2023-2024 Total and Permanent Disability Discharged Loan Statement

Contact Information





We have completed the initial review of your 2023-2024 Free Application for Federal Student Aid (FAFSA). Through a database match, the U.S. Department of Education has identified that you have one or more student loans discharged due to a total and permanent disability. Please complete this form in order to receive a new student loan.
Certifications

Physician's Statement



WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.