Student Health Insurance Certification Forms

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

2023-2024 Academic Year

• 2024 Professional Practice Student Health Insurance Certification form (Use for Fall '23, Spring '24, and Summer '24.)
• 2024 Graduate Assistant Student Health Insurance Certification form (Use for Fall '23, Spring '24, and Summer '24 contracts.)

2024-2025 Academic Year

• 2025 Professional Practice Student Health Insurance Certification form (Use for Fall '24, Spring '25, and Summer '25.)
• 2025 Graduate Assistant Student Health Insurance Certification form (Use for Fall '24, Spring '25, and Summer '25 contracts.)