Form I-901 Fee Remittance Form for Certain F, J and M Nonimmigrants

OMB No. 1653-0034
U.S. Department of Homeland Security
Bureau of Immigration and Customs Enforcement

(Expires 06/30/2007)

I-901, Fee Remittance for Certain F, J and M Nonimmigrants

INSTRUCTIONS
This form is used to pay the fee to support the F, M, and J nonimmigrant reporting system authorized by Public Law 104-208, Subtitle
D, Section 641. If you are subject to this fee and do not pay it, you will not be issued an F, M, or J nonimmigrant visa or be admitted
to the United States. If you are in the United States and apply for a change of status, you are subject to this fee. If you do not pay it,
your application will not be processed

Fee payment is required if the applicant is:

a. An alien seeking an F-1, F-3, J-1, M-1, or M-3 visa from an

embassy or consulate abroad for initial attendance at a
school approved by the Department of Homeland Security
(DHS) or for initial participation in an exchange visitor
program designated by the Department of State (DOS).
There is an exception noted below in section j.
b. An alien who does not need a visa to enter the United
States as a student or exchange visitor, who will be
applying for admission at a U. S. port-of-entry to begin
initial attendance at a DHS-approved school or initial
participation in a DOS-designated exchange visitor program
except as specified in section j below.
c. An alien in the United States seeking a change of status to
F-1, F-3, J-1, M-1, or M-3. There are exceptions noted
below in sections j and n.
d. A nonimmigrant who was initially granted J-1 status as a
participant in an exchange visitor program sponsored by the
Federal government, as specified in section j below, and
who is now transferring to another J program in the same
category that is not sponsored by the Federal government.
e. A J-1 nonimmigrant who is applying for a change of
category from within the United States. There is an
exception noted below in section j.
f. A J-1 nonimmigrant who is applying for a reinstatement after
a substantive violation, or who has been out of program
status for longer than 120 days but less than 270 days
during the course of his or her program. There is an
exception noted below in section j.
g. An F-1, F-3, M-1, or M-3 nonimmigrant applying for
reinstatement of student status, who has been out of
student status for a period exceeding the presumptive
ineligibility requirement set forth in 8 CFR 214.2(f)(16)(A) or
214.2(m)(16)(A).
h. An F-1, F-3, M-1, or M-3 nonimmigrant who has been
absent from the United States for a period exceeding 5
months, was not working towards completion of curriculum
in authorized overseas study, and now wishes to re-enter for
a new F or M program of study in the United States.

Fee payment not required if applicant is:
i. An F-2, J-2, or M-2 dependent.

j. A J-1 participant in an exchange visitor program sponsored by
the Federal government. A program sponsored by the Federal
government is identified by a program number of G-1, G-2, or
G-3
.

k. An F-1, F-3, J-1, M-1, or M-3 nonimmigrant who has
previously paid the fee, or whose Form I-20 or DS-2019 for
initial attendance was issued on or before August 31, 2004,
and who is applying for a visa to return to the United States
as a continuing student or a continuing participant of an
exchange visitor program.
l. An F-1, F-3, M-1, or M-3 nonimmigrant transferring
between approved schools, changing educational levels, or
applying for post-completion practical training.
m. A J-1 nonimmigrant transferring between programs in the
same exchange visitor category where no differential fee
exists.
n. A nonimmigrant applying for a change of classification from
within the United States between F-1 and F-3 status or
between M-1 and M-3 status.
o. An F-1, F-3, J-1, M-1, or M-3 nonimmigrant
requesting/applying for an extension of stay in a single
program.
p. An alien reapplying for a visa from an embassy or consulate
abroad after having paid the SEVIS fee for a previous F-1,
F-3, M-1, or M-3 visa that was denied, and who is applying
again for the same type of program within 12 months of the
initial denial.
q. An alien reapplying for a visa from an embassy or
cousulate after having paid the SEVIS fee for a previous J-1
visa that was denied, and who is applying again for the
same type J-1 exchange visitor category within 12 months
of the initial denial, unless there is a fee differential.

r. A nonimmigrant who has applied for a change of status in
the United States to an F, M, or J classification, had the
initial application for the change of status denied for a
reason other than failure to pay the SEVIS fee, and is
applying for a motion to re-open the case within 12 months
of the original denial.

Documents needed to fill out this form:
- F-1, F-3, M-1, and M-3 status only: Form I-20 (Certificate of
Eligibility for Nonimmigrant Student Status) issued to you by the
DHS-approved school you will attend.

- J-1 status only: Form DS-2019 (Certificate of Eligibility
for Exchange Visitor [J-1] Status) issued to you by the
designated exchange visitor program in which you will
participate.

OMB No. 1653-0034

Instructions:
This form must be completed in English.
Item Number:
1-3. Enter your name exactly as it appears on your
Form I-20 or DS-2019.
4.

5.

Enter the street address to where your payment
receipt should be sent. Include apartment number
and Post Office (P.O.) box, if applicable.
Enter the city where your payment receipt should
be sent. Include a province as required. You may
abbreviate (e.g., Toronto, ON) to ensure successful
delivery outside the United States.

18.

Select the type of delivery you want used to send your
receipt (Form I-797) to you. This receipt will serve as
confirmation of payment. You must select one of the
following two options:
A. Air Mail: There is no additional charge for this
option.
B. Expedited Delivery: There will be an added shipping and
handling fee of $30.00 for this option. Your receipt will
be delivered in an expedited manner to the address listed
in item numbers 4-8 on the Form I-901.
If you choose the expedited delivery option, you must
include a physical address. The courier will not deliver
to a post office box. You must also include a telephone
number. This information will not be collected by the
DHS and will only be used by the mail courier service in
order to ensure expedited delivery.

