ED Account Number:
In an effort to maintain communication and reduce waste, Central Research would like to email
pertinent information and documents to you regarding your defaulted student loans held by the
U.S. Department of Education.
By signing this form, I give Central Research and their partners permission to contact me
regarding my default student loans held by the U.S. Department of Education with the email
address listed below. I affirm that the address listed below is not furnished or owned by my
employer and that I have previously received, read, and understand the disclosures listed below
the heading for “New York Residents.” I understand that I may revoke this consent at any time
by contacting Central Research at the address listed below either verbally or in writing.
Print Name:
Once you have completed this form, please print, sign, and return it to us using one of the
following methods:
Mail: Central Research, Inc.
P.O. Box 1460
Lowell, AR 72745
Fax: 870.498.8758
Email: edadmin@central-research.com
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome