Clicking on the links will take you to information such as claims filing instructions, printable forms, and examples of certain required documentation. What do I need to report a claim?Policy owner must sign form. Clark University requires all matriculated full-time and three-quarter-time students to participate in the Student Health Insurance Plan. Use this form to request a duplicate copy of your policy, similar to what you received when you originally purchased the policy, or a certificate of insurance. Read declaration carefully and mention date (in dd:mm:yy format), place (open text) and sign. Underwriting forms to review and submit applications for insurance, including the Elevation Certificate. (To be filled in block letters). Students walking on campus Your health and wellness are very important components to your life at Clark. Yet had a public health insurance case opened where you now live, you should complete and return this Renewal Form to us.