Labeed nouri 2026

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The document is an affidavit in which a student athlete declares that they do not have medical health insurance to cover medical expenses related to injuries sustained while participating in intercollegiate athletics. The athlete affirms they are not eligible for benefits under any relative's insurance policy.

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Click ‘Get Form’ to open the labeed nouri in the editor.
Begin by entering your full name in the designated field where it states 'I, ______, due hereby swear that I have no medical health insurance (print name)'.
In the next section, confirm your status regarding medical benefits by stating that you are not qualified to collect for medical benefits under any relative's policy.
Print your name again in the field labeled '________ (Print student athlete’s name)'.
Sign the document in the area marked '________ (Student athlete’s signature)'.
Fill in the date of signing in the format provided: '________ (Date)'.
For witness verification, have a witness sign and print their name and address as indicated.
Finally, ensure a notary public signs and provides their address at the bottom of the form.

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