Military Deferment Request Form

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MILITARY DEFERMENT REQUEST
OMB No. 1845-0080
Form Approved
Federal Family Education Loan Program / William D. Ford Federal Direct Loan Program / Federal Perkins Loan Program
Exp. Date 04/30/2010
Use this form only for Federal Family Education Loan Program, William D. Ford Federal Direct Loan Program, or Federal Perkins Loan
Program loans first disbursed on or after July 1, 2001, and Federal Consolidation Loans or Direct Consolidation Loans only if all of the
MIL
Title IV loans included in the Consolidation Loan were first disbursed on or after July 1, 2001.
WARNING: Any person who knowingly makes a false statement or misrepresentation on this form or on any accompanying documents
will be subject to penalties which may include fines, imprisonment or both, under the U.S. Criminal Code and 20 U.S.C. 1097.
SECTION 1: BORROWER IDENTIFICATION
Please enter or correct the following information.
SSN
Name _________________________________________________________
Address ________________________________________________________
City, State, Zip ___________________________________________________
Telephone - Home (
) _________________________________________
Telephone - Other (
) _________________________________________
E-mail Address (Optional) __________________________________________
SECTION 2: DEFERMENT REQUEST
Carefully read the entire form, including the instructions and other information in Sections 5, 6, and 7. A representative may complete and sign this form
on your behalf if you are unable to do so.
n I meet the qualifications stated in Section 7 for this deferment and request that my loan holder defer repayment of my eligible loan(s) for a period not to
exceed three years while I am either:
• Serving on active duty during a war or other military operation or national emergency, as defined in Section 6, or
• Performing qualifying National Guard duty during a war or other military operation or national emergency, as defined in Section 6.
SECTION 3: BORROWER UNDERSTANDINGS AND CERTIFICATIONS
n I understand that:
(1)
I am not required to make payments of loan principal during my deferment. Interest will not be charged on my subsidized FFEL or Direct Loan
program loan(s) or Perkins Loan Program loan(s) during my deferment. However, interest will be charged on my unsubsidized FFEL and Direct
Loan program loan(s).
(2)
I have the option of paying the interest on my unsubsidized FFEL or Direct Loan program loan(s) during my deferment.
(3)
My loan holder may capitalize interest that I do not pay during the deferment period on my unsubsidized FFEL or Direct Loan program loan(s).
(4)
My deferment will begin on the date I began performing the military service that qualifies me for the deferment, as certified by an authorized official or
documented by my military orders.
(5)
My deferment will end on the earlier of (a) the date that I stop performing the military service that qualifies me for the deferment, (b) the ending date of
my qualifying military service, as certified by an authorized official or documented by my military orders, or (c) the date on which my loan reaches the
maximum period of deferment under the law. The total military deferment period may not exceed three years for any eligible loan.
(6)
If my deferment does not cover all my past due payments, my loan holder may grant me a forbearance for all payments due before the begin date
of my deferment or—if the period for which I am eligible for a deferment has ended—a forbearance for all payments due at the time my deferment
request is processed.
(7)
During the deferment period on my eligible loans, I may request a forbearance on my other FFEL, Direct Loan or Perkins Loan program loans that are
not eligible for this deferment.
(8)
My loan holder may capitalize unpaid interest that accrues during a forbearance period on a FFEL or Direct Loan program loan, and this will increase
the principal balance of the loan. Unpaid interest that accrues on a Perkins Loan Program loan during a forbearance period is not capitalized.
(9)
My loan holder may grant me a forbearance on my FFEL or Direct Loan program loan(s) for up to 60 days, if necessary, for the collection and
processing of documentation related to my deferment request. Interest that accrues during this forbearance period will not be capitalized.
n I certify that: (1) The information I provided in Section 1 above is true and correct. (2) I will provide additional documentation to my loan holder, as required,
to support my eligibility for this deferment. (3) I will notify my loan holder immediately if I stop performing the military duty that qualifies me for this
deferment or I otherwise become ineligible for this deferment. (4) I have read, understand, and meet the eligibility criteria for this deferment, as stated in
Section 2 and explained in Section 7.
Signature of Borrower or Borrower’s Representative _____________________________________________ Date ________________________________
Printed Name of Borrower’s Representative (if applicable) __________________________________________ Relationship to Borrower ________________
Address of Borrower’s Representative __________________________________________________________ Telephone (
) _____________________
SECTION 4: AUTHORIZED OFFICIAL’S CERTIFICATION
Note: As an alternative to completing this section, a written statement from the commanding or personnel officer or a copy of the military orders may be attached.
I certify, to the best of my knowledge and belief, that the borrower named above is/was engaged in the service described in Sections 2, 6, and 7 that
begins/began on
and ends/ended on
. Enter dates as month-day-year (mm-dd-yyyy).
Name of Military Branch or National Guard ____________________________________________________________________________________________
Address _________________________________________________________________ City, State, Zip _________________________________________
Name/Title of Authorized Official ______________________________________________ Telephone (
) ______________________________________
Authorized Official’s Signature _______________________________________________ Date _________________________________________________
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