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Employer's Quarterly Federal Tax Return
Installment Agreement Request
Wage and Tax Statement

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Sample of Certification Letter

for SEVP-Approved Colleges, Universities, and Institutions Transmitting Form W-7, Applications for Individual Taxpayer Identification Number (ITIN)

(College, University, or Institution Letterhead)

Original with address


Internal Revenue Service
ITIN Operations
P.O. Box 149342
Austin, TX  78714-9342


This letter certifies:

  1. The attached completed Form W-7, Application for IRS Individual Taxpayer Identification Number and supporting documentation is for________________________________ (Insert Full Name of Applicant) with SEVIS number ______________________ (Insert SEVIS Number);
  2. The name and SEVIS number have been verified by the undersigned;
  3. The applicant is not eligible for an SSN; and
  4. The applicant’s supporting original documents or copies certified by the issuing agency to establish identity and foreign status have been personally reviewed by the undersigned.

The applicant provided the following original or copies certified by the issuing agency documents to establish the applicant’s identity and foreign status: 


(List documents here)



Form W-7, Application for IRS Individual Taxpayer Identification Number
Copy of Form DS-2019 Certificate of Eligibility for Exchange Visitor Status (J-1 Status)
Copy of I-20 Certificate of Eligibility for Nonimmigrant Student Status
Copies of each identification document certified


The undersigned is the (select applicable) for the above named college/university/institution that is an approved member of The Student and Exchange Visitor Program (SEVP).

    ___ Principal Designated School Official (PDSO)

    ___ Designated School Official (DSO)

    ___ Responsible Officer (RO)

    ___ Alternate Responsible Officer (ARO)



(Printed name of PDSO/DSO/RO/ARO)



(Signature of PDSO/DSO/RO/ARO)



(Contact Telephone Number)



(Signature Date)