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SLDB

MANDATORY FORBEARANCE REQUEST

STUDENT LOAN DEBT BURDEN

William D. Ford Federal Direct Loan (Direct Loan) Program / Federal Family 

Education Loan (FFEL) Program

OMB No. 1845-0018

DRAFT FORM

Exp. Date XX/XX/XXXX

WARNING: Any person who knowingly makes a false statement or misrepresentation on this form or on any 

accompanying document is subject to penalties that may include fines, imprisonment, or both, under the U. S. Criminal 

Code and 20 U. S. C. 1097. 

SECTION 1: BORROWER IDENTIFICATION

Please enter or correct the following information. 

Check this box if any of your information has changed. 

SSN

Name

Address

City, State, Zip

Telephone – Primary

Telephone – Alternate

E-mail (optional)

___ ___ ___ - ___ ___ - ___ ___ ___ ___

___________________________________________

___________________________________________

________________________ , _______ __________

( ___________ ) ___________ - _________________

( ___________ ) ___________ - _________________

___________________________________________

SECTION 2: FORBEARANCE ELIGIBILITY

Maximum eligibility is 36 months. As an alternative to this forbearance, you may qualify for a deferment or for a 

repayment plan that determines your monthly payment amount based on your income. Contact your loan holder for 

more information. If you are an endorser, you may request forbearance only when you are required to repay the loan 

because the borrower is not making payments. If you are requesting forbearance on a loan that was made jointly to you 

and your spouse (as comakers), both you and the other borrower must individually meet the requirements for a 

forbearance and each of you must submit a separate forbearance request.

1. Check the type of forbearance you would like to 

receive:

Stop making payments – Continue to Item 2

Make smaller payments in the amount of 

$____________ per month – Skip to Item 3.

2. Interest will accrue on your loan(s) during 

forbearance. You may pay the interest that accrues on 

your these loan(s) during forbearance. If you do not 

pay this interest, it will capitalize. Do you wish to make 

interest payments on your loan(s) during forbearance?

Yes – Continue to Item 3.

No – Continue to Item 3.

3. What is your total monthly income? 

$ _______________.

You must attach documentation of your monthly 

income unless you have no income. Monthly income is 

either (you choose):

 Your gross taxable income from all sources; or

 One-twelfth of the Adjusted Gross Income from 

your most recent federal income tax return.

4. Multiply the amount in Item 1 by 20% (0.20):

$ _______________.

5. What is the total amount of your monthly payments 

on all of your Title IV loans?

$ _______________.

You must attach documentation of your most recent 

monthly payments due on all of your Title IV loans.

6. Is the amount reported in Item 5 equal to or greater 

than the amount calculated in Item 4?

Yes – Continue to Item 7.

No – You are not eligible for this forbearance.

7. When would you like this forbearance to begin?

___ ___ - ___ ___ - ___ ___ ___ ___

8. You may receive this forbearance in 12-month 

increments. Would you like this forbearance end 

earlier than 12 months after the date in Item 7?

Yes – Continue to Item 9.

No – Skip to Section 3.

9. Provide the date on which you want the forbearance 

to end and then continue to Section 3:

___ ___ - ___ ___ - ___ ___ ___ ___
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Borrower Name: ______________________________ Borrower SSN: ___ ___ ___ - ___ ___ - ___ ___ ___ ___

SECTION 3: BORROWER REQUEST, UNDERSTANDINGS CERTIFICATIONS, AND AUTHORIZATION

I request a forbearance while my monthly payments on my Title IV loans equal or exceed 20% of my total monthly 

income.

I understand that:

1. I am not required to make payments of loan principal or interest during my forbearance.

2. My forbearance will begin on the date I specified in Item 7.

3. My forbearance will end on the earlier of the date I am no longer eligible for the forbearance, 12 months from 

the date indicated in Item 7, or the date I indicated in Item 9.

4. My forbearance will only be granted in 12-month increments and I must reapply for the forbearance if I continue 

to meet the eligibility requirements and want to extend my forbearance 

5. Maximum cumulative eligibility is 36 months.

6. If my forbearance does not cover all my past due payments, my loan holder may grant a forbearance for all 

payments due before the begin date of my forbearance.

7. My loan holder may grant a forbearance for up to 60 days for the collection and processing of documentation 

related to my forbearance request. Interest that accrues during this forbearance will not be capitalized.

I certify that: 

1. The information I have provided on this form is true and correct.

2. I will provide additional documentation to my loan holder, as required, to support my forbearance status.

3. I will notify my loan holder immediately when my qualification for the forbearance ends.

4. I have read, understand, and meet the eligibility requirements of the forbearance for which I have applied.

I authorize the entity to which I submit this request (i.e., the school, the lender, the guaranty agency, the U.S. 

Department of education, and their respective agents and contractors) to contact me regarding my request or my 

loan(s) including repayment of my loan(s), at the number that I provide on this form or any future number that I provide 

for my cellular telephone or other wireless device using automated telephone dialing equipment or artificial or 

prerecorded voice or text messages.

Borrower’s Signature ______________________________________________ Date ___ ___ - ___ ___ - ___ ___ ___ ___

SECTION 4: WHERE TO SEND THE COMPLETED FORM

Return the completed form to: If you need help completing this form, call:

SECTION 5: INSTRUCTIONS

Type or print using dark ink. Enter dates as month-day-year (mm-dd-yyyy). Use only numbers. Example: March 14, 2015 

= 03-14-2015. Include your name an account number on any documentation that you are required to submit with this 

form. If you need help completing this form, contact your loan holder. If you want to apply for a forbearance on loans 

that are held by different loan holders, you must submit a separate forbearance request to each loan holder.
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SECTION 6: DEFINITIONS

Capitalization is the addition of unpaid interest to 

the principal balance of your loan. As a result of 

capitalization, more interest may accrue over the life of 

the loan and the monthly payment amount may be higher. 

