F-1/J-1 Student Departure from the U.S.
- I certify that I am departing the U.S. and have no intention to return to UC Davis or another U.S. school in the next 5 months.*
- I understand my departure date will be entered in the SEVIS System, and I will not be eligible to re-enter the U.S. on my current SEVIS I-20/DS-2019.
- It is my responsibility to notify SISS of any changes to my immigration status.
- Note: If you are transferring to another school in the U.S., go to Transferring from UC Davis to another U.S. Institution.
This form means that you are leaving the U.S. and NOT returning in the next 5 months.