Welcome to University of Houston - LCC - F- Intl

Waiver Administration Team Only

Student Signup

This form will create your waiver system account which can be used again in subsequent semesters. Completing this form will NOT submit a waiver request.

Student information

First Name*

Student ID*

Middle Name

Date Of Birth*

Last Name*

Gender*

Address

City

State

Zip

Contact Information

School Email*

Student Phone #

Alternate Email

Your waiver submission has NOT been completed

Select the 'REGISTER' button below to go to the Student Dashboard. Next select the red waiver button under the "NO, I do not want the insurance." section. Then you will be able to enter your waiver information and submit your waiver request.

Set Your Password

Password *
Confirm Password

Sign up for Waiver Status messages. You will receive a text message whenever there is a status change on your waiver submission(s).

Signup for Texts:
Mobile Number * :