Santa Barbara Foundation Student Loan Deferment Request Form (Page 2 of 2) in pdf

FINANCIAL HARDSHIP

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** For deferment of your loan based on financial hardship, please attach a letter explaining your financial hardship

situation. The maximum length of time for which a student’s loan may be deferred for this reason is 3 months

MEDICAL EXCUSE

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** For deferment of your loan based on a medical excuse, please complete the following:

Nature of injury/illness: _______________________________________________Expected date of recovery: _______________

Physician’s Name, Address & Phone Number: ____________________________________________________________________

________________________________________________________________________________________________________________

A physician’s excuse must be attached. Deferment requests are reviewed on a case by case basis.

SERVICE

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** For deferment of your loan based on service in Peace Corps, AmeriCorps, or a mission related to your church, please

attach a copy of the letter of acceptance to the program. In addition, please complete the following:

Nature of service: __________________________________

Expected Departure Date:___________________________

Expected Return Date: ______________________________

ACTIVE DUTY (RESERVISTS ONLY)

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** For deferment of your loan based on your status as an active duty reservist in a branch of the U.S. military, please

attach a copy of your orders requiring you to report to duty. In addition, please complete the following:

Expected Departure/Reporting Date:_________________________

Expected Return/Release Date: ______________________

IN ORDER FOR YOUR DEFERMENT REQUEST TO BE PROCESSED, YOU MUST COMPLETE AND SIGN THIS RELEASE

STATEMENT.

I understand that I have requested deferment, for the reason stated above, and if granted, once the deferment period

ends, I am responsible to resume payment in a timely manner.

Under current policy, any loan more than three months in arrears is subject to collections action. If the loan is submitted

for collections action, I must repay the entire loan amount, plus I will be charged interest on the outstanding balance.

This agreement serves as notification of this policy.

My signature acknowledges that I intend to repay my loan(s) and that I agree to all the terms and conditions of the

Santa Barbara Foundation Student Loan Program.

Signature: ________________________________________ Date: _____________________

Santa Barbara Foundation Student Loan Deferment Request Form Page 2