Enrollment/insurance Verification Form printable pdf download

Enrollment/insurance Verification Form

ENROLLMENT/INSURANCE VERIFICATION FORM

Verifications can only be done once the grace period for the semester has passed. All verifications for

insurance and/or deferments will be processed on the 6

day of the semester.

Student

Name: __________________________________________________________

Star ID/Student ID: ______________________________________________________

Verifying:

Spring Semester

Summer Semester

Fall Semester

Send to:

______________________________________

Attention: ________________________________

Or Fax to: (_____) __________________________

Or Pick Up On: _____________________________

Access and print your enrollment verification certification online.

Please leave completed form with the Registrar.

Your request will be processed within 48 hours.

***Thank you***

Northland Community and Technical College is a proud member of the Minnesota State Colleges and Universities system and is an Equal Opportunity employer and educator.

Enrollment/insurance Verification Form

Related Articles

Related forms

Related Categories