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.)

2016-2017 Academic Year

• 2017 Professional Practice Student Health Insurance Certification form (Use for Fall '16, Spring '17, and Summer '17.)
• 2017 Graduate Assistant Student Health Insurance Certification form (Use for Fall '16, Spring '17, and Summer '17 contracts.)