Certificate of Coverage Request

Name as it Appears on Your Passport

Date of Birth

Please enter in MM/DD/YYYY format.

Country of Citizenship

Travel destination(s)

Columbia-related international travel destination(s) only. Letters cannot be issued for personal/leisure travel and personal/leisure travel cannot be included on the letter.

Columbia-Related Travel/Program Start Date

Columbia-Related Travel/Program End Date

Purpose of Your CU-Related International Travel

Letters cannot be issued for personal/leisure travel and personal/leisure travel cannot be included on the letter.

Purpose of this Certificate of Coverage letter

Your CU email (Please use your CU email address, other email addresses will not work)

Your UNI

Your CU affiilation

Questions or comments

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