Fillable HEROES-Act-Waiver-Form HEROES Act Waiver Form

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HEROES-Act-Waiver-Form HEROES Act Waiver Form

On average this form takes 5 minutes to complete

The HEROES-Act-Waiver-Form HEROES Act Waiver Form form is 1 page long and contains:

  • 2 signatures
  • 3 check-boxes
  • 11 other fields

Country of origin: US
File type: PDF

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HEROES Act Waiver Form
Please provide your current contact information:
Name: _______________________________________________
Address:
City, State, ZIP:
Phone Number: ____________________________________
_____________________________________________ Alternate Phone Number: _____________________________
________________________________________ Email Address: _____________________________________
Nelnet Account Number or Social Security Number: __________________________________________________________________
INFORMATION ABOUT THE HEROES ACT
Under the HEROES Act Waiver, you (or a spouse or other family member) may request to extend your reduced payment amount on
your current Income-Driven Repayment (IDR) Plan. To be eligible, your loans must be within their recertication period, which is 120
days prior to your rst increased payment due on your IDR Plan.
To qualify for the HEROES Act Waiver, you must meet one of the below qualifying conditions. Check which applies to you:
I am currently on active duty during a war, other operation, or national emergency, as declared by the
President of the United States.
• List your operation: _____________________________________________________________________________________
I am currently performing National Guard duty (i.e., called to active service by the President of the United States or Secretary of
Defense for a period of more than 30 consecutive days) during a war, other military operation, or national emergency, as declared
by the President of the United States.
• List your operation: _____________________________________________________________________________________
I am residing in an area that is declared a disaster area by any federal, state, or local ofcial in connection with a
national emergency.
If none of these apply, you are not classied as an affected individual under the HEROES Act Waiver. Contact us at 888.324.4027 to
review other repayment options.
By signing below, I am certifying that:
• I am unable to submit the required application and income documentation to recertify my current IDR Plan due to meeting one
of the conditions outlined above.
• By checking one of the qualifying conditions outlined above, I am an affected individual and request that my student loan
servicer extend my reduced payment amount on my current IDR Plan for an additional 12 months.
• I will continue to make all scheduled monthly payments as indicated on my monthly statements.
• My request will not be processed if my loans are not within their recertication period (90 days prior to the end of the
existing IDR Plan).
°
I am responsible for submitting the required application and income documentation to recertify my IDR Plan if my
recertication period has expired.
Borrower signature: ______________________________________________________ Date: ______________________________
Co-maker signature (if applicable): __________________________________________ Date: ______________________________
fb.com/Nelnet | @Nelnet P.O.Box 82561 | Lincoln, NE 68501 | p 888.486.4722 | Help@Nelnet.com | Nelnet.com
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HEROES-Act-Waiver-Form HEROES Act Waiver Form

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Completed 3 July 2020

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