ISS-02 International Student Insurance Waiver Form

Use this form if you are a full-fee paying international student, Study Abroad or Exchange student in New Zealand and would like to request an insurance waiver.

If your policy is on the compliant policy list then you MUST upload your insurance certificate in English to this form within the timeframe allowed in order to get a full waiver. Only approved policies from the list will be accepted. Please see a sample of the details your insurance certificate should have.

First name

Last name

Student ID

Reason for waiver

Ensure you check Compliant Policies. Only approved policies from the list will be accepted

Alternative insurance provider

Insurance/policy number

Insurance start date

Insurance end date

Current visa end date

Your approved insurance policy dates must cover, programme/term/semester and length of visa.

Please upload a copy of your insurance certificate. You may be required to upload a visa document or travel itinerary.

Upload insurance certificate

Please ensure the certificate is for a compliant policy, must be in PDF format

Check if your policy is on the compliant list before uploading

Student declaration

I declare that while I am a student of the University of Auckland, I will have an approved alternative insurance policy for the period of my enrolment and student visa, in accordance with Immigration NZ regulations. I am required to inform the Insurance Administration Office of any changes during the insurance period (eg, I am no longer enrolled, I have a change of status to domestic student or I enrol with a different provider) OR if I am studying overseas or conducting research overseas, on suspension or on student exchange before waiver due dates.

I agree to apply for an insurance waiver for every quarter or semester I am enrolled in (for doctoral students every year). If not, the University will charge my customer account for thier preferred insurance policy (Studentsafe-University). The University of Auckland is not liable for any claims not met by any insurance assessed as compliant or not compliant to the Code of Practice for the Pastoral Care of International Students.

Please do not enter any credit card information into this form.