Fillable 2020-2021 Ref Parent Change of Address Request Form (Wright State University)

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2020-2021 Ref Parent Change of Address Request Form (Wright State University)

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2020-2021
Parent Change of Address
Request Form for
Federal Direct PLUS Loan
Ref
unds
This form allows current Federal Direct Parent PLUS Loan (PLUS Loan) borrowers to change their mailing address for Federal
Direct Parent PLUS Loan refunds only.
TERMS
The change of address request is valid for any Federal Direct Parent PLUS Loan(s) that (1) exist on the student’s account (See
Part A) for the parent borrower (See Part B) as of the date this document is received and processed by Wright State
University, and (2) any Federal Direct Parent PLUS Loan disbursements that have yet to be refunded to the parent borrower
as of the date this document is received and processed by Wright State University.
INSTRUCTIONS
Print all information clearly and do not leave any items on this form blank. Skipped items will delay processing.
PART A: Student Information
1. Student Name:
2. Student UID:
PART B: Parent Borrower Information and New Address
3. Parent Borrower’s Name:
4. Parent SSN:
5. Parent E-mail
Address:
6. Parent Street Address:
7. Parent City:
8. Parent State:
10. Parent Day Time Area
Code/Telephone Number:
11. Parent Date of Birth
(Month/Day/Year):
PART C: Parent Borrower Authorization
Signing of this document by anyone other than the parent borrower whose information is provided above is a forgery punishable by law. By
signing I authorize Wright State University (WSU) to update my mailing address for Federal Direct Parent PLUS Loan (PLUS Loan) refunds only in
accordance with the terms listed above.
12. Parent Borrower’s Signature:
13. Today’s Date:
(Do not type or use a mouse to sign. Please print your application and then sign using a pen.)
W
e’re here to help! If you have any questions, please contact Raider Connect at 937-775-4000 or by email at
raiderconnect@wright.edu
.
For Office Use Only
RRAAREQ Form Status Code Mailed Today’s Date
☐ Form
S
P
F
☐ Follow-up Letter
☐ Follow-up Letter with new form
☐ Other:
Reason:
LNPADC Parent PLUS Address 2020-2021
Office of Financial Aid
130 Student Union
3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001
Phone: 937-775-4000
Email: raiderconnect@wright.edu
FAX: 937-775-4410
U
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2020-2021 Ref Parent Change of Address Request Form (Wright State University)

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Completed 16 December 2020

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