Not in Canada

If you are not in Canada in Winter 2023, please complete this form to inform us so that we can adjust your UHIP accordingly.

Please note requests must be received before March 1st 2023 to receive a refund.

Name Name * First Last
Student Number *
Must be 9 digits. Currently Entered: 0 digits.
Email *
I am a *

I am a New first year UNDERGRAD student starting in Fall 2022 Continuing second year UNDERGRAD student Continuing third year UNDERGRAD student Continuing fourth year UNDERGRAD student Continuing UNDERGRAD student who has completed more than four years New first year GRADUATE student starting in Fall 2022 Continuing GRADUATE student
Current Country/Region of Residence *
What date did you leave Canada? What date did you leave Canada? * / MM / DD YYYY
When are you planning to arrive in Canada?

NOTE: If you are not sure of your travel date yet, you may input an estimated date.

You will need to be re-enrolled in UHIP when you return to Canada. When are you planning to arrive in Canada?

NOTE: If you are not sure of your travel date yet, you may input an estimated date.

You will need to be re-enrolled in UHIP when you return to Canada. / MM / DD YYYY
Which faculty do you belong to? *