Public Service Loan Forgiveness (PSLF) Request

Public Service Loan Forgiveness (PSLF) Request

Note: Submit this form along with pages 1 and 2 of the Public Service Loan

Forgiveness certification and application to NIU's HR department.

Requestor Information

First Name:

Last Name:

Email Address:

Confirm Email Address:

Contact Phone Number:

Comments:

I attest that I was or am currently an active faculty or staff employee of Northern Illinois University and am authorized to make this request.

Preferred Delivery Method - How do you want NIU to return your documents?

Walk-In: You will be emailed at the email address listed above when documents are ready for pickup.

? Address: 1515 W. Lincoln Hwy., DeKalb, IL

? Photo ID Required

USPS - Mailing Address:

Current Street / P.O. Box

City

State

Fax

Additonal Information

For questions or details about this program email hr_pslfrequests@niu.edu.

Zip Code

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