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NIU Student Insurance Waiver Request Form for Spring 2012


Please be advised that NIU will verify the information you enter onto this form.

You will receive a confirmation via your NIU email account within 7 business days of the acceptance or denial of your waiver request. 

If your waiver request is denied, you may submit additional information to the student insurance office for reconsideration.

International students on F1 or J1 visas are not eligible to complete this form.

Please contact the student insurance office at 815-753-0122 or email  for more information or if you have any problems.

If you have problems with your log-in, please contact the ITS helpdesk at 815-752-7738

Validation of your current coverage by a third party is required.

Enter your login information and click 'Submit' to continue.


Log In 
Please enter your NIU Z-ID and password 


For assistance, please contact the Student Insurance Office at 815-753-0122