LNCHG
FEDERAL DIRECT LOAN CHANGE REQUEST FORM
(2020-2021 Academic Year)
2800 S Lone Tree Rd Flagstaff, AZ 86005-2701 PH: 928-226-4219 FAX: 928-226-4110 finaid@coconino.edu
FA-210-LNCHG 20200421
I want to: Increase my loans
Decrease my loans
Cancel my loans
Please write in the new amount you want your loans to be:
Please change my
Subsidized Direct Loan to:
$ _____ for Fall 2020
$ _____ for Spring 2021
$ _____ for Summer 2021
Please change my
Unsubsidized Direct Loan to:
$ _____ for Fall 2020
$ _____ for Spring 2021
$ _____ for Summer 2021
If you borrow the maximum semester amounts you are eligible for in the fall and spring semesters,
you will not have any eligibility left for the summer semester. To learn more about loans visit
www.coconino.edu/finaid > Types of Aid > Student Loans
Student Signature and Date
How do I create a digital signature with Adobe?
Office of Student Financial Aid Use Only:
Processed by: Date:
CCC ID# Last Name First Name MI
Mailing Address City ST Zip Code
@students.coconino.edu
Telephone No. (include area code) CCC Student Email Address
Maximum Annual Federal Direct Loan amounts:
$3500 base loan
1
+ $2000 additional unsubsidized
$3500 base loan
1
+ $6000 additional unsubsidized
$4500 base loan
1
+ $2000 additional unsubsidized
$4500 base loan
1
+ $6000 additional unsubsidized
1
Base Loan can consist of Subsidized and/or Unsubsidized loans based on your eligibility.
I hereby provide consent for the use of electronic records and signatures on all financial aid documents. I understand that if I choose to
sign electronically, my electronic signature constitutes a binding contract and may not be denied legal effect, validity, or enforceability
solely because it is in electronic form or because an electronic signature or electronic record was used in its formation.
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome