Request For Cancellation Of Perkins Loan printable pdf download

Request For Cancellation Of Perkins Loan

def/cn __________ to __________

sent ltr ________________________

request for cancellation of perkins loan

teacher in a low-income public or non-profit school

Statement to Applicant and Employer about this Federal loan benefit: For purposes of this loan program the U.S. Department of Education

allows those that teach or serve as teaching professionals to defer loan payments and receive cancellation benefits (loan forgiveness).

Applicants become cancellation eligible for each completed year of full-time teaching in a school designated by the U.S. Department of

Education as serving students from “low income” families.

Instructions to Applicant: The Applicant always completes sections A, B, and C. Section D is only completed once the cancellation benefit is

earned upon completion of a full academic year postponement of payment period. Once you have completed your sections, deliver the form to

your Principal or a verification specialist in your Human Resources office for completion of sections E and F.

Instructions to Employer: The Employer completes sections E and F of this form. Your employee (the applicant) is hereby applying for a Federal

Loan benefit based on the fact that he/she is a full-time teaching professional as defined in the statement above.

section a

Borrower’s Name

BC Eagle ID Number or Last Four Digits of Your Social Security Number

Home Address

City

State

Zip

Cell Phone

Residence Phone

Job Title

Email Address

section b

Name of School Where Applicant Teaches

Address of School Where Applicant Teaches

City

State

Zip

School Telephone Number

IMPORTANT: Partial cancellations are only provided after successful completion of a full academic year postponement of payment

period, or its equivalent, at which time you will submit a second form with Section D completed.

section c

1. This is the first time I am applying for a postponement of payment for the school named in Section B.

❒ Yes ❒ No

If you answered yes, you are required to submit a hire letter or contact copy for your position.

2. I anticipate that I will complete a full academic year of employment in the school named in Section B and thereby

qualify for the cancellation that follows my postponement of payment.

❒ Yes ❒ No

3. My official first day of full-time employment as a teaching professional with this school was or will be:

___________________________________________________

Request For Cancellation Of Perkins Loan