UMGC Office of Financial Aid | 3501 University Boulevard East, Adelphi MD 20783 USA
The National Student Loan Data System (NSLDS) indicates that you have had a federal loan discharged due to total
and permanent disability. Before processing of your 2019-2
020 FAFSA application can continue, you must complete
this form to verify your intent to receive new federal financial aid and acknowledge the related conditions.
Instrucons: Please check the appropriate opon below.
(must be signed by hand, not typed)
Parent’s Signature ___________________________________________________ Date __________________
(if dependent) (must be signed by hand, not typed)
I am not seeking federal aid at this time.
I am not seeking a new Title IV federal student loan. I only wish to be considered for grants and other
non-loan types of aid for the 2019-2020 academic year.
I am seeking a new Title IV federal student loan more than three years after official discharge of my
prior loan(s), or at any point after a loan discharge based on VA documentation. I acknowledge that
any new loan cannot be discharged in the future based on present impairments unless my condition
substantially deteriorates.
I am seeking a new Title IV federal student loan less than three years after official discharge of my prior
loan(s), not based on VA documentation. I acknowledge that a new loan cannot be disbursed to me
within this post-discharge monitoring period unless and until I have successfully petitioned the
Disability Discharge Loan Servicing Center to restore my discharged loan(s) to active repayment status.
I also acknowledge that any new loan cannot be discharged in the future based on present impairments
unless my condition substantially deteriorates.
IMPORTANT: If you are seeking a new loan, this document must be accompanied by a signed, dated letter
from a physician stating that your condition has improved since the previous loan was discharged and that
you are now able to engage in “substantial gainful activity” such as working or attending school. If such a
letter is already on file from a previous academic year, then only this 2019-2020 New Aid After Loan Discharge Form needs
to be submitted.
All of the information on this form is true and complete to the best of my knowledge. If requested, I agree to
provide further documentation to substantiate the information provided.
Student’s Signature __________________________________________________ Date __________________
FPDLND
Academic Year: 2019-2020 Form: New Aid Aer Loan Discharge
Student’s ID #: _ Student’s Name: _________________________________________
Please scan and submit this completed form at www.umgc.edu/help/submit-case.cfm.
