UNIVERSITY OF DELAWARE

Davis Vision Plan
2017-2018 Policy Year

This is a vision plan offered to students attending the University of Delaware.

The deadline to enroll is 4/1/18 for coverage back dated to 8/1/17.


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

Asterisk (*) denotes required field

STUDENT INFORMATION
 
first name: *
last name: *
student ID: *
date of birth: * (MM/DD/YYYY)