Insurance Forms

Insurance Agreement and Compliance Forms for International Students

Student Health Services uses the 2009-2010 Insurance Agreement and International Student Health Insurance Compliance Forms for evaluating and maintaining health insurance requirements for registration of all University of South Florida International students. For information about these forms, telephone the Student Insurance Office at 813-974-5407 or E-mail to insurance@shs.usf.edu. You may return the completed Insurance Forms to:

Student Health Services
Student Insurance Office
University of South Florida
4202 East Fowler Avenue, SHS100
Tampa, Florida 33620-6750
or Fax them to 813-974-8910

or by Email: insurance@shs.usf.edu

2009-2010 Insurance Agreement

International Student Health Insurance Compliance Form

*Note: These forms are in an electronically readable format. In order to view, and subsequently print (to a laser or inkjet printer) them, you must obtain and install the Adobe® Acrobat® Reader. To obtain the reader click here.