S.A.V.E. Verification Request for International: Students, Scholars, Faculty and Their Dependents

Note: You must be a Maryland resident in order to fill out this form.

School/Program Sponsor*

Last Name (enter LNU if no last name exists)*

First Name (enter FNU if no first name exists)*

Middle Name

Date of Birth (mm-dd-yyyy)*

MD License/ID Number (if applicable)

Contact Number*

Alternate Number

E-Mail Address

Street Address*

City*

ZIP Code*

Identity Document(s):

Enter data for all that apply (cannot process without I-94 number, Alien or USCIS number)

I-94 (Arrival/Departure Record)

(Enter 1-94 number: 11 digits)

Unexpired Foreign Passport

Passport Number

Passport Expiration Date (mm-dd-yyyy)

I-20 or DS-2019 (if applicable)

Enter SEVIS Number (ex: N0001234567)

Other (Enter Alien or I-94 Number)

Alien Numbers (9 digits, enter 0 to front if less than 9)

I-94 Number (11 digits)

Preferrable Appointment Location (Mandatory)

Make sure all applicable fields have the correct number of digits. If a foreign issued passport is available, entering the data from the passport, along with the I-94, Alien or USCIS number will result in a more accurate response from SAVE.

If you have any problems with this form, email sdecal@marylandmva.com.