351 West University Blvd
Cedar City, UT 84720
(435) 586-7728
Fax (435)865-8064
www.suu.edu/ss/loans
Loan Collections Office
Military Deferment Request
All information must be complete. Incomplete requests will not be considered.
PART 1: To be completed by the borrower.
I am requesting deferment of my student loan repayment during my qualifying active duty in the
military.
Deferment applies only to periods during which I am serving on active duty or performing
qualifying National Guard duty in connection with a war, military operation, or national
emergency. The deferment period ends 180 days after the borrower’s demobilization date for
the eligible active duty or National Guard service.
Copy of orders, DD214 required, with written statement from commanding/personnel officer
stating: Purpose Operation Enduring Freedom; Operation Iraqi Freedom, and Authorization
(Title 10, Sec. 12301a or Title 10,Sec. 12302).
I understand that I am eligible for deferment of my loan, and annual application is required.
Applies only to NDSL/Perkins Loan(s)
Qualifying service begins ___________and ends ____________________
Signature of Borrower_______________________________ Date______________
Daytime telephone: ________ Evening telephone :___________Cell number:____________
Current Address:_____________________________________________________________
Email:_______________________________SS# or T# :______________________________
PART 2: To be completed by commanding officer
I hereby certify that the information stated above is true and correct to
the best of my knowledge.
Branch of
Service______________________________________________________
Address________________________________________________
street address city state zip
Telephone______________________________Date________________
Commanding Officer_______________________________________
Rank_________________
PART 3: To be completed by SOUTHERN UTAH UNIVERSITY personnel
{___} Approved {___} Disapproved
Official____________________________________ Date______________________ DFMO
