Insurance Forms

Provided here are insurance forms, past and present. As always, if you have any questions or need help, do not hesitate to contact us.

Domestic Students 2023-2024

• Berkley Accident and Health Insurance (Accident Only Policy)
  • You must complete this form when making a Berkley Accident & Health Claim.

International Students 2023-2024

• Wellfleet Insurance (Sickness and Accident Policy)

  • Plan Waiver Form 

    **Note: F1 Students are automatically enrolled and do NOT need to fill out this form.**