FACLRF
Loan Request/Adjustment Form
2021-2022
Student’s Name Student ID# ___________________________
Best Contact Phone # __________________________________________________Date__________________________________
• Y
our requested loan amounts may be adjusted based on your cost of attendance and annual direct student loan limits to
comply with federal regulations.
• Adjustments will be applied to the academic year (fall and spring terms). If you would like to adjust your loan for one term
only, please provide clarification in comments section below. If your request cannot be completed, Financial Aid and
Scholarships will contact you for additional information.
• Any updates and adjustments to your awards can be viewed in WebAdvisor.
• Please allow 5-10 business days for processing. Processing may be longer during peak periods
I authorize Coastal Carolina University to adjust my Federal Direct/Private Student Loan(s) on my account for the academic year.
Please select one of the following:
Reduce my:
Subsidized Direct Loan to total amount of $_______________________________
Unsubsidized Direct Loan to total amount of $ _______________________________
Private Loan to total amount of $ _______________________________
******************************** OR **************************************
Increase or Reinstate my:
Subsidized Direct Loan to total amount of $_______________________________
Unsubsidized Direct Loan to total amount of $ _______________________________
Private Loan to total amount of $ _______________________________
******************************** OR **************************************
Cancel my:
Subsidized Direct Loan
Unsubsidized Direct Loan
Private Loan
Signature and Certification (digital signatures cannot be accepted):
By signing this form, I agree to all terms listed above. I understand that my loan(s) will be adjusted for the full academic year unless otherwise
requested. I also understand that I may be contacted for additional information if clarification is required or my request cannot be processed.
_
Signature Date
Please return completed form to: Coastal Carolina University / Financial Aid and Scholarships / P.O. Box 261954 / Conway, SC 29528-6054
Faxes are accepted: 843-349-2347. Secure upload: www.coastal.edu/aidupload
Comments: (this section is not required unless you are requesting an adjustment for one term only)
If your request above is for one term only, please specify the term: Fall Spring Summer
_____________________________________________________________________________________________
______________________________________________________________________________________________________
Please complete this form if you are requesting changes to your 2021-2022 Federal Direct or Private Student Loan(s).
