Use this form if you would like to request to be out of the country for more than 30 days, but less than 1 year. The U.S. Department of State requires UTSA, as a program sponsor, to report when a J-1 scholar is out of the country for more than 30 days while actively pursuing the program objective.

Download the form. Go to File/Save As in your browser to save the form to your desktop so that you may retain changes and email the form to others.

Download the Template. Go to File/Save As in your browser to save the form to your desktop so that you may retain changes and email the form to others.

Note: DO NOT STAPLE THE DOCUMENTS. Please use a binder clamp or paperclip so that the documents can be copied easily.