Your request will not be processed if you do not include your complete name, DVC student ID and first term of attendance.

Name:                  DVC ID#:   
                 (Last Name,   First Name)

First term of attendance at DVC:      (semester & year) 

I-20 REQUESTS

If you need a signature on your I-20 for travel, then you must submit your current I-20 to the office (please do not submit this form if you need a signature for travel).

Duplicate        Reason for duplicate request: 

Change of Major to: 

 Other changes:        
                                            (date of birth, name; please include copy of passport info. page)

LETTER REQUEST

 Full-time attendance  

For:
Example:  Passport or visa renewal, military service, open bank account, etc.

If you need to TRANSFER, you must come to the office and submit a copy of your admit letter (please do not submit this form if you need to request a TRANSFER to another school).

OTHER REQUESTS

Please specify: 

CHANGE OF ADDRESS 
(Your address is required - Please include your current US address and phone #)

Street:      Apt. #

City:            State:  (Ex: CA = California)

Zip code:

Phone # in the US:      (Ex: 925-685-1230)

Your e-mail:     

Today's date: