Proof of Immunity Request


Please fill out the required fields to complete the proof of immunity online submission.

Current Information

Please enter the following information (as it currently appears on your official academic record). Fields with an asterisk (*) are required.

First Name: *
 
 
Middle Name:
 
Last Name: *
 
 
Date of Birth: *
 
 
DePaul Student ID Number:
E-Mail Address: *
 
Confirm E-mail Address: *
 
 
Are you an international student?(F1 or J1 Visa)
 

Required Documents

Final Steps