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ENDICOTT COLLEGE
STUDENT HEALTH INSURANCE PLAN


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

Please note that your student ID must contain 6, 7 or 8 numerical digits (example: 001234, 1001234 or 10012345)

Asterisk (*) denotes required field

 (MM/DD/YYYY)