Dependent Proof of Residency Form

OPT Drivers License Request Form
Please note, this request should only be filled out by students who have pending OPT authorization. All other requests will be denied.
Student First/Given name as it appears on your passport*
Student Last/Family name as it appears on your passport*
Trine Student ID Number (on acceptance email)*
SEVIS ID*
Student Education Center Location*
Trine Student Email Address*
example@example.com
Degree SEVIS CIP Code (Found on your I-20 Document)*
Program Major*
US Address

House/Building Number and Street Name

Apartment Number

CityState

Postal / Zip Code
Country of Citizenship*
Should be Empty:

OPT Drivers License Request Form