FLORIDA INTERNATIONAL UNIVERSITY
Instructions for the Declaration and Certification of Finances (DCF)
TO: International Undergraduate Applicants applying for F-1 or J-1 Student Status
FROM: Office of Admissions
Listed below are the procedures necessary to obtain the Certificate of Eligibility (the SEVIS I-20 for F-1 student
status or the DS-2019 for J-1 student status). The process for issuing your Certificate of Eligibility will begin once
you have been admitted to the University and have submitted the necessary documentation to our office. If you are
currently holding an F-1 or J-1 Student Visa and are transferring from another US institution to FIU, you will
still need to follow this procedure.
ALL STUDENTS – We are required by the Department of Homeland Security/US Citizenship and Immigration
Services to carefully check the financial ability of each student prior to requesting approval to issue your SEVIS I-20
OR DS-2019. Therefore, it is important that you are aware of the cost of attending FIU and that you have all
necessary funds to support yourself. You must comply with the following procedures:
(A) Meet the annual estimate of costs stated below.
(B) Complete the DECLARATION AND CERTIFICATION OF FINANCES form and include
appropriate documentation. It is very important that all questions be completed and accurately answered
in order to avoid unnecessary delays in processing.
(C) Return the DECLARATION AND CERTIFICATION OF FINANCES to:
Florida International University
Office of Admissions
P.O. Box 659003
Miami, Florida 33265-9003
Your Declaration and Certification of Finances will be reviewed by the Office of Admissions to determine your
ability to meet the financial obligations while you are attending the University. If your DCF is not approved or if
there are additional questions, you will be notified by e-mail.
Annual estimate of Estimate of Undergraduate Costs for
Undergraduate costs 2010 - 2011 Summer ****
Single Student Fall and Spring Semesters Summer Session
(30 Semester Hours) (12 Semester Hours)
Tuition and Fees* $ 17,511 $ 7,030
Maintenance** $ 12,578 $ 4,193
Books & Supplies $ 1,120 $ 448
Medical Insurance*** $ 1,905
Total $33,114 $ 11,671
* Annual estimate of costs are based on 2010-2011 Financial Aid Student Budgets. Tuition and fees are subject to change. Per semester
fees include the student health fee ($83.19), the athletic fee ($10.00) and the transportation and access fee ($86.50 per semester for
fall/spring and $79.76 for summer). An annual fee for student ID maintenance ($10.00) is included. These fees are subject to sales tax.
Amounts shown above reflect a course load of 15 semester hours during the Fall and Spring semesters. The Summer Session is optional,
unless you were admitted to start in the Summer term. As indicated above, Summer tuition, fees, books and supplies are additional.
** Maintenance is estimated at $1,397.56 per month to cover room, food, clothing, public transportation, and incidentals. Room is based
on the average cost for shared accommodations on-campus and off-campus. Costs for private accommodations are significantly higher.
***All international students are required to carry medical insurance which meets University requirements. A policy is available for
purchase at University Health Services or online at: http://www.fiu.edu/~health/internationalStudent.htm. Health insurance coverage for a
full year: $1,905 premium covers August 20, 2010 – August 19, 2011
****Only applicable for students admitted in Summer. Students admitted for the Summer term must enroll full-time for that term and
for the following Fall and Spring terms. In this case, students pay an additional premium for summer only medical insurance.
STUDENTS CURRENTLY AT ANOTHER U.S. SCHOOL - The US Citizenship and Immigration Services
(USCIS) requires that you obtain from your current institution a release before your new SEVIS I-20 OR DS-
2019 is issued. Therefore, you need to obtain our Transfer Release Form, available on the web at
http://admissions.fiu.edu/how/forms.php and have it completed by the international student advisor at your
current/previous school. Once we have received the form and your SEVIS record has been released, we will
begin the process for the final issuance of your SEVIS I-20 OR DS-2019.
Please note that this process will take a few days; the papers need to be electronically forwarded and
approved by USCIS before issuing the SEVIS I-20 OR DS-2019 form.
A married student who plans to bring his/her dependents will require an additional $6,000 for the spouse and
$4,000 for each child. These amounts should be added to the total under the appropriate column. Additional
insurance for family of F-1 students is optional but highly recommended. Medical insurance is required for all
J-2 dependents. F-2 dependents are not permitted to work or enroll in classes.
