Fillable Online ISM International K-12 Student Fax Email Print 2026

1. Click 'Get Form' to open it in the editor.
2. Begin by entering the student's personal information, including their last name, first name, date of birth, and home address. Ensure all details are accurate for proper processing.
3. Select the type of visa held by the student (F-1 or J-1) and indicate their gender. This information is crucial for eligibility verification.
4. Fill in the school information section with the name of the school, mailing address, and contact email. This helps in associating the insurance with the correct institution.
5. Choose your desired coverage plan (Bronze, Silver, or Gold) and specify the duration of coverage in months. Review the rates carefully before proceeding.
6. Complete the payment method section by selecting either check, money order, or credit card. If using a card, ensure to fill in all required details accurately.
7. Finally, review all entered information for accuracy and completeness before submitting your form. A signature is required to confirm understanding of terms and conditions.

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