Loan Disability Discharge Reinstatement

Eligibility Reinstatement Form for Federal Student Loan Programs after a Previous Total and Permanent Disability Discharge. 

Student Section

 
 
Name (please print)
Date of Birth
 
 
Social Security Number
Telephone

This form serves to reestablish your eligibility for Federal Student Loan Programs when prior loans have been discharged due to total and permanent disability. I am applying for reinstatement of loan eligibility based on sufficient improvement in my condition which will enable me to engage in substantial gainful activity (successfully complete my program and secure employment) in order to repay any additional loans borrowed. Completion of this form does not guarantee that you will qualify for the Federal Student Loan Programs.

I acknowledge that I have previously received a total and permanent disability discharge either through the Federal Family Education Loan Program, William D. Ford Federal Direct Loan Program, or Federal Perkins Loan Program. By my signature below, I clearly understand that any additional student loans I receive must be repaid in full and cannot be canceled in the future on the basis of any impairment present when the new loan is made unless that impairment substantially deteriorates as determined by my physician.

This request will not be processed without a physician’s statement indicating that you are able to engage in substantial gainful activity.

 
 
Student Signature
Date