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**U.S. Department of Education Lender/Servicer**

##### *Organization Participation Agreement*

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| If you are an ELIGIBLE LENDER:                                        |
|                                                                       |
| Lender                                                                |
| Name\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\             |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Lender Identification (LID)                                           |
| Number(s)\_\_\_\_\_\_\                                                |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Authorizing Official for LID Number(s) (please print):                |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_            |
|                                                                       |
| Original                                                              |
| Sign                                                                  |
| ature\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                          |
|                                                                       |
| If you are a lender SERVICER:                                         |
|                                                                       |
| Servicer                                                              |
| Name\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\               |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Servicer Identification Number filed on behalf of LID                 |
| Numbers\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                     |
|                                                                       |
| \_\_\_                                                                |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Authorizing Official for Servicer (please print):                     |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_  |
|                                                                       |
| Original                                                              |
| Sign                                                                  |
| ature\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                          |
|                                                                       |
| If you are an Eligible Lender TRUSTEE:                                |
|                                                                       |
| Eligible Lender Trustee                                               |
| Name\_\_\_\_\_\_\_\_\_\_\_\_\                                         |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| LID                                                                   |
| Number(s)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\              |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Authorizing Official of Lender for ID Number(s) (please print):       |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                              |
|                                                                       |
| \_\_                                                                  |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Original                                                              |
| Sign                                                                  |
| ature\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
| Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                            |
|                                                                       |
| Name of Entity(ies) for whom the Trustee is acting:                   |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_            |
|                                                                       |
| \_\_                                                                  |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
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By completing and signing this agreement, the Lender, Servicer, or
Eligible Lender Trustee agrees to submit data on the quarterly Lender
Reporting System report (LaRS) to the U.S. Department of Education and
to receive information and data from the Department electronically.

**NOTE:** in the event that more space is needed on this first page,
please attach additional copies of this first page completed with the
information requested and with original signatures as appropriate.

**U.S. Department of Education Lender/Servicer *Organization
Participation Agreement***

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| **[Certification]{.underline}:**                                      |
|                                                                       |
| As an eligible Lender, Servicer, or Eligible Lender Trustee in the    |
| Federal Family Education Loan Program (FFELP) that submits the Lender |
| Reporting System report (LaRS) electronically, I certify, by my       |
| signature above that:                                                 |
|                                                                       |
| The data that my organization or its agent, or its third-party        |
| servicer, will submit to the U.S. Department of Education             |
| electronically pursuant to this Agreement is and will be correct to   |
| the best of my knowledge and belief. I certify that these submissions |
| will seek payment of only those amounts that are proper and           |
| authorized it conforms to under the laws, regulations, and policies   |
| applicable to the Federal Family Education Loan Program. I understand |
| that all documents, files, accounts and records supporting this data  |
| are subject to audit or review by the Secretary of Education or other |
| authorized representatives of the United States Government (including |
| representatives of any guaranty agency that provides the guarantees   |
| on loans included in data submitted electronically), and I agree to   |
| make all such documents, files, accounts and records available to the |
| Secretary or such authorized representatives without restriction.     |
|                                                                       |
| **Warning:**                                                          |
|                                                                       |
| Any person who knowingly and willfully submits a false statement to   |
| obtain payment may be prosecuted under Federal law, and if convicted, |
| is subject to imprisonment for up to five years or a fine of up to    |
| \$20,000, or both. 18 U.S.C. 1001, 20 U.S.C. 1097(a). Any person who  |
| knowingly and willfully destroys or conceals any record(s) relating   |
| to the provision of assistance under Title IV of the Higher Education |
| Act of 1965, as amended, or attempts to so destroy or conceal with    |
| intent to defraud the United States or to prevent the United States   |
| from enforcing any right obtained by subrogation under Part B of      |
| Title IV, shall upon conviction thereof, be fined not more than       |
| \$20,000, or imprisoned not more than 5 years, or both, under the     |
| provisions of 20 U.S.C. 1097.In addition, any person knowingly who    |
| makes a false claim or causes a false claim to be presented, or       |
| knowingly makes a false statement to obtain payment of a claim, may   |
| be subject to civil penalty and damages under the False Claims Act.   |
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**U.S. Department of Education Lender/Servicer *Organization
Participation Agreement***

