This form is intended to request financial assistance for the $1,522 U-SHIP Premium for Spring Quarter 2020
U-SHIP Premium Relief Program
Have you updated your Spring Quarter 2020 Physical Address in MyUchicago? *
Note: Only those students who have updated their address will be considered for this program.
I confirm by requesting financial relief of the Spring 2020 U-SHIP premium I will not utilize U-SHIP for the period of 3/30/20-8/31/20. *
Note: U-SHIP premium financial relief will be revoked for students who use U-SHIP during the period 3/30/20-8/31/20.
Once you have submitted your request, you will be notified within 3 business days if your request is not approved. If approved, your student account balance will be reduced by $1,522 for Spring Quarter 2020.

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