The Non-Florida Resident tuition cost per undergraduate credit hour is as follows and is subject to change.
All tuition and fees, if paid by check, must be drawn from U.S. banks. Checks from overseas banks will not be
accepted. No deferment of fee payment is available.
IMMIGRATION REGULATIONS REQUIRE that undergraduate international students enroll full-time which
is at least 12 credit hours per semester. Students who are admitted in the summer semester must enroll full
time for that semester and subsequent terms.
HOUSING AND FOOD
Housing and food costs, as listed, are for students who SHARE living quarters. They DO NOT reflect additional
funds necessary for deposits for rent, electricity, water, or telephone. It is estimated that at least twice the normal
monthly expense amount is needed for the first month to cover deposits and settling in expenses.
1. All bank, scholarship, and sponsor letters must be originals with original signatures. COPIES OR
FAXES ARE NOT ACCEPTABLE.
2. All bank, scholarship, and sponsor letters must be originals and specify the amount of funding
available to you. If currency other that U.S. Dollars, please indicate equivalency.
3. Letters must be current. Correspondence older than 6 months from expected entry date will not be
4. Your name must appear on bank, scholarship and sponsor letters.
5. The funding you demonstrate must be sufficient to meet the costs of attending Florida International
University as specified.
Your failure to comply with any of the above conditions may delay your admission to the University. Revised 11/08
The aration an Certif
T Decla nd of ces F)
fication o Financ (DCF Form
Florida Int niversity
missions, P.O. Box 659003, Mia
Office of Adm B 3265-9003
ami, Florida 33 lephone: 305-34
Who needs to complete th form? Inte dents applying for F-1 or J-1 student statu must compl both
ernational stud g us lete
a along with the supporting documentatio to the Office of Admissio
pages 1 and 2 of this form and submit it a eir on ons.
er e If
Please answe ALL of the questions. I a question d does not appl to you, plea write N/A (not applicab in
ly ase A ble)
the blank. A SEVIS I-20 or DS-2019 Form will not be issued unt you have b d
been admitted to the Univeersity
and this form has been ap pproved.
T XACTLY AS ON PASSPORT
NAME MUST APPEAR EX N T ____________
Panther ID: ___________ _
STUDENT’S L Y VEN NAME
FIRST/GIV M ME
COUNTRY OF BIRTH Y
COUNTRY OF CITIZEN
NSHIP DATE OF BIRT (MONTH/DA
D TH AY/YEAR)
ur ome addresses belo An addres in your hom country is R
Please list you local and ho country a ow. ss me REQUIRED.
Local addres (If currentl in U.S.): __
______ Teleph ____________
hone: ______ ________
home country address (Req
Permanent h y quired): ____
_________ Em ____________
mail: _______ _______
U L S 2019:
ADDRESS WE SHOULD USE TO MAIL YOUR SEVIS I-20 OR DS2
VISA INFOR RMATION:
All Applicants - Please ind visa
the v status you are applying for:
F-1 S J Student
Applicants in the United States only
- Please indicate your cu urrent visa stat and attach documentatio (a copy of y
tus on -94
your current I- and the
visa p ur
page from you passport): F-1 F-2 J-1 J-2
2 A-1 B-1/B-2 E H-1
L- -1 Other (specify) ____ ____________ ___
urrently in F-1 or J-1 status, please submi a copy of yo SEVIS I-20 or DS-2019 and
- If you are cu 1 it our 0
obtai our Transfer Release Form available o the web at h
in r m, on ons.fiu.edu/how/forms.php
TE: If you ha violated your F-1/J-1 st ust f
tatus, you mu indicate if you plan to a apply for
statement wit USCIS or r U.S.
re-enter the U with the I -20/DS-2019.
Initial FIU I-
-If you are no in F-1 statuss,
ou urn me
do yo plan to retu to your hom country to apply for the F-1/J-1 visa? Yes No
If you answer no, you must contact FIU U-Internation Students a Scholars Services Off at (305) 348-2421
nal and fice
concerning p procedures to apply for a c change of stat tus.
