Please read the directions and complete the form. You may then submit the authorization form to the address at the bottom.
2013-14 FACTS Payment Plan
The 2013-14 FACTSl payment plan in now open for participation. For directions on how to sign up, please visit our Payment Option page. If you have any questions, please contact our Assistant Bursar, Alisa Cutter, at 802-443-5158.
Student Health Insurance Plan
In response to new federal regulations, Middlebury College now requires ALL STUDENTS either purchase the Student Health Insurance Plan offered by the college or sign a waiver indicating that the student is covered by a comparable U.S.-based plan. Students who do not sign the waiver will be billed for College-sponsored health insurance.
To submit proof of comparable coverage, fill out the online waiver form at Gallagher Koster.