University of Southern California
USC Student Affairs

About USC Student Health Insurance

Medical Services Counseling Services Health Promotion and Prevention Services Health Insurance Online Health Information
       

Enrollment Form

Enrollment is for the Fall semester policy period only from August 18, 2008 through January 11, 2009. The enrollment deadline for the Fall semester is September 12, 2008.

Enrollment Form  This document uses Adobe Acrobat

 

These forms are presented using Adobe Acrobat. You will need a copy of Acrobat in order to view or print these files. You can download Acrobat for free by choosing one of the methods below:

Download Acrobat from Adobe
Click here to get Adobe Acrobat

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LU080601

University of Southern California University of Southern California