FEDERAL PERKINS STUDENT LOANS MADE AFTER JULY_ 1993 by jianghongl

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									                 FEDERAL PERKINS STUDENT LOANS MADE AFTER JULY, 1993
                       REQUEST FOR UNEMPLOYMENT DEFERMENT

Name__________________________SS#__________________Phone#(                            )_________________
Address _______________________________City & State_________________________________
Email Address: _____________________________________Cell Phone# (                        )_______________

UNEMPLOYMENT DOCUMENTATION:

You must attach proof of registration with the employment office, proof of your unemployment benefits
and rejection letters from prospective employers, (If you do not have rejection letters give at least two (2)
places you have given employment applications). All Correspondence should be mailed to: UTC/Bursar’s
Office Dept 6005, 615 McCallie Ave., Chattanooga, TN 37403

Company Name___________________________                     Company Name____________________________
Address_________________________________                    Address___________________________________
________________________________________                     _________________________________________
Phone#(        )______________________________              Phone#(    )________________________________



PLEASE READ CAREFULLY AND SIGN BELOW:

I understand that all information and supporting documents will be held in confidence and will not be subject
to dissemination outside the requirements of the University of Tennessee at Chattanooga (UTC).

I understand that interest will not accrue while I am in an unemployment deferment. I also, understand that I
must be actively looking for a job to qualify and continue to qualify for an unemployment deferment and an
Unemployment Contact Form should be completed each month and mailed to our office.

I certify that all information included with this request is true and correct. I authorize (UTC) to make
whatever inquires necessary in connection with the review of information concerning my ability to repay.

I HEREBY REQUEST AN UNEMPLOYMENT DEFERMENT ON MY FEDERAL PERKINS
STUDENT LOAN. I CERTIFY THAT I UNDERSTAND AND AGREE TO ALL THE TERMS AND
CONDITIONS THAT APPLY TO THIS REQUEST.


________________________________________ ____________________________ _________________
Signature                                                   SSN                             Date


FOR UTC STUDENT LOAN DEPARTMENT USE ONLY:

            __Approved From ____________________ to______________________           __Disapproved


_______________________________________________________             _____________________________________
Signature of Authorizing Official                                      Date

								
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