Before submitting this form, you must apply for AND be approved for a health insurance waiver. To apply for a health insurance waiver: 1. Follow the instructions found at this link: https://hfcsews.my.site.com/StudentPortal/s/?accountCovId=a00Us00000MZARQ&schoolId=001Us000009JRSL 2. If approved, you will be notified via email. 3. Upload a copy of the approval email in this form below.
maximum 5 files whose total size may not be more than 10MBfilenames should not contain more than one period (.)