SEVIS Change of Address Report – Rocky Mountain Rotary Youth Exchange

SEVIS Change of Address Report

Country Contacts should use this report when their inbound students move from one host family to the next.

Use the form below to file the report.

Student Name*
First Last
Student Email*
Home Country*
SEVIS Number*
Prior Host Family Names*
Move Date
MM
DD
YYYY
New Host Family Names*
New Host Family Email*
New Host Family Address*
Street Address Address Line 2 City State ZIP Code
New Host Family Phone*
Name of Person Reporting*
First Last
Email of Person Reporting*
Additional Information
Name
This field is for validation purposes and should be left unchanged.