School Enrollment Verification Form
[Pages:1]School Enrollment Verification Form
Borrower Instructions: If you wish to defer your payments while you are enrolled in school at least half time, complete Section 1 of this form. Take the form to the school Registrar's office for completion of Section 2. Once the school has completed Section 2, please send the completed form, with your deferment application, using one of the following methods:
Mail: Discover Student Loans Customer Service PO Box 30948 Salt Lake City, UT 84130-0948
Secure Document Upload: upload (login required) Fax: 1-224-813-5210
Section 1. To Be Completed By Borrower
I am enrolled as a continuous (at least half-time) student at
(School Name)
Please read: Please call us at 1-800-STUDENT if your loan application was received before 03/31/2012 and you have CitiAssist Loan(s) that was purchased by Discover, you may qualify for In-School deferment if you are enrolled less than half time.
My anticipated graduation date is
/
/
MM
DD
YYYY
Borrower's Information First Name
Borrower's Street Address
MI
Last Name
City
Last 4 of SSN
Phone Number
-
-
State
Zip
Signature
Date
/
/
MM
DD
YYYY
Section 2. Authorized Official's Certification (Please print or type)
I certify, to the best of my knowledge and belief that the borrower named above is/was enrolled as at least a half-time student as indicated in Section 1.
The school may attach its own enrollment certification report listing the required information in lieu of completing this section.
The borrower: 1. Is/was enrolled at least half-time during the academic period:
from
/
/
MM
DD
YYYY
/
/
to
MM
DD
YYYY
2. Is reasonably expected to complete his/her program requirements on:
/
/
MM
DD
YYYY
School Name
Street Address
School Code
City Signature of Authorized Official Name/Title of Authorized Official
State
Zip
Phone Number
-
-
Date
/
/
MM
DD
YYYY
SL.ENROLL.FRM.1017
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