Income-Driven Repayment Application Fix It Form printable pdf download

Income-Driven Repayment Application Fix It Form

INCOME-DRIVEN REPAYMENT APPLICATION FIX IT FORM

Borrower information (to be provided by student loan borrower)

FIRST NAME

LAST NAME

SUFFIX

Please provide

your full name

and account

information

STUDENT LOAN ACCOUNT NUMBER

Borrower requests servicer fill out this form and return within 10 business days

If this timeline does not permit the timely processing of a completed application prior to the borrower’s annual deadline

(if applicable), servicer should contact the borrower at

Application status (to be completed by servicer)

Your new monthly payment amount of

will be due on

No further action is required from you at this time.

This is not a bill. Your bill or automatic debit will reflect your new monthly payment

Accepted

amount beginning

Loans are ineligible for requested plan

Your payment under your requested plan would be higher than your payment

under a standard plan

If either of the above options are checked, see attachment for other repayment plans and an

Denied

estimate of your payments under these plans

Borrower did not respond within 60 days to request for more information

 You need to provide the information and documents listed on the following page.

You can upload these documents

Incomplete

send by U.S. Mail:

Consumer Financial

1 of 2

Protection Bureau

Income-Driven Repayment Application Fix It Form