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![waiver]()
Click the button below to begin your waiver form!
- Student Medical Plan Waiver
Welcome to 's Waiver Submission Page
The waiver deadline is .
Before you get started:
- ▪ You will need your Student ID and Date of Birth available to complete the waiver.
- ▪ On the following page, click the magnifying glass button to look up your record using your Student ID and Date of Birth.
- ▪ Complete as many fields as possible. Required fields are noted in bold with a red asterisk.
- ▪ Type your name in the Signature field and enter today's date.
- ▪ Click submit at the end of the form to complete your waiver.
Click the button below to begin your waiver form!