Telephone:
Office Email Address:
Company Telephone:
Company Email Address:

Former employer information 2

Employer Name:
Employer EIN:
Job Title:
Start Date:
End Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Emp Address:
Apt/Suite Number:
City:
State:
Zip:
Supervisor Last Name:
Supervisor First Name:
Supervisor Telephone:
Supervisor Email Address:
Do you have one more Former Employer?
Yes No
Is this job self Employed position?
Yes No

Former employer information 3

Company Name:
Company EIN:
Start Date:
End Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Is the Company Office address your address?
yes no
Office Street Address:
APT/Suite number:
City:
State:
Zip:
Office Telephone:
Office Email Address:
Company Telephone:
Company Email Address:

Former employer information 3

Employer Name:
Employer EIN:
Job Title:
Start Date:
End Date:
Is this a part-time or full-time position?
part-time(<=20 hours) full-time(>20 hours)
Emp Address:
Apt/Suite Number:
City:
State:
Zip:
Supervisor Last Name:
Supervisor First Name:
Supervisor Telephone:
Supervisor Email Address:

Transition Information

I will email a copy of my approval notice(I-797 OR I-485) to Gina B McCready, with subject as "OPT Validation" .Fax Number: 713/743-5079

Contact ISSSO IT for Technical Issues only: Akhila. If you have issues related to OPT that are not listed, please contact Gina B McCready.

“This recording is for informational use only and cannot be considered as legal advice. It is to help University of Houston alumni to understand how to report their work on OPT and know the requirements that they should be following in order to maintain status in the U.S. This information is not be shared with anyone who is not a UH alumni on F-1 VISA and is solely to be used for the intended audience only.”