6.

For U.S. addresses only. If the address is in the
United States, enter the 2-letter abbreviation for the
state. If the address is not a state within the United
States, do not fill in this section.

7.

Enter the country to which your payment receipt
should be sent.

8.

Enter the postal code or zip code.

19. Add the amount from the box checked in item 17 (fee
pertaining to classification) and item 18 (choice for
delivery). This is the total amount of money that you owe.
Please send only one check or money order.

9.

List your date of birth in mm/dd/yyyy format.

Payment by mail:

10. Check the appropriate space pertaining to your gender.
11. Enter your city (province) of birth.
12. Enter your country of birth, as listed on your
Form I-20 or DS-2019.
13. Enter your country of citizenship, as listed on
your Form I-20 or DS-2019.
14. F/M status only: Enter the school code found
on your Form I-20. Leave the Program Number blank.
J-1 status only: Enter the exchange visitor program
number found on the Form DS-2019 (e.g.;
P-1-00000). If your sponsor number begins with G-1,
G-2, or G-3, you are exempt from fee payment. Leave
the School Code blank.
15. Enter the SEVIS identification number listed above the
barcode on the top right corner of your Form I-20 or
DS-2019.
.
16. Enter the passport number contained in your passport,
if available.
17. A. F/M status: Check the box in subpart A
which indicates that you owe $100.00 and continue
on to item number 18. Do not check any boxes in
subpart B.
B. J-1 status: Do not check the box in subpart A.
Check the box in subpart B that corresponds to
the exchange visitor category found on your Form
DS-2019. (If your sponsor number in section 2 of
Form DS-2019 begins with G-1, G-2, or G-3, you are
exempt from fee payment). Continue on to item
number 18.

The only forms of payment that will be accepted are checks
and money orders. No other form of payment will be accepted.
Do not mail cash.
All checks and money orders must be made in U.S. dollars and
drawn on a bank located in the United States.
All checks and money orders must be made payable to the
"I-901 Student/Exchange Visitor Processing Fee."
Checks are accepted subject to collection. A charge of
$30.00 will be imposed if a check for payment of a fee is not
honored by the bank on which it is drawn.
Write the name of the student or exchange visitor and the SEVIS
identification number on the check.
Fees must be submitted in the exact amount. Failure to
file forms correctly or with the correct payment will
result in the return of this form to you and additional
delay in processing. Fees will not be refunded.
Mail the Form I-901 and payment to:
I-901 Student/Exchange Visitor Processing Fee
P.O. Box 970020
St. Louis, MO 63197-0020
or
Courier the Form I-901 and payment to:
I-901 Student/Exchange Visitor Processing Fee
1005 Convention Plaza
St. Louis, MO 63101

Payment by Internet:
You may also complete the Form I-901 online. The form and
payment may then be submitted as explained above. Alternately,
online payment may be made using a credit card. The online Form
I-901 is available at: www.FMJfee.com.
Form I-901 Instructions (07/28/04) Page 2

OMB No. 1653-0034

Privacy Act Notice.
Authority to collect this information is contained in 8 USC 1154,
1184, and 1258. Failure to provide all of the requested
information may result in the delay of a final decision or denial of
your request. We may provide this information to other
government agencies (Federal, state, local, and/or foreign).

Paperwork Reduction Act Notice.
An agency may not conduct or sponsor an information collection
and a person is not required to respond to a collection of
information unless it displays a currently valid OMB control
number. We try to create forms and instructions that are
accurate, can be easily understood, and that impose the least
possible burden on you to provide us with information. Often
this is difficult because some immigration laws are very complex.
The estimated average time to complete and file this application
is 19 minutes. If you have comments regarding the accuracy of
this estimate or suggestions for making this form simpler, you
may write to the Department of Homeland Security, Regulations
and Forms Services (HQRFS), 425 I Street, N.W., Room 4034,
Washington, DC 20529. Do not mail your completed application
to this address.

Form I-901 Instructions (07/28/04) Page 3

OMB No. 1653-0034

I-901, Fee Remittance for Certain
F, J and M Nonimmigrants

U.S. Department of Homeland Security
Bureau of Immigration and Customs Enforcement

TYPE OR PRINT IN BLUE OR BLACK INK
1. Last Name (Surname):

2. First Name (Given Name):

3. Middle Name:
WHERE DO YOU WANT YOUR PAYMENT RECEIPT TO BE SENT?
4. Street Address /P.O. Box:

Apartment Number:

No. 2 Street Address /P.O. Box:
6. State (U.S. Address Only):

5. City (Province):
7. Country:

8. Zip Code/Postal Code:

9. Date of Birth (mm/dd/yyyy):

/

/

10. Gender (Check one): Male:
Female:

11. City (Province) of Birth:
12. Country of Birth:

13. Country of Citizenship:

14. School Code (I-20) (F/M nonimmigrant only):

OR

Program Number (DS-2019) (J-1 nonimmigrant only):

214F
15. SEVIS Identification Number:

16. Passport Number:

N
17. Amount to be paid:
A. F/M only: ($100)
B. J-1 only: Indicate your Exchange Visitor Category (Check only one of the following boxes)
Student ($100)
Trainee ($100)
Teacher ($100)
Professor ($100)
Alien Physician ($100)
Government Visitor ($100)
18. Return Receipt:
(You must choose one)

A. Air Mail ($0)
B. Expedited Delivery ($30)

Research Scholar ($100)
Short-term scholar ($100)
Specialist ($100)
Camp Counselor ($35)
Summer Work/Travel ($35)
Au Pair ($35)

Telephone:

19. Total amount (add total from 17 and 18):$ ________________.
Form I-901 (07/28/04)