Foreign Travel Insurance - Study Abroad Program Students

SPRING 2023 - The Foreign Travel Insurance forms for the Study Abroad Program is now available in DocuSign beginning November 1, 2022 for Spring 2023.

On the PowerForm Signer Information Page, it is important that you enter your first and last names for DocuSign to auto-populate your complete name throughout all the forms.  

Once you start filling the forms, make sure to finish it in one session, or complete within 30 days.  Otherwise, you will need to start over after the form expires. Please pay attention to the following instructions that may or may not pertain to your travel before you begin.

• If you do not have your acceptance letter and/or lodging information available, you can email this information when it is available at riskmgmt@sfsu.edu   You may still proceed in completing the packet.  

• The Request for Authorization to Travel to a High Hazard Country is only required if you’re traveling to a high hazard country. Refer to the CSURMA High Hazard Countries list below.

• Complete this packet at least 30 days before your departure date. Early requests for visa and/or scholarship requirements will be processed upon request.  Email amarica@sfsu.edu if you need your documents sooner.

For insurance questions, contact Aimee Arica in Enterprise Risk Management at amarica@sfsu.edu, or riskmgmt@sfsu.edu

For study abroad program questions, contact the Office of International Programs at studyabr@sfsu.edu

To start completing the Foreign Travel Insurance Packet - Study Abroad, click HERE.

The packet includes the following forms.

• Foreign Travel Insurance Request Form  (2 pages)
• Release of Liability for Ground/Air Travel  (3 pages)
• Request for Personal Travel and Acceptance of All Risks 
• Acknowledgement of Travel Risks During the COVID-19 Pandemic form  (3 pages)
• Study Abroad Program - Request for Authorization to Travel to a High Hazard Country 

Required only if you are a minor (under 18 years of age).  Email these forms to riskmgmt@sfsu.edu

• These forms require a "wet" signature of a legal guardian. Electronic signatures are not permitted for these documents pertaining to youth under the age of 18 (minors).

• Release of Liability for Ground/Air Travel (including your parent or legal guardian’s approval signature.)
• Minor’s Medical Consent Form

Once Enterprise Risk Management reviews all required documents, we will provide you with a cashier slip and link to an eMarket website.

You can pay:

• In-person, pay by cash, OR
• In-person, pay by check payable to "San Francisco State University", OR

          Visit the Bursar's Office website for office hours and cashiering availability.

• Online, pay on the e-Market website provided by our office by electronic check (no transaction fee), OR
• Online, pay on the e-Market website provided by our office by credit card with an additional, non refundable transaction fee of 2.65%       

After payment, email a receipt copy to Aimee Arica at amarica@sfsu.edu, or riskmgmt@sfsu.edu

After payment is verified, our office will submit a request to bind insurance with our insurance program administrators.  Once coverage is secured,  coverage documents will be emailed to the address provided on your Foreign Travel Insurance Request Form.

2021-2022 Foreign Travel Insurance Program (FTIP) Coverage Summary

Chubb Travel Assistance Program Contact 

(Emergency & Executive Assistance)

24-Hour Access
1-855-327-1414  Toll-Free
1-630-694-9764  Direct Dial

Medassist-usa@axa-assistance.us

Visit www.acetravelassistance.net for access to global threat assessments and location-based intelligence.

In the event of a medical emergency or in need of travel assistance, and/or security assistance, the traveler should contact the Travel Assistance Program Contact (above) to initiate assistance.