_______________________________________________________ ___________________________
OFFICE OF FINANCIAL AID
4525 Education Park Drive, Schnecksville, PA 18078
P 610
.799.1133| F 610.799.1798
E finaid@mymail.lccc.edu
2020-2021
Discharge Due to Total and Permanent Disability
If a borrower whose prior loan was discharged due to a total and permanent disability wishes to take out
another FSA loan he/she must obtain a physician’s certification stating that he/she the borrower has the
ability to engage in substantial gainful activity meaning the borrower is able to perform a level of work for pay
that involves doing significant physical or mental activities or a combination of both.
The borrower must also sign the statement below:
I as the borrower, hereby acknowledge that any new FSA loans cannot later be discharged for any present
impairment unless a physician certifies that any present impairment deteriorates so that I the borrower am
again totally and permanently disabled.
Print Full Name L#
Signature Date
(WET SIGNATURE REQUIRED)
