Kemper Good Student Form Details

Cic 2134 form is a certificate of origin that is issued by the consignor to the carrier. This document certifies that the goods being transported have been manufactured in a specific country. The cic 2134 form must be completed in full and signed by the exporter before it can be used. The form is typically used when shipping goods internationally. When completing this form, you will need to include information about the product, such as its make, model, and weight. You will also need to provide details about the exporter, including their name and address. Lastly, you will need to indicate the country of manufacture for each item listed on the form.

Listed below are some details you may want to go over just before you start dealing with the cic 2134 form.

Form NameCic 2134 Form
Form Length1 pages
Fillable fields23
Avg. time to fill out4 min 55 sec
Other namesgood studnet form for insurance purposes, good student form printable, state farm good student discount unofficial transcript, kemper good student form

Form Preview Example



Named Insured


Producer Name:

Mailing Address


Producer Code:


Zip Code

Policy Effective Date:


StudentName: --------------------------------------

School Class: Freshman ___ Sophomore ____ Junior __ Senior __


School Name and Address:

ACADEMIC CERTIFICATION (To be Completed by School Official)

For the academic period immediately preceding this certification, the student noted above has met one of the following requirements:

__ Is in the upper 20% of his or her class scholastically; OR

__ Maintains a "B" average or higher, or its equivalent, or if the letter grading system cannot be average then no grade is below a "B"; OR

__ Maintains a numerical grade point average or "3.0", in a system assigning numerical grade points of 4.0, 3.0, 2.0, and 1.0; OR

__ Was included on the "Dean's List", "Honor Roll", or comparable list indicating scholastic achievement.


Name and Title of School Official

Signature of School Official


For Home Schooled students, two certification options are available:

__ Attach a standardized form certified by a 3rd party organization showing evidence that one of the above listed qualifications has been satisfied; OR

___ Attach evidence of the student scoring in the upper 20% on an annual national standardized exam.

CIC-2134 {4/09)

How to Edit Cic 2134 Form

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Step 1: Select the button "Get Form Here".

Step 2: Now you will be within the document edit page. You'll be able to add, adjust, highlight, check, cross, add or erase fields or words.

Enter the requested material in every single segment to fill in the PDF good studnet form for insurance purposes

state farm insurance good student discount empty spaces to consider

Make sure you submit the Date, Name and Title of School Official, Signature of School Official, Academic Certification - Home, For Home Schooled students, __ Attach a standardized form, listed qualifications has been, ___ Attach evidence of the student, and CIC-2134 {4/09) field with the essential data.

stage 2 to completing state farm insurance good student discount

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