Form R

The completion of this form is required when requesting expedited processing of a Form I-20 for the purpose of renewing a California Driver's License, or passport; travel; or emergency situations such as lost or stolen I-20. This form is for use by CSUF students only. This form is available only to students upon a recommendation from the International Programs office.

Student Information

CWID: (Example: 8981231234)

First Name:

Last Name:

Please select a reason

I need I-20 to travel

From:

To:

You must submit plane ticket or travel itinerary by fax to 657-278-7292 or email attachment to ieei20@fullerton.edu. Please note: We will not process any requests without the plane ticket or travel itinerary.

I'm not traveling outside United States and I need I-20 because

Driver License Renewal
Passport Renewal
Other (Please specify):

You must submit a copy of expired driver license or passport by fax to 657-278-7292 or email attachment to ieei20@fullerton.edu. Please note: We will not process any requests without the driver license or passport.

I am currently on approved Leave of Absense

Date departed U.S.

Expected Return Date:

I-20 Handling Method

Office Pick-Up

I will pick up the I-20 in person at the International Programs office.

Email:

Phone: (Example: 657-278-2787)

Please provide photo-ID such as passport or driver license when picking up the I-20.

The following person is authorized to pick-up:

Title: Mr.Ms.Mrs.

Full name:

Daytime Phone Number: (Example: 657-278-2787)

The authorized person must provide photo-ID such as passport or driver license when picking up I-20.

Express Mail

The student must make the arrangements for express shipping via University Express Mail Services (UEMS) Student is responsible for the cost of express shipping.

First Name: Last Name:

Address line 1

Address line 2

Address line 3

Country

Revised — August 2011