Fillable Disability-status19-20 Mastrangelo Financial Aid Center 2019-2020 Documentation of Disability Status

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Disability-status19-20 Mastrangelo Financial Aid Center 2019-2020 Documentation of Disability Status

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HVCC Financial Aid Office Phone 518-629-7150 Guenther Room 110
80 Vandenburgh Ave Fax 518-629-7479 Monday-Friday
Troy, NY 12180 financialaid@hvcc.edu 8AM-5PM
Mastrangelo Financial Aid Center
2019-2020 Documentation of Disability Status
Records at the U.S. Department of Education indicate that you have had a federally funded educational loan
discharged due to total and permanent disability. Before we can process your application, we must determine if
you are eligible to borrow a new educational loan.
Student Name
Social Security Number
Date of Birth
Complete either Section 1 OR Section 2.
Section 1:
I have had a prior federally funded educational loan discharged due to total and permanent disability. I am
seeking federal financial aid but do NOT wish to borrow a new federally funded educational loan.
Student Signature
Date
Section 2:
I have had a prior federally funded educational loan discharged due to total and permanent disability. I am
seeking federal financial aid AND I wish to borrow a new federally funded educational loan.
To meet the requirements to qualify for a new loan, I must:
A) Provide a signed physician’s statement that I may now engage in “substantial gainful activity”
B) Acknowledge with my signature below that the new loan may not be discharged due to the same
disability unless the disabling condition substantially deteriorates.
Student Signature
Date
Return all documentation to the Financial Aid Office
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Disability-status19-20 Mastrangelo Financial Aid Center 2019-2020 Documentation of Disability Status

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Completed 3 March 2020

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