Student Health Insurance Certification Forms

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

2017-2018 Academic Year

• 2018 Professional Practice Student Health Insurance Certification form (Use for Fall '17, Spring '18, and Summer '18.)
• 2018 Graduate Assistant Student Health Insurance Certification form (Use for Fall '17, Spring '18, and Summer '18 contracts.)

2018-2019 Academic Year

• 2019 Professional Practice Student Health Insurance Certification form (Use for Fall '18, Spring '19, and Summer '19.)
• 2019 Graduate Assistant Student Health Insurance Certification form (Use for Fall '18, Spring '19, and Summer '19 contracts.)