2020-2021
Federal Direct Parent
PLUS Loan Waiver for
Active Bankruptcy
By completing this form, you are indicating that due to an active bankruptcy, you are unable to apply for the Federal Direct
Parent PLUS loan. Parents of dependent undergraduate students who are unable to apply for the Federal Direct Parent
PLUS Loan due to an active bankruptcy may submit documentation along with this form for the student to be considered
for an additional Federal Direct Unsubsidized Loan.
INSTRUCTIONS
1.
Attach documentation from the United States Bankruptcy Court. Documentation must contain the followin
g
in
formation:
Debtor name
Date of order confirming the bankruptcy plan
The number of months that the debtor is scheduled to make payments
Statement that the debtor shall not incur additional, non-emergency, consumer debt (in excess of a
certain amount) without written approval of the Court or the Trustee
2. C
omplete the following information and submit along with the above required documentation to our Raider Connect
office. Skipped items will delay processing.
We’re here to help! If you have any questions, please contact Raider Connect at 937-775-4000 or by e-mail at
raid
erconnect@wright.edu
.
For Office Use Only
RRAAREQ Form Status Code Mailed Today’s Date
Form
S
P
F
Follow-up Letter
Follow-up Letter with new form
Other:
Credit Decision
Reason:
LNPBNK PLUS Bankruptcy 2020-2021
PART A: Student Information
Student UID:
PART B: Parent Information
Parent Date of Birth:
City: State: Zip Code
Parent Phone Number:
Parent Email Address:
PART C: Parent Authorization
By signing this document, I understand Wright State University (WSU) will review my active bankruptcy paperwork
to consider my dependent student for an additional Federal Direct Unsubsidized Loan.
Parent Signature:
Today’s Date:
/ /
Office of Financial Aid
130 Student Union
3640 Colonel Glenn Hwy.
Dayton, OH 45435-0001
Phone: 937-775-4000
E-mail: raiderconnect@wright.edu
FAX: 937-775-4410
U00