OFFICE OF FINANCIAL AID
4525 Education Park Drive, Schnecksville, PA 18078
P 610.799.1133| F 610.799.1798
E finaid@mymail.lccc.edu
OFFICE USE: RRAAREQ Code - | BDM Code -
2020-2021 LOAN ADJUSTMENT REQUEST FORM
1. R
EDUCE
Please REDUCE my loan(s) as follows:
N
ote: All federal loans are disbursed equally over ALL terms of enrollment. If a reduction is needed for one semester,
please indicate the semester next to the amount.
Subsidized Federal Direct Loan from: $ to: $
Unsubsidized Federal Direct Loan from: $ to: $
Parent PLUS Federal Direct Loan* from: $ to: $
Private Loan from: $ to: $
P
lease Note: If your loan has already been disbursed and a refund has been issued to you either by mail or direct
deposit, contact the Financial Aid Office at finaid@mymail.lccc.edu
or 610-799-1133 for further assistance.
2
.
C
ANCEL 3
. R
EINSTATE
Please CANCEL my loan(s) for Semester(s) Please REINSTATE my loan(s) for Semester(s)
Fall Spring Summer Fall Spring Summer
Indicate all loans that you wish to CANCEL IN FULL: Reinstatement of a previously cancelled or declined
loan.
Subsidized Federal Direct Loan Subsidized Federal Direct Loan
Unsubsidized Federal Direct Loan Unsubsidized Federal Direct Loan
Parent PLUS Federal Direct Loan * Parent PLUS Federal Direct Loan *
My signature is an acknowledgment that the above request(s) may result in a balance due based on adjustments to paid or unpaid loan
disbursements. It is my responsibility to review my eBill and resolve my balance in order to prevent a financial hold on my account. An original
signature is required; a computer-generated signature will not be accepted.
Type your full name in the Signature box. By typing your name in the Signature box, you certify that you are signing the
completed form.
Student Name: LCCC ID:
Student Signature: Date:
* Parent Signature: Date:
(Only required for Parent PLUS Loan adjustments)
P
ERM22-u (AC)
