Flagstaff, AZ 86005-2701
PH: 928-226-4219
FAX: 928-226-4110
finaid@coconino.edu
LNCHG
FA-210-LNCHG 20201214
FEDERAL DIRECT LOAN CHANGE REQUEST
FORM
(2021-2022 Academic Year)
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 2021 $ _____ for Spring 2022 $ _____ for Summer 2022
Please change my
Unsubsidized
Direct Loan to:
$ _____ for Fall 2021 $ _____ for Spring 2022 $ _____ for Summer 2022
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
I certify that information provided on this form is true and complete to the best of my knowledge. Purposely giving false or misleading
information may result in a delay or denial of my federal financial aid and I may be fined up to $20,000, sent to prison or both. 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.
Student Signature and Date
How do I create a digital signature with Adobe?
Office of Student Financial Aid Use Only:
Processed by: Date:
Maximum Annual Federal Direct Loan amounts:
Dependent Freshman
$3500 base loan
1
+ $2000 additional unsubsidized
Independent Freshman
$3500 base loan
1
+ $6000 additional unsubsidized
$4500 base loan
1
+ $2000 additional unsubsidized
Independent Sophomore
$4500 base loan
1
+ $6000 additional unsubsidized
1
Base Loan can consist of Subsidized and/or Unsubsidized loans based on your eligibility.
click to sign
signature
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