Enrolment Form

Enrolment Form

If you are already enrolled in the Plan and wish to enrol your spouse and/or dependants, select 'Enrol Your Family Now' from the Change-of-Coverage menu to use the online family enrolment system. Online enrolments are secure, convenient, ensure quick processing and allow you to receive an instant confirmation of your Change-of-Coverage request.

If you aren't automatically covered, but are eligible to enrol yourself (i.e. international students), you will not be recognized by the online system and cannot enrol online. You can still enrol yourself and your spouse/dependants by completing an Enrolment Form.

Enrolment Form - Fall 2010

January Enrolment
Students beginning their studies in January who are not automatically covered, but who are eligible and wish to enrol themselves (and their spouse/dependants) for coverage from Jan. 1 - Aug. 31, 2010, will not be recognized by the online system and should visit this page at the beginning of January to download the January Enrolment Form.

All our documents require the use of Adobe Acrobat Reader version 8 or later, which you can download here for free:

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