Get Insurance Requirements Certification - University Of Washington

The Insurance Requirements Certification is a critical document for exchange visitors participating in the University of Washington’s Exchange Visitor Program. This guide provides a comprehensive overview of how to effectively complete this form online, ensuring compliance with U.S. federal regulations.

Follow the steps to complete the certification form accurately.

1. Click ‘Get Form’ button to obtain the Insurance Requirements Certification and open it in your preferred online editor.
2. Begin by filling out your personal information, such as your name and exchange visitor status.
3. Indicate your insurance coverage by checking the appropriate boxes regarding your J-1 health insurance and providing details about your provider.
4. For medical evacuation and repatriation insurance, provide the name of the insurance company, their phone number, and your policy number.
5. If applicable, include information about your J-2 dependents' health insurance, ensuring all required coverage amounts are met.
6. Review the statements regarding your understanding and acknowledgment of the insurance requirements, ensuring to check the confirmation boxes.
7. Finally, sign and date the form, then save your changes. You can download, print, or share the completed form as needed.

Make sure to complete and submit your Insurance Requirements Certification online promptly to ensure compliance and maintain your eligibility.