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Student Health Insurance Certification Forms

These forms are downloadable and available in Adobe Portable Document Format (PDF).

2025-2026 Academic Year

  • 2026 Professional Practice Student Health Insurance Certification form (Use for Fall '25, Spring '26, and Summer '26.)
  • 2026 Graduate Assistant Student Health Insurance Certification form (Use for Fall '25, Spring '26, and Summer '26 contracts.)

2024-2025 Academic Year