Loan/work-Study Change Request Form

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Financial Aid Services
243 Whitmore Administration Building
181 Presidents Drive, Amherst, MA 01003
Phone: 413-545-0801
Fax: 413-545-1700
Web: umass.edu/umfa
Email: fi naid@fi naid.umass.edu
Loan / Work-Study Change Request Form
Name: ____________________________________________________________
SPIRE ID:___________________________
Last
First
MI
Reduction or cancellation of loans may create a bill due to the Bursar. Carefully select the option and type of self-help aid you want
to adjust. We may not be able to re-instate certain loans or work-study once cancelled.
£
Adjust my Federal
as follows:
£
Adjust my Federal
as follows:
Work-Study
Perkins loan
¨Cancel the entire academic year work-study
¨Cancel the entire academic year loan
¨Cancel the Fall 2015 portion only
¨Cancel the Fall 2015 portion only
¨Cancel the Spring 2016 portion only
¨Cancel the Spring 2016 portion only
¨Change the amount of my work-study to:
¨Change the amount of my loan to:
$__________ for the entire year
$__________ for the entire year
$__________ for the Fall 2015
$__________ for the Fall 2015
$__________ for the Spring 2016
$__________ for the Spring 2016
£
£ Adjust my Federal Direct
as follows:
Adjust my Federal Direct
as follows:
Unsubsidized loan
Subsidized loan
¨Cancel the entire academic year loan
¨Cancel the entire academic year loan
¨Cancel the Fall 2015 portion only
¨Cancel the Fall 2015 portion only
¨Cancel the Spring 2016 portion only
¨Cancel the Spring 2016 portion only
¨Change the amount of my loan to:
¨Change the amount of my loan to:
$__________ for the entire year
$__________ for the entire year
$__________ for the Fall 2015
$__________ for the Fall 2015
$__________ for the Spring 2016
$__________ for the Spring 2016
£
£
Adjust my Federal
as follows:
Adjust my
as follows:
PLUS loan
Alternative loan
Name of Alt Loan___________________________________
¨Cancel the entire academic year loan
¨Cancel the Fall 2015 portion only
( MEFA, Sallie Mae, Discover, WellsFargo,etc. )
¨Cancel the Spring 2016 portion only
¨Cancel the entire academic year loan
¨Change the amount of my loan to:
¨Cancel the Fall 2015 portion only
$__________ for the entire year
¨Cancel the Spring 2016 portion only
$__________ for the Fall 2015
¨Change the amount of my loan to:
$__________ for the Spring 2016
$__________ for the entire year
$__________ for the Fall 2015
£
My Parent PLUS loan was denied.
Award an Unsubsidized
$__________ for the Spring 2016
loan. Amount (if less than eligibility) $____________
£ Please re-instate my:
for:
£
Unsubsidized loan
Subsidized loan
for:
£
£Academic year amount $________
£Academic year amount $________
£Fall 2015
amount $________
£Fall 2015
amount $________
£Spring 2016
amount $________
£Spring 2016
amount $________
for:
£
Perkins loan
£Academic year £Fall 2015 £Spring 2016
_________________________________________________________________
_______________________
Student Signature
Date
Please allow fi ve (5) working days for Financial Aid Services to review the requested adjustments.
Check your SPIRE account to determine if we were able to complete your request.
Fax completed form to: 413-545-1700
or email to: fadocs@fi naid.umass.edu
*FDLCGE*

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