Forms

All Financial and Health forms can be found in your Student Packet 2008/09.

• Academic Forms
• Other References

Academic Forms

• General Petition
• Incomplete Contract for an "I" Grade
• Petition to Extend Participation in EAP
• Petition to Withdraw from the University of California
• Retroactive Petition
• Special Study Project Form

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Health Forms

• Student Accident and Sickness Plan/Medical Evacuation Plan
  • Accident and Sickness Claim Form/Global
  • Request for Extension of Insurance Coverage
  • Statement of Claim for Student's Accident and Sickness and Medical Expenses

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Financial Forms

• Electronic Funds Transfer (EFT) Direct Deposit Information
• Electronic Funds Transfer Authorization
• Student Financial Information

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Other EAP References

• Student Agreement
• Student Conduct and Policy
• Substance Abuse Policy
• Student Travel Policy
• Academic Conduct Policy
• Contact and UC Information
• Student Medical and Sickness Insurance Plan
• EAP Insurance Claim Form
• EAP Insurance Extension

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