Student Loan Cancellation Request - Uci

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102 Aldrich Hall
Tel: (949) 824-8262
Irvine, CA 92697-2825
Fax: (949) 824-4876
Student Loan Cancellation Request
Student Name: _________________________________________
UCI ID: _______________________________
E-mail: ________________________________________________
Phone Number: _________________________
Please indicate the type of loan you would like to cancel and the applicable term(s).
Fall Term
Winter Term
Spring Term
Summer Term
 Subsidized Direct Loan
 Unsubsidized Direct Loan
 Graduate PLUS Direct Loan
 Perkins Loan
 University Loan
 Alternative/Private Loan
 TEACH Grant
 If you are returning a university-issued check, please attach the check to this form.
If you are requesting to cancel a loan that has already been paid to you, our office will be posting charges to your Zot
account. Failure to pay your bill will result in a hold.
Signature
Student Signature: ______________________________________________________
Date: _____________________
Our office will be able to process your request for cancellation if your loan has not yet been disbursed or it
has been less than 120 days from the date of disbursement.
If it has been more than 120 days from the date of disbursement, you will need to contact your
lender/servicer to have your loan cancelled. To learn who your lender/servicer is:
Subsidized/Unsubsidized Direct Loan or Graduate PLUS Direct Loan – Contact Applicant Services at (800)
557-7394 or log on to NSLDS at
and look under ‘Financial Aid Review.’
Perkins or University Loan - Office of Financial Services in 101 Aldrich Hall, or call (949) 824-7081.
Alternative/Private Loan - Un-cashed checks may be returned to our office in 102 Aldrich Hall. You need to also
contact your lender to cancel any remaining disbursements.
Revised 10/2/2012

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