OPT Update Employer Address Form

Update your employer address when you find employment.  If you have multiple employers, please list all employers information in the additional employers box.  If you no longer have employment please insert "actively seeking employment" under the primary employers field.

Please contact us if you have any questions at oiss@unr.edu.

Contact Information
Last Name
First Name
R#
Employment Status
Full-time    Part-time
Primary Employer
Street Address 1
Street Address 2
City
State
Zip Code
Additional Employer(s)' Information
Notes