If your family has made payments to an educational loan in the parent(s) name, please submit this form (with required
documentation) to the Financial Aid Office so we may review these costs when determining financial aid eligibility. Loans listed
can only be for educational loans in the parent(s) name such as a Parent PLUS Loan or if the parent(s) is in repayment of
their own student loans.
Please list each loan that you made payments toward in the 2019 calendar year. Please provide
documentation for payments made, such as an account payment history. Documentation must show the amount paid, the date
of payment, and the name of the parent borrower. Please highlight all payments on corresponding documentation.
Items submitted are subject to approval by the Financial Aid Office.
Parent Borrower’s Name: ______________________________
_ Loan Servicer: ___________________________________________
Monthly Payment $____________________________________ Total Paid in 2019 $_______________________________________
Parent Borrower’s Name: _______________________________ Loan Servicer: ___________________________________________
Monthly Payment $____________________________________ Total Paid in 2019 $_______________________________________
Parent Borrower’s Name: _______________________________ Loan Servicer: ___________________________________________
Monthly Payment $____________________________________ Total Paid in 2019 $_______________________________________
Parent Borrower’s Name:_______________________________ LoanServicer:___________________________________________
Monthly Payment $____________________________________ Total Paid in 2019 $_______________________________________
Parent Borrower’s Name: _______________________________ Loan Servicer: ___________________________________________
Monthly Payment $____________________________________ Total Paid in 2019 $_______________________________________
Parent Borrower’s Name: _______________________________ Loan Servicer: ___________________________________________
Monthly Payment $____________________________________ Total Paid in 2019 $_______________________________________
I certify that all information re
ported on this form and any attachments and subsequent information provided to the
Occidental College Financial Aid Office is true, complete, and accurate to the best of my knowledge. I understand that false
statements or misrepresentations will be cause for denial, reduction, withdrawal, and/or repayment of financial aid.
By signing this form I also allow the Occidental College Financial Aid Office to contact my loan servicer(s).
Parent Signature (no electronic signatures) Print Name Date
PARENT EDUCATIONAL LOAN PAYMENTS (2019 calendar year)
STUDENT’S NAME:
OXY ID:
(NEW STUDENTS LEAVE BLANK)
2020-2021
Occidental College
Financial Aid Office
1600 Campus Road F-35
Los Angeles, CA 90041
Phone: 323-259-2548
Fax: 323-341-4961
finaid@oxy.edu
www.oxy.edu/financial-aid
