Study Abroad Insurance Request Form

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Form Description

For obtaining the Accident & Sickness insurance coverage for UNC international affiliated travel. Complete the Study Abroad Insurance Request Form and submit to Risk Management Services preferably a week before departure.

Links to Relevant Policy


Article ID: 131858
Thu 4/8/21 9:18 PM
Wed 3/8/23 3:10 PM
Effective Date
If the date on which this document became/becomes enforceable differs from the Origination or Last Revision, this attribute reflects the date on which it is/was enforcable.
05/22/2019 11:02 AM
Issuing Officer
Name of the document Issuing Officer. This is the individual whose organizational authority covers the policy scope and who is primarily responsible for the policy.
Issuing Officer Title
Title of the person who is primarily responsible for issuing this policy.
Associate Vice Chancellor for Campus Safety and Risk Management
Last Review
Date on which the most recent document review was completed.
05/22/2019 11:02 AM
Last Revised
Date on which the most recent changes to this document were approved.
05/22/2019 11:02 AM
Next Review
Date on which the next document review is due.
05/21/2020 12:00 AM
Date on which the original version of this document was first made official.
10/01/2014 12:00 AM
Responsible Unit
School, Department, or other organizational unit issuing this document.
Risk Management Services and Mission Continuity