GENERAL FORBEARANCE REQUEST
OMB No. 1845-0031
William D. Ford Federal Direct Loan (Direct Loan) Program / Federal Family
Exp. Date 2/28/2019
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
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.
Telephone - Primary
Telephone - Alternate
SECTION 2: FORBEARANCE REQUEST
Carefully read the entire form before completing it. Answer all questions in Section 2. Your loan holder has sole
discretion in whether to grant your general forbearance request, and, if granted, for what period your forbearance
will be applied. Instead of forbearance, you may want to consider requesting a deferment (which has an interest benefit
for some loan types) or changing to a repayment plan that determines your monthly payment amount based on your
for more information.
1. I am requesting a forbearance because I am
2. If approved for a forbearance, I would like to:
experiencing a temporary hardship related to one of
Temporarily stop making payments.
the following situations (check one):
Temporarily make smaller payments of
Change in employment
3. I would like my forbearance to begin with the
monthly payment that is due in the month and year
Other (explain the situation below)
4. If approved for forbearance, I would like my
forbearance to end in the month and year below,
and begin making payments the following month:
Page 1 of 4