TRUSTEE AUTHORIZATION TO ACCEPT VOLUNTARY PAYMENTS Last revised January 2018
Borrower Information
First Name (current legal name)
Alberta Student Loan Number
Trustee Information
I/We, __________________________________________________, hereby authorize _________________________________________________
to make voluntary payments on the borrower’s loan held at the Alberta Student Aid Service Centre.
Signature (Trustee Name or Firm)
SIGN HERE
Middle
Initial
Last Name (current legal name)
(Trustee Name or Firm) (Borrower’s Name)
Today’s Date
Day Month Year
TRUSTEE AUTHORIZATION TO
ACCEPT VOLUNTARY PAYMENTS
Collection of this personal information by Advanced Education is done under the authority of section 33(c) of the Freedom of Information and Protection
of Privacy Act (Alberta) (“FOIP”) to administer your Alberta Student Loan. The use and disclosure of your personal information is managed in accordance
with FOIP. If you have any questions about the collection, use or disclosure of this information, call the Alberta Student Aid Service Centre toll free in
North America at 1-855-606-2096, TTY for the hearing impaired at 1-855-306-2240, toll free outside of North America at (International Access Code)
+ 800-2-529-9242. You can also mail your questions to the Alberta Student Aid Service Centre, Executive Customer Assistance Department,
PO Box 4050, Mississauga Stn A, Mississauga ON L4A 4M9.
If you are a borrower with Alberta student loans who is in bankruptcy and are requesting to make student loan payments, written authorization is
required from your trustee before payment is accepted. If this signed and completed form is not submitted within 20 days from the date you are
notified the form is required, your payment will be returned.
Please have your trustee complete this voluntary payment authorization form and return it to the Alberta Student Aid Service Centre either by fax to
1-866-236-2332 or by mail to the address below.
Alberta Student Aid Service Centre
P.O. Box 4050 • Mississauga, STN A • Mississauga, ON • L5A 4M9
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