Study Abroad Insurance Request Form

Summary

For obtaining the Accident & Sickness insurance coverage for UNC international affiliated travel.

Body

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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

Details

Details

Article ID: 131858
Created
Thu 4/8/21 9:18 PM
Modified
Thu 8/22/24 12:30 PM
Responsible Unit
School, Department, or other organizational unit issuing this document.
Risk Management Services
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.
Derek Kemp
Issuing Officer Title
Title of the person who is primarily responsible for issuing this policy.
Associate Vice Chancellor for Campus Safety and Risk Management
Next Review
Date on which the next document review is due.
05/21/2020 12:00 AM
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
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
Origination
Date on which the original version of this document was first made official.
10/01/2014 12:00 AM

Attachments

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xlsx

InsuranceRoster-Revised-Eff 01-22.xlsx Computer

Wed 3/8/23 3:09 PM
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