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Waiver of the Service of Summons. Download Form (pdf, 262.77 KB). Form Number: AO 399. Category: Notice of Lawsuit, Summons, Subpoena. Effective
 PLEASE NOTE: For 2017-18, all submitted waiver request forms will be subject to The Student Health Insurance Plan is designed to complement the services
 Student Health Services, Counseling and Psychological Services and Student Affairs Case Management staff want to Before You Submit a Waiver. If you have
 Non-Covered Services Waiver Form. I, (printed name). , understand that the laboratory services listed below may not be considered eligible for benefits.
 6 Jun 2017 university health services. W4 · Download / View the Campus Health Fee Waiver Form. In order to provide the best possible copy of this
 All forms are in pdf, except where noted. Last revision date follows the name of the form. Accidental Injury Report, 6/22/2016; Authorization to Consent to
 Letter Service - Letter Forms & Waivers. These forms (in PDF format) can be downloaded from your Main Menu once you are logged in: Letter Form – general
 A waiver may be required for on campus activities, as determined by a Risk Assessment. Please submit completed Risk Assessment form to Nancy Demich by
 Waiver requests will be reviewed for international students with US-based insurance who receive university benefits may waive (form completion is required).
 All registered UC Davis Students are automatically enrolled in the UC Student Health Insurance Plan (UC SHIP) in order to meet the UC Regents mandate that
     
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