DEPENDEN s ents
NTS: If your spouse or any other depende will be jo oining you in t U.S., please list their na
the ame, birth
tionship (i.e. spouse, child), and gender b
date, country of birth, relat below. You must attach do ocumentation showing
financial sup r
pport for your dependents ($6,000 for y nd r
your spouse an $4,000 for each child):
h Country of
C Country off Relationnship Gender
Last/Family N Name rst/Given Nam
Fir me day/year)
(month/d Birth p
MPLETED BY AN FIU UND
TO BE COM ATE ADMISS
DERGRADUA CIAL ONLY:
Approved: ___ d: ignature: _____
______ Denied ________ Si ____________
____________ ________ Date: ___________
INSURANCE INFORMA ATION:
Health care is very expens sive in the Un International s
nited States. I required to ca
students are r arry medical iinsurance
ty nts. ts
which meets the Universit requiremen A policy, which meet the requirements, is ava urchase at
ailable for pu
University He http://www.collegiateriskma
ealth Services or online at h anagement.com IU/fiu.html. Th annual
-2011 is as follows:
cost of the policy for 2010-
Student & Spoouse $6,670
Student & Chiildren $4,586
Student, Spouse & Children $9,148
t r il
You will not be able to register, unti you have satisfied the m medical insur ement. You must be
prepared to purchase in nsurance imm mediately upon your arr n
rival, unless you have an alternate in nsurance
approved. Yo should hav the funds re S. ilable in the fo of a mon order, or a certified
equired in U.S dollars avai form ney
bank check ppayable to: BlueCross and B f you pay SA
BlueShield of Florida or y may also p with VIS or MASTE ERCARD
online. For further inforrmation, call University H es
Health Service at (305) 348-2401 or c website at
check their w
FINANCIAL INFORMAT TION:
Certified orig s)
ginal letters(s must acco ompany this form. Accept s) e
table letters(s must come from a ba ank, your
government, o an organiza ciation, depend
ation or assoc h e
ding on which of the categories you check below. The letter(s)
hat nt r
must verify th the amoun specified for your situatio in your ann
on of ailable for you studies.
nual estimate o costs is ava ur
The letter(s) m verify al statements c w. st sh ed
checked below Letters mus be in Englis and figures must be state in U.S.
currency. Ple ease indicate will
how you w be funded: :
I am planning to support mysel through per s. ched a certifie letter from my bank
rsonal savings I have attac ed
h t _________ in my personal savings accou enough to support
which verifies that I have U.S. $ _________ unt, o
elf y ram
myse through my degree progr at FIU.
I will be supported by my paren or a spons who lives outside the U I have att
l d nts sor, U.S. fied letter
tached a certif
from the bank of my parents/spo verifies that U $ _______
onsor which v U.S. ___________ are available for me to
y al .
study at Florida Internationa University. Also, attac r
ched is a certified letter which ver rifies my
nts'/sponsor's commitment to make these funds availabl to me.
paren c le
l d nts
I will be supported by my paren or a sponso who lives in the US. I hav attached a c
or n ve r
certified letter from the
bank of my parent ich hat
ts/sponsor whi verifies th U.S. $ _______________ o
____ are available for me to study at
Florida Internation University Also, attac tified letter w
ched is a cert which verifies my parents'/ /sponsor's
comm ake ds o
mitment to ma these fund available to me and docu at r
umentation tha my parent and/or sponsor is a U.S.
citize or permanent resident
My g s ed d my
government is sponsoring my studies. I have attache a certified letter from m governme which ent
verifi that U.S.$_ vailable for me to study at Florida Internat
______ are av e sity
l d be
I will be supported by an award, which I will b receiving f from ________ ____________ _
The a s S.
amount of this award is U.S $ ________ __________ I h tter ifies their
have attached a certified let which veri
commmitment to sup y
pport me in my studies at Fl tional Univers
lorida Internat sity.
ase ncy, es Name of other source: _____
In ca of emergen I will have other source available. N __
t mount of mone (excluding travel funds available to me for my f
I certify that the total am ey g s) o ic
first academi year of
United States is U.S. $ ___
study in the U s ___ the
____________ and that t total amo academic
ount for each subsequent a
year of study is U.S. $_____________________.
provided by m on this for is complet and correc
Further, I certify that all information p me rm te ct.
Student's Sig ____________
____________ _ ____________
____________ Date: _____ _________