George Washington University
STUDENT HEALTH INSURANCE PLAN

Annual Waiver Appeal Form  
2020-2021 Academic Year

 

The annual waiver appeal deadline is November 30, 2020.

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

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

 (MM/DD/YYYY)