Log in and this form will be prefilled with your profile data (like email address and default department).

Please see Procedure Overview at the bottom of this form for instructions and next steps.

Required fields are shaded yellow and marked with a red asterisk.

Department and Budget Information
A confirmation will be sent to this address.
To be used for associated visa and FedEx fees.
(Format: xxx-xxx-xxxxxx)
Visit Information
Files must be less than 2 MB.
Allowed file types: txt rtf odf pdf doc docx xls xlsx.
Required by ISO for all J-1 and J-2 (dependents') visa applications.
As per ISO regulation, UW departments must screen prospective Exchange visitors to ensure that their English language proficiency and academic background are suitable for the intended activity. Proof of such proficiency must now accompany the J-1 request. Acceptable documentation includes (1) a recognized English language test; (2) signed documentation from an academic institution or English language school; or (3) a documented interview conducted by the sponsor either in person, by video conference, or by telephone if video conferencing is not a viable option. Please call CASSS for more information.
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx xls xlsx.
(You can also copy and paste into this box)
Additional Attachments

You may attach up to three additional documents.  Remember to click the "Upload" button after selecting the document.  Do not attach documents that contain sensitive data such as SSN.

Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx ppt pptx xls xlsx.
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx ppt pptx xls xlsx.
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx ppt pptx xls xlsx.

Submission of this form serves as confirmation that pertinent approvals are on file in department.

Procedure Overview

  1. Intake form is completed by unit administrative staff.  Submitter receives confirmation email, including FMRT ("RT") ticket number.  All further correspondence regarding the request occurs through RT.
  2. Shared Services contacts the visiting scholar for further information and works with the department, visitor, and International Scholars Office to complete the application process.
  3. Shared Services mails DS-2019 (via FedEx) to visitor and uploads express mail receipt as attachment to RT ticket.  (Mailing costs are charged to the budget noted in the original request.)
  4. Visitor makes appointment at appropriate U.S. embassy, as detailed in documentation accompanying DS-2019.
  5. Once the DS-2019 has been mailed, Shared Services closes the RT ticket.  Important: For any courtesy or paid appointment to be entered into OPUS, the department must complete an OPUS New Hire request form. Shared Services will not automatically enter the visitor into Payroll based on the visa request ticket.

 

Relevant Services: