Leave of Absence can be a time-sensitive and complex process. Please consult with an OIE advisor during advising hours
before submitting this form to the OIE.
Use the top section of this form to request an "Authorized Early Withdrawal" termination of your SEVIS record after you have had an academic Leave of Absence Approved.
At least 30 days before you plan to return to the U.S., use the bottom section of this form to request a re-activation of your SEVIS record and/or a new I-20 from the OIE.
To request an "Authorized Early Withdrawal" termination of your SEVIS record based on an approved Leave of Absence outside the U.S., submit this form along with the documentation listed on the top portion of the form.
Before returning to the U.S., submit this form along with the documentation listed on the bottom portion of the form.
Normal processing time may vary based on the student's departure and return date from the U.S. Leave of Absence is a time sensitive process, so regular communication with an OIE advisor on this issue is highly recommended.