Accident & Sickness Waiver Form for International Students
2021-2022 STUDENT ACCIDENT & SICKNESS WAIVER FORM FOR INTERNATIONAL STUDENTS
Complete and return this electronic form or mail to:
International Student Services • 711 E. Boldt Way, SPC 41 • Appleton, WI 54911 • Fax: 1‐920‐832‐7026;
Students that have comparable insurance coverage and choose to waive the medical insurance policy offered through Lawrence University must complete this form. If you do not have comparable insurance coverage, you will be automatically billed by the school and covered. THE WAIVER DEADLINE FOR FALL TERM 2021 IS AUGUST 1.