Quick Links

Forms and Applications

Enrollment Forms and Applications

2015-2016 University of South Florida Mandated Continuation Plan Form.pdf

2015-2016 University of South Florida GA-TA-RA Continuation Plan Form.pdf

2015-2016 University of South Florida Visiting Scholar Enrollment Form.pdf

Change of Name Request Form.pdf

For information about On Call Travel Assistance and Medical Evacuation programs, please click the "Other Insurance Products" tab to the left.


All documents are in .PDF format. In order to read and print your enrollment form, you will need to have Adobe Reader downloaded and installed on your computer. You may click on the image below to download Adobe Reader.


  • Gallagher Student Health & Special Risk
    500 Victory Road, Quincy, MA 02171
  • Phone
    617-769-6405
  • Toll Free
    877-539-3492
  • Fax
    617-479-0860
  • Email
    usfstudent@gallagherstudent.com