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Insurance waiver for International StudentsCleveland State 2026

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How to use or fill out Insurance waiver for International Students Cleveland State

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by selecting the term for which you are appealing: Fall, Spring, or Summer. Fill in the year accordingly.
  3. Provide your personal information in the Student Information section, including your last name, first name, middle name, date of birth, US phone number, and email address.
  4. Enter details about your insurance company, including its name, US phone number, and email address.
  5. In the Current Insurance Information section, fill out the address of your insurance company and provide your insured’s name along with relevant policy details such as group number, policy number, ID number, effective date, and expiration date.
  6. Indicate the reason for denial as stated in your notification email from AIG. Check all that apply.
  7. Print your name and sign at the bottom of the form. Include the date of signing.

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Related links

Health Insurance Information

Access the waiver portal to review eligibility requirements and submit a waiver request, or choose the appropriate link below: International Student WaiverRead more

Learn more
Ohio Administrative Code Search

Prior to departure, all participants must obtain health insurance that will provide coverage in the countries to which they areRead more

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