Forms for Grantees

Forms you must complete after your arrival:

• Confirmation of LASPAU Grantee Presence at Host Institution: Have your international student advisor or the appropriate official sign this form indicating your date of arrival at the university, and return the completed form to LASPAU within 15 days of your arrival. We need this form in order to maintain your legal status in the United States and issue you further maintenance payments. Click here to access a PDF version of this form.
  
• Information Sheet: This sheet includes two forms: 1) the Grantee Information Form provides LASPAU with information about you, your university, and your home institution; 2) the Program Planning Form provides confirmation that your academic program meets the requirements of your LASPAU-administered grant. Complete and return the Information Sheet to LASPAU within 30 days of starting your academic program. Click here to access a PDF version of this sheet.

Forms you must complete during your academic program:

• Academic Progress Report: Twice a year, you will be asked to report electronically on your grades and enrollment plans. The electronic report will, in turn, be sent to your program sponsor. You will be notified when this form is available on the LASPAU website.
  

• Summer Planning Form: Complete and return this form to LASPAU by mid-April to avoid problems with tuition coverage or delays in maintenance payments. Click here to access a PDF version of this form.

• Confirmation of Program Completion Survey: In this form, you are asked to evaluate your program and provide information about your academic institution and department. Click here to fill this form out online.
  

• HTH International Plan Summation: If are studying in any country (other than the United States) and plan to use HTH Worldwide as your health insurance provider, download a copy of the HTH Plan Summation (PDF). If you have any questions regarding your insurance provider, please contact your LASPAU advisor.
  
  
• HTH International Claim Form: If are studying in any country (other than the United States) and are currently covered by HTH health insurance and need to be reimbursed for medical expenses, you can download a HTH claim form (PDF) here. Please be sure to read the HTH Frequently Asked Questions before filling out a claim form. Forms must be mailed to HTH Worldwide Insurance Services, Claims Department, PO Box 39, Minneapolis, MN 55440-0039. Do not mail forms to LASPAU.