FORM DISCON - IDAHO STATE UNIVERSITY 19-20
TOTAL AND PERMANENT DISABILITY
The Department of Education has advised us that you have had federal student loans
discharged due to a total and permanent disability. This discharge limits your eligibility
for additional student loans. Please review and complete this form to determine your
program eligibility and return with attachment(s) to:
Office of Financial Aid, Idaho State University, Museum Building, Room 337
921 S 8
th
Ave, Stop 8077, Pocatello, ID 83209-8077
Phone: (208)282-2756 Fax: (208)282-4755 Email: finaidem@isu.edu
Web: https://www.isu.edu/financialaid/forms/
University Place, Bennion Student Union Building, Student Services Office
1784 Science Center Dr, Idaho Falls, ID 83402 Phone: (208)282-4755
DISCON-20
*Student Name:
(Use blue or black ink) Last First M.I.
*ISU ID: *Last 4 Digits of Social Security #:
(Find under Academic Tools tab on BengalWeb) *Required
Federal financial aid includes loans as well as grant and work study funds. You can be considered
for grant and work study funds at this time. We cannot offer you any federal loans until you provide
our office with additional information. Please provide the following and return to the address above.
Please be aware that if a borrower requests a new loan or TEACH grant during the 3-year post-
discharge monitoring period or the conditional discharge period, he/she must resume
payment on the old loan before receipt of the new loan or TEACH grant.
Check the appropriate box below:
‘ I do not want to be considered for any federal student loans. Grants and/or work study are the
only forms of aid I will accept.
‘ I do want to be considered for federal student loans and will provide the following:
a. A statement from a legally licensed physician stating that my condition has improved
and that I have the ability to engage in substantial gainful activity. Please attach the
statement to this form.
AND
b. A statement, in my own words, that I am aware that a new federal student loan cannot
be canceled in the future on the basis of any impairment present when the new loan is
made, unless that impairment substantially deteriorates to the extent that the definition
of total and permanent disability is again met.
CERTIFICATION: The person signing below certifies that all of the information reported is complete
and correct.
Student Signature: Date:
WARNING: If you purposely give false or misleading information, you may be fined, sent to prison, or both.
(v. 12/12/2018) (S:\20_Forms\formDISCON.wpd)
Please fill in the blanks, print, sign and return
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