Please use the
courtesy waiver worksheet as a guideline. It helps to gather your insurance
information in advance of completing the actual online form.
The application is
always online and you need your UCLA Bruin log-on ID and password for access. Transactions
are always saved once you click “Submit Waiver” and the system will generate an
automatic result. If approved, a confirmation will be sent to your email
address and you will receive a credit on your BruinBill account within 3-5
business days. If denied, you will need to appeal the decision within 14
business days of your denial. The waiver application and its associated forms
are available under INSURANCE at www.studenthealth.ucla.edu.