Skip to main content
University of Illinois at Chicago

Forms and Applications

Enrollment Forms and Applications

UIC Dependent Enrollment Form.pdf

Change of Name Request Form.pdf


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
  • Fax
    617-479-0860