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California State University, Fullerton

Emergency Contact Form

Please complete this online form carefully and completely. As an F-1 or J-1 student, you are required to keep your address information updated. Please know that the information provided here will be used to update your records with the US Department of Homeland Security and your CSUF student portal.

If you are a student in the American Language Program (ALP) or in the University Semester Abroad program (USA) please do not use this form. You need to report your address by going to the College Park, room 207.

For Students who work on Campus only:

  1. Complete and print out the Student Action Request (SPAR) Form
  2. Once you have completed this form, please submit the Form to Payroll Office at CP-770

Student Information

CWID: (no dash)

First name:

Last Name:

E-mail:

Phone number:

Emergency Contact Information in the United States

Relationship:

First name:

Last name:

Email:

Phone:

Emergency Contact Information Outside the United States

Relationship:

First name:

Last name:

Email:


Phone number: Please include country code

Fax number: Please include country code

Check country code

Revised —December 2012