STUDENT FINANCIAL SERVICES
CERTIFICATION OF
BORROWER’S CONDITION
PHYSICIAN SECTION
Note: Physician, please complete Section A or Section B as applicable and mail to:
Midlands Technical College
Attn: Bichevia Green
PO Box 2408
Columbia, SC 29202
SECTION A
I certify that, in my best professional judgment, the condition of (name of
borrower) has improved enough to allow him or her either to engage in substantial gainful activity or to attend
school. I further certify that this improvement of condition could not have been reasonably foreseen on
(date of original certification of total and permanent disability).
Warning: Previous student loan debts have been cancelled due to Total and Permanent Disability. Certification of
this form enables the borrower to obtain additional financial aid. Any person who knowingly makes false
statements or misrepresentation on this form shall be subject to penalties, which may include fines or
imprisonment under the United States Criminal Code 20 USC 1097.
Signature of Physician (M.D. or D.O.) Date
Print or Type Physician’s Name Physician’s Phone Number
Physician’s Address (include suite #) City State Zip Code
MIDLANDSTECH.EDU | PO BOX 2408 | COLUMBIA SC 29202 | 803.738.7792
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