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| **[Term of Agreement]{.underline}:**                                  |
|                                                                       |
| This Agreement terminates on September 30, 2010 unless extended by    |
| consent of both parties. Either party may terminate this Agreement    |
| prior to that date by providing written notice of the termination to  |
| the other party no less than 30 calendar days prior to the effective  |
| date of the termination. This Agreement automatically terminates if   |
| the Lender, Servicer, or Eligible Lender Trustee merges or otherwise  |
| combines with another organization. If the Agreement is executed by   |
| an Eligible Lender Trustee, it applies only to data submitted by the  |
| Trustee or its agent in connection with loans made by the Trustee     |
| under an Agreement with the Entities identified on the first page of  |
| this Agreement. In the event of a merger or new trustee relationship, |
| the Lender, Servicer, or Eligible Lender Trustee must submit a new    |
| Agreement to the Department at least 30 days prior to the event. A    |
| lender, servicer, or eligible lender trustee that does not have an    |
| Agreement in effect with the Department will not be authorized to     |
| exchange data with the Department electronically which may delay the  |
| payment of funds by the Department.                                   |
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**WHERE TO SEND THIS AGREEMENT:**

If sending it express:

##  U.S. Department of Education

## Financial Partners Services

LID Process Team

Union Center Plaza, 11^th^ Floor

830 First Street, NE

Washington, DC 20002-5138

If sending it U.S. Postal Service:

## U.S. Department of Education

## Financial Partners Services

LID Process Team

Union Center Plaza, 11^th^ Floor

400 Maryland Ave, SW

Washington, DC 20202-5138

If you have any questions, please contact us at
[fps.lidprocess@ed.gov](mailto:fsa_lr@ed.gov) or call 202-377-3302.

**Original signatures are required. Stamped or photocopied signatures
will not be accepted.**

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| United States Department of Education Use Only!                       |
|                                                                       |
| \_\_\_\_\_\_\_                                                        |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
|                                                                       |
| Signature of Authorized U.S. Department of Education Representative   |
| Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_                  |
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**U.S. Department of Education Lender/Servicer *Organization
Participation Agreement***

#### 

#### Instructions:

Please read the below narrative carefully to ensure that you have
provided the [correct number of signatures]{.underline} and have
properly completed your Organization Participation Agreement. It is
important that you complete each section on page 1 that applies to your
particular situation. For example, if you are an institution that
functions as a lender, a servicer, and a trustee bank, you will need to
provide information that pertains to each function.

I.  **Definition of key terms/Who Signs the Agreement:**

The [Lender or Servicer ID Number]{.underline}: is the 6-digit
identification code issued to your organization by the United States
Department of Education (the Department).

The [Lender or Servicer Name]{.underline} is the name of the
organization, which participates in the FFELP.

A [third-party servicer]{.underline} is any organization or individual
that acts on behalf of another party in administering any aspect of the
FFELP as defined in 34 C.F.R., 682.200. A third-party

servicer may submit data under this Agreement only if it is authorized
to do so by the Lender or Eligible Lender Trustee for which it is
acting.

The [Authorizing Official]{.underline} for the ID Number is the name of
the person in your organization responsible for submitting correct
financial data and has the authority to commit the organization\'s or
company\'s funding.

**II. The Lender/Servicer agrees to:**

-   Transmit documents to the Department via an ED-administered website.

-   Provide and maintain, at its expense, all machines, and programs
    necessary to effectively and reliably transmit and receive data.

-   Submit Lender Reporting System report (LaRS) using File Transfer
    methodology or data entry in accordance with the Department's
    requirements and directions. Provide the Department with the name
    and address of the person legally responsible for the data
    transmissions.

-   Certify the accuracy and completeness of the data electronically
    transmitted to the Department's Financial Management System.

-   Accurately complete all steps on the Agreement and promptly notify
    the Department of any change to the information provided herein.

**U.S. Department of Education Lender/Servicer *Organization
Participation Agreement***

**III. If the Lender or Servicer submits this Agreement to the
Department and completes the on-line Lender Application Process (LAP),
the Department will:**

1.  Allow web submission of the Lender Reporting System (LaRS) reports
    to the Department's Financial Management System, using File Transfer
    methodology or data entry.

2.  Acknowledge web submissions by receipt that includes date and time
    of the transaction.

3.  Notify the Lender or Servicer if it does not accept the substance of
    the received web data.

**IV. Miscellaneous/When is an Agreement Submitted:**

1.  The Lender or Servicer agrees to submit data in the format specified
    by the U.S. Department of Education.

2.  For an institution that is acting in more than one capacity (e.g.,
    Lender and Trust Bank), only one [Agreement]{.underline} is
    required.

3.  Complete and valid Agreements must be mailed to the Department for
    an institution to successfully complete the on-line LAP and begin
    submitting LaRS reports.

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| For Office Use Only                                                   |
|                                                                       |
| Date \_\_\_\_\_\_\_\_\_\_\_\_                                         |
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