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This document is an application form for the Rochester Institute of Technology's international student accident and sickness insurance plan, outlining eligibility, coverage options, and premium payment
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How to fill out INTERNATIONAL STUDENT ACCIDENT AND SICKNESS PLAN APPLICATION FORM

01
Begin by downloading the INTERNATIONAL STUDENT ACCIDENT AND SICKNESS PLAN APPLICATION FORM.
02
Read the instructions carefully before filling out the form.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide your date of birth, nationality, and country of residence.
05
Indicate your student status, including the name of your educational institution and the program you are enrolled in.
06
If applicable, list any previous insurance coverage or health plans you have had.
07
Review and confirm any additional coverage options or benefits you wish to include.
08
Sign and date the application to certify that all information provided is accurate.
09
Submit the completed application form along with any required documents and payment.

Who needs INTERNATIONAL STUDENT ACCIDENT AND SICKNESS PLAN APPLICATION FORM?

01
International students who are studying in a foreign country and require health insurance coverage for accidents and sickness.
02
Students who may not be eligible for local health insurance and need coverage for medical expenses during their study period.
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The INTERNATIONAL STUDENT ACCIDENT AND SICKNESS PLAN APPLICATION FORM is a document that allows international students to apply for an insurance plan that covers accidents and illnesses during their studies abroad.
International students, typically those who are studying in a foreign country and are not citizens or permanent residents, are required to file the APPLICATION FORM to ensure they have health coverage.
To fill out the APPLICATION FORM, students should gather personal information, such as their name, date of birth, student ID, and details of their educational institution, and then complete the form by providing relevant health and contact information.
The purpose of the APPLICATION FORM is to enroll international students in a health insurance plan that provides coverage for medical expenses arising from accidents or illnesses during their time studying abroad.
The information that must be reported includes personal identification details, enrollment status at the educational institution, contact information, and any pre-existing health conditions that may affect coverage.
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