Student Loan Counseling Fee Waiver Policy

Policy

Form

A client is eligible for a fee waiver if their household gross monthly income is less than 150% of the poverty guidelines established by the U.S. Department of Health & Human Services.

In order to be reviewed for the fee waiver, you must complete our fee waiver form and submit copies of the following documentation (documents submitted will not be returned):

Proof of income for all household members:
- For all employed household members: Provide most recent 2 months of paystubs.
- For social security/social security disability income: Provide award letter or bank statement showing deposits.
- For self employed: Provide most recent year's tax return and 2 most recent bank statements.
- For child support: Provide 2 most recent bank statements.
An email address, phone number or mailing address so we can contact you regarding our decision on your fee waiver application.

Income documentation must be submitted at least three business days prior to the scheduled appointment

You may submit these materials through secure file attachment on the following page.

Student Loan Counseling Fee Waiver Form

Name:*

Total number of people in your household:

Total household gross monthly income (before taxes):

Employer:

Spouse's Employer:

Date Submitted:

Required documentation for Proof of income for all household members:

For all employed household memebers: Provide most recent 2 months of paystubs.
For social security/social security disability income: Provide award letter or bank statement showing deposits.
For self employed: Provide most recent year's tax return and 2 most recent bank statements.
For child support: Provide 2 most recent bank statements.

Once we process your request, what is the best way to notify you of our decision?:

Email (provide email address):*

Phone (Check best option/s)*

Cell Phone:

Best time to call:

Home Phone:

Best time to call:

Work Phone:

Best time to call:

Mailing Address:

Attachment:
Please attach your proof of income document.(file size limit 5M)

I have read and I understand the disclosures made above. Signature:

Printed Name:*

Printed Date:*

* fields are mandatory

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Student Loan Counseling Fee Waiver Policy