LOAN REPAYMENT ASSISTANCE PROGRAM (LRAP)

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ONLINE APPLICATION FOR CANCELLATION OF LRAP LOANS




(do NOT enter your Social Security Number)
 
* Email is our primary method of contacting you. Please provide an email which you will check regularly and notify us of any changes.

Complete the following fields only if your address has changed:


Please select your preferred mailing address.
 

Complete the following fields only if your status has changed:

as defined by the federal tax code

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Complete the following fields only if your salary has changed:


Complete the following fields only if your employment has changed:
 
REQUIRED: Please report actual gross income for the length of your contract. Your contract start and end dates are shown on your award letter.
(If you are married, your spouse's income must also be reported.)
Applicant
Spouse
REQUIRED: Attach a copy of the Employer Verification Form completed and signed by your employer verifying your income.
REQUIRED: Attach proof of payment for all of your loans in the form of payment history or statements of payments. Proof of payment for Direct Loans can be obtained from your Payment History at www.direct.ed.gov.

Please type your full name (required)