Loan Discharge Acknowledgment

You have had one or more federal student loans discharged because of a total and permanent disability. Before your financial aid eligibility can be determined, please complete one of the following options:

  1. For Federal Pell Grant, Scholarships, and other grant options only, complete the Borrower’s Acknowledgement on the form below (page 1 only).
  2. For Federal Student Loans, complete the Borrower’s Acknowledgement and Physician’s Certification on the form below (page 1 & 2). Your physician must fully complete page 2. 

Select the correct academic year below to download the form.


Financial Aid Pro Tip:

The sooner you submit your completed worksheet (and any other requested documents), the quicker we can evaluate your eligibility for financial aid.  Don't miss out on financial aid!  Submit your documents as soon as possible!