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Wellesley College
STUDENT HEALTH INSURANCE PLAN

Spring Petition to Waive Form
2024 - 2025 Academic Year


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

Please note, your Wellesley student ID# begins with a "B" or "C" followed by 8 digits. You must use your Wellesley College email address in the email field.

Asterisk (*) denotes required field