In-School Deferment Request Form printable pdf download

IN-SCHOOL DEFERMENT REQUEST

OMB No. 1845-0011

Form Approved

William D. Ford Federal Direct Loan (Direct Loan) Program / Federal Family

Exp. Date 9/30/2018

Education Loan (FFEL) Program / Federal Perkins Loan (Perkins Loan) Program

WARNING: Any person who knowingly makes a false statement or misrepresentation on this form or on

any accompanying document is subject to penalties that may include fines, imprisonment, or both, under

SCH

the U.S. Criminal Code and 20 U.S.C. 1097.

SECTION 1: BORROWER INFORMATION

Please enter or correct the following information.

Check this box if any of your information has changed.

SSN

Name

Address

State

Zip Code

City

Telephone - Primary

Telephone - Alternate

Email (Optional)

SECTION 2: BORROWER DETERMINATION OF DEFERMENT ELIGIBILITY

Carefully read the entire form before completing it.

You are always eligible for this deferment if you are enrolled full time at an eligible school.

You are eligible for this deferment when you are enrolled at least half time, but less than full time, at an eligible school, only if

you are:

• A Direct Loan borrower;

• A Perkins Loan borrower; or

• A FFEL Program borrower who did not have an outstanding balance on a FFEL Program loan that was first disbursed

before July 1, 1987 when you obtained a loan on or after July 1, 1987.

Federal PLUS Loans that were first disbursed on or after July 1, 2008 are eligible for this deferment regardless of prior

borrowing in the FFEL Program.

SECTION 3: BORROWER REQUESTS, UNDERSTANDINGS, CERTIFICATIONS, AND AUTHORIZATION

I request:

• To defer repayment of my loans for the period during which I meet the eligibility criteria outlined in Section 2 and as

certified by the authorized official in Section 4.

If indicated, to make interest payments on my loans during my deferment.

•

If I am eligible and if indicated, to defer repayment of the PLUS Loan for the 6-month period after the I am no

longer enrolled on at least a half-time basis, graduates, or withdraws.

Page 1 of 4

In-School Deferment Request Form