PK-12 School Forms
Medical Absence and Medical Withdrawal Forms
Page One - Attending Physician Form
Page Two - School Form
Non-Medical Withdrawal or Dismissal Forms
Non-Medical Withdrawal or Dismissal School Form (Blue Form)
Non-Medical Withdrawal or Dismissal Parent Form (Yellow Form)
Claims Gateway for Schools (Login required)
Student Accident Plan Claim Form
Schedule of Insured Student Forms
Tuition Refund Plan - Page One Form
Tuition Refund Plan - Late Entrant Form
Student Accident Plan - Page One Form
Student Accident Plan - Schedule of Late Applicants
Questions? Contact us at 1.617.774.1555
or E-Mail us at trp@dewarinsurance.com
Learn More
Interested in more details regarding the Tuition Refund Plan? Please click below to request more information.
Request A Custom Proposal
In order to obtain a custom proposal for your school, including cost to families, please click below.
Please note that you will need to provide three years of enrollment and withdrawal data to complete the Custom Proposal Request form.