If your family members are moving with you to Canada and are eligible dependants, you must enrol them in the University Health Insurance Plan (UHIP) within 30 days of the date they became eligible for UHIP. UHIP membership is mandatory for all your dependants.

Dependants — your spouse and/or children — must be added to your UHIP account within 30 days of their arrival in Canada. Please note that late enrolment carries an additional fee of $500 per dependant.

This form is to be used only after you have enrolled in courses (which activates your uOttawa email) and your dependants have arrived in Canada.

To add dependants to your UHIP account, please attach the following documents:

• A copy of the biographical information page of their passport (with name, gender, and date of birth).
• The page with their entry stamp to Canada.

Please specify the relationship of your dependant(s) below : spouse or child.

Fill in the sections 'Dependant #2-#5' only if you have more than one dependant to add. Make sure to populate all the fields including the attachments for each additional dependant.