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George Washington University
STUDENT HEALTH INSURANCE PLAN

Summer Waiver Form
2023-2024 Academic Year

 

The Summer waiver deadline is May 20, 2024. Once a waiver form is successfully submitted, please allow approximately 2 business days for the insurance charge to be credited.

Please note, the summer waiver form is only available to NEW summer students.

TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Please note, your George Washington student ID# begins with a "G" followed by 8 digits.

Asterisk (*) denotes required field

 (MM/DD/YYYY)