UAA Student ID Number = 8 characters.

If no middle initial, enter N/A

MM/DD/YYYY

This insurance requires a selection of M for male or F for female.

Choose: Apt #, building #, suite #, space #, etc.

(ex. 99508)

Format: (XXX) XXX-XXXX

Enter the semester listed on your contract letter

Check the source of your enrollment

Please check your type of residency