STUDENT ACCIDENT & SICKNESS INSURANCE WAIVER FORM
2015 - 2016


The Waiver Online Form is now closed for the Fall Extended Term/Fall Mini I
of the 2015-2016 School Year.


Graduate Students (only) that were registered part-time (8 hours or less) during Fall Mini I Term and
are registered for Fall Mini II Mini Term courses are eligible to complete a Waiver Form Online between October 1, 2015 and October 31, 2015 in order to have the student insurance fee removed from their Account Statements.



Please return to this webpage during that time period to complete the Waiver Form online.