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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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