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.)

2022-2023 Academic Year

• 2023 Professional Practice Student Health Insurance Certification form (Use for Fall '22, Spring '23, and Summer '23.)
• 2023 Graduate Assistant Student Health Insurance Certification form (Use for Fall '22, Spring '23, and Summer '23 contracts.)