Student Health Insurance Certification Forms

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

2021-2022 Academic Year

• 2022 Professional Practice Student Health Insurance Certification form (Use for Fall '21, Spring '22, and Summer '22.)
• 2022 Graduate Assistant Student Health Insurance Certification form (Use for Fall '21, Spring '22, and Summer '22 contracts.)

2020-2021 Academic Year

• 2021 Professional Practice Student Health Insurance Certification form (Use for Fall '20, Spring '21, and Summer '21.)
• 2021 Graduate Assistant Student Health Insurance Certification form (Use for Fall '20, Spring '21, and Summer '21 contracts.)