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Forms: Authorization for Department Payment for International Scholars, Staff, and Faculty Fees
Authorization for Department Payment for International Scholars, Staff, and Faculty Fees
UD ID:
Name:
Visa Type:
Country of Origin:
Date of Birth:
(mm/dd/yyyy)
Department:
One-Time Department Payment
I authorize the University of Delaware to deduct the amount indicated below for payment of International Fees.
$100.00 International Service Fee for J-1
$250.00 International Service Fee for H1B
Department funding to be charged:
Purpose:
Account:
To view the policy for the International Service Fee, please visit:
http://www.udel.edu/oiss/About_Us/intlfee2.html
Any questions regarding this form, please contact OISS at (302) 831-2115, or at
oiss@udel.edu
Signature
Name:
Date:
(mm/dd/yyyy)
Last Name:
Email:
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I-20/DS2019 Mailing
Office for International Students & Scholars • 413 Academy Street. • Newark, DE 19716-6410
USA • Phone: (302) 831-2115 • Fax: (302) 831-2123 •
oiss@udel.edu
© 2012
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