UHIP Refund Request Form

Name Name * First Last
Student Number *
Must be 9 digits. Currently Entered: 0 digits.
Email *
What is the reason for your UHIP refund request?
Please note, you cannot submit a request for a regularly scheduled break, such as the Summer semester or Winter Holiday Closure. *

What is the reason for your UHIP refund request?
Please note, you cannot submit a request for a regularly scheduled break, such as the Summer semester or Winter Holiday Closure. OHIP coverage - Ontario provincial health plan IFHP, SACB, Libyan Embassy, or any other GOVERNMENT funded plan Not in Canada (Kindly email uhip@yorku.ca with an explaination of why you are currently not in Canada)

The deadline to request a refund for Fall only classes was March 1st, 2023.

If you become eligible for OHIP past March 1st you are able to submit a refund request.
UHIP Refund Request (pdf, jpeg, and png files accepted):

1) If you have OHIP:
Please upload a copy of your OHIP document or OHIP card. You can attach your dependent(s)' OHIP here also.

2) If you have any other government funded health plan:
Please upload a copy. *

Attach Files