This form is only for NEW INCOMING Spring 2024 Students. If you were enrolled for Fall 2023 and need to waive Spring 2024 coverage, please select the Spring Opt-Out Request Form link on the left-hand side of this page.
TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:
Please Note: You must enter your Ithaca College email address below. Entering your personal email address will not allow you access to the waiver form. You must activate your Ithaca College Netpass/e-mail account prior to completing this process.