TN 27 (12-16)

RM 10211.380 Exhibit of Form DS-2019 (Certificate of Eligibility for Exchange Visitor (J-1) Status)

The DS-2019 in this exhibit shows an OMB expiration date of 07-31-2014 in the upper right-hand corner of the form. The older versions of DS-2019 showing an OMB expiration date of 02-28-2005 and 04-30-2008 are valid and can be accepted by SSA.

A. Exhibit of Form DS-2019

  1. Example of Form DS-2019-J-1 Exchange Visitor

    G-RM_10211.380A-1-1

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    G-RM_10211.380A-1-2

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  2. Example of Form DS-2019-J-2 Dependent

    G-RM_10211.380A-2-1

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    G-RM_10211.380A-2-2

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B. References

  • RM 10211.345 Evidence of Employment Authorization for the J-1 (Exchange Visitor) and J-2 (Dependent of J-1) Classes of Admission

  • RM 10211.355 Description of Form DS-2019 (Certificate of Eligibility for Exchange Visitor (J-1) Status)


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0110211380
RM 10211.380 - Exhibit of Form DS-2019 (Certificate of Eligibility for Exchange Visitor (J-1) Status) - 01/10/2017
Batch run: 01/10/2017
Rev:01/10/2017