Get Rollins College 2012 2013 - Collegiate Risk Management

Completing the Rollins College 2012 2013 - Collegiate Risk Management application is essential for students seeking health and accident insurance coverage. This guide provides a step-by-step approach to ensure you fill out the form accurately and efficiently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the student’s name in the format of Last, First, Middle. This is crucial for accurate identification.
3. Provide the date of birth in the specified format (mmddyy). Ensure that it reflects the student’s actual birth date for verification purposes.
4. Fill out the permanent U.S. address, including the street, city, state, and zip code. This address is important for communication regarding the insurance plan.
5. Enter the social security number. This information is used for identification and enrollment. Make sure it is accurate.
6. Indicate the sex by selecting the appropriate option: Female or Male. This information is required for record-keeping.
7. Provide a phone number where the student can be reached. Make sure to include the area code.
8. Indicate the expected graduation date to ensure proper coverage throughout the time at Rollins College.
9. If applicable, list dependents to be insured. For each dependent, provide the last name, first name, social security number, gender, and date of birth.
10. Check the appropriate premium rates for coverage. Select from annual or spring/summer options for both the student and any dependents.
11. Follow the payment instructions provided, either by check or credit card. Ensure that payments are sent to the designated address or made online.
12. Sign and date the application where indicated. By signing, the student acknowledges understanding of the terms and eligibility requirements.
13. After completing the form, save any changes you have made. You may also download, print, or share the form as needed.

Start your application online today to secure your health and accident coverage.