Get Compliance Form - Ucf Student Health Services

Completing the Compliance Form for UCF Student Health Services is a crucial step for international students to ensure they meet Florida's medical insurance requirements. This guide provides clear, step-by-step instructions to help you navigate the form effectively.

Follow the steps to accurately complete your Compliance Form.

1. Use the ‘Get Form’ button to access and download the Compliance Form - UCF Student Health Services. Ensure the document is open and ready for filling.
2. Begin by entering your Social Security Number or UCF ID (PID) in the specified field. This information helps to identify your records accurately.
3. Fill in your personal information, including your first and last name, date of birth, and current address. Make sure all entries are correct to avoid any delays.
4. Provide the name of your insurance company and the address of the U.S. claims agent. This should be clearly labeled in the sections provided.
5. List your insurance policy number and coverage dates, ensuring they align with the period you are enrolled as a student.
6. Review the basic benefits requirements to ensure your insurance meets the necessary coverage levels, including inpatient and outpatient care, maternity benefits, and more as outlined in the form.
7. Once all information is completed, sign and date the form where indicated. This step certifies the accuracy of your responses.
8. Attach a copy of your certificate of coverage and any additional documents required by the form.
9. After verifying that all fields are filled and correct, save any changes made, and prepare to submit the form online through the submission system on the Student Health Services website.

Complete your Compliance Form online today to ensure your health coverage meets UCF requirements.