The chart below (Table 1) provides estimates, for a 

$15,000 unsubsidized loan balance at a 6.8% interest rate, 

of the monthly payments due following a 12-month 

forbearance that started when the loan entered 

repayment. It compares the effects of paying the interest 

as it accrues, capitalizing the interest at the end of the 

forbearance, and capitalizing interest quarterly and at the 

end of the forbearance. Please note that the U.S. 

Department of Education (the Department) and many 

other holders do not capitalize interest on a quarterly 

basis. The actual loan interest cost will depend on your 

interest rate, length of the forbearance, and frequency of 

capitalization.

A comaker is one of the two individual who are 

joint borrowers on a Direct or Federal Consolidation Loan 

or a Federal PLUS Loan. Both comakers are equally 

responsible for repaying the full amount of the loan.

An endorser is an individual who signs a 

promissory note and agrees to pay the loan if the 

borrower does not.

The Federal Family Education Loan (FFEL) 

Program includes Federal Stafford Loans, Federal PLUS 

Loans, Federal Consolidation Loans, and Federal 

Supplemental Loans for Students (SLS). 

The Federal Perkins Loan (Perkins Loan) Program 

includes Federal Perkins Loans, National Direct Student 

Loans (NDSL), and National Defense Student Loans 

(Defense Loan).

A forbearance is a period of time during which 

you are allowed to temporarily postpone making 

payments, allowed an extension of time for making 

payments, or temporarily allows to make smaller 

payments than scheduled. A forbearance can be a 

mandatory forbearance, meaning that your loan holder 

must grant the forbearance if you qualify for the 

forbearance and supply all supporting documentation. A 

forbearance can also be a discretionary forbearance, 

meaning that your loan holder may grant the forbearance, 

but is not required to do so.

The holder of your Direct Loan Program loan(s) is 

the Department. The holder of your FFEL Program loan(s) 

may be a lender, guaranty agency, secondary market, or 

the Department.

Title IV loans are student loans that are made 

under the FFEL Program, Perkins Loan Program, and the 

Direct Loan Program.

The William D. Ford Federal Direct Loan (Direct 

Loan) Program includes Federal Direct Stafford/Ford 

(Direct Subsidized) Loans, Federal Direct Unsubsidized 

Stafford/Ford (Direct Unsubsidized) Loans, Federal Direct 

PLUS (Direct PLUS) Loans, and Federal Direct 

Consolidation (Direct Consolidation) Loans.

Table 1. Capitalization Chart

Treatment of Interest Accrued 

During Forbearance

Loan

Amount

Capitalized 

Interest Principal Monthly Pmt.

Num. 

Pmts.

Total 

Repaid

Total 

Interest 

Paid

Interest is paid $15,000.00 $0.00 $15,000.00 $172.62 120 *$21,736.55 $6,730.66

Interest is capitalized at the end of 

forbearance $15,000.00 $1,022.09 $16,022.09 $184.38 120 $22,125.94 $7,119.64

Interest is capitalized quarterly 

during forbearance and at the end 

of deferment

$15,000.00 $1,048.51 $16,048.51 $184.69 120 $22,162.41 $7,156.10

*Total amount repaid includes $1,022.09 of interest paid during the 12-month period of forbearance.
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SECTION 7: IMPORTANT NOTICES

Privacy Act Notice. The Privacy Act of 1974 (5 

U.S.C. 552a) requires that the following notice be provided 

to you:

The authorities for collecting the requested 

information from and about you are §421 et seq. and §451 

et seq. of the Higher Education Act of 1965, as amended 

(20 U.S.C. 1071 et seq. and 20 U.S.C. 1087a et seq. ) and 

the authorities for collecting and using your Social Security 

Number (SSN) are §§428B(f) and 484(a)(4) of the HEA (20 

U.S.C. 1078-2(f) and 1091(a)(4)) and 31 U.S.C. 7701(b). 

Participating in the Federal Family Education Loan (FFEL) 

Program or the William D. Ford Federal Direct Loan (Direct 

Loan) Program and giving us your SSN are voluntary, but 

you must provide the requested information, including 

your SSN, to participate. 

The principal purposes for collecting the 

information on this form, including your SSN, are to verify 

your identity, to determine your eligibility to receive a 

loan or a benefit on a loan (such as a deferment, 

forbearance, discharge, or forgiveness) under the FFEL 

and/or Direct Loan Programs, to permit the servicing of 

your loan(s), and, if it becomes necessary, to locate you 

and to collect and report on your loan(s) if your loan(s) 

becomes delinquent or defaults. We also use your SSN as 

an account identifier and to permit you to access your 

account information electronically. 

The information in your file may be disclosed, on a 

case-by-case basis or under a computer matching 

program, to third parties as authorized under routine uses 

in the appropriate systems of records notices. The routine 

uses of this information include, but are not limited to, its 

disclosure to federal, state, or local agencies, to private 

parties such as relatives, present and former employers, 

business and personal associates, to consumer reporting 

agencies, to financial and educational institutions, and to 

guaranty agencies in order to verify your identity, to 

determine your eligibility to receive a loan or a benefit on 

a loan, to permit the servicing or collection of your loan(s), 

to enforce the terms of the loan(s), to investigate possible 

fraud and to verify compliance with federal student 

financial aid program regulations, or to locate you if you 

become delinquent in your loan payments or if you 

default. To provide default rate calculations, disclosures 

may be made to guaranty agencies, to financial and 

educational institutions, or to state agencies. To provide 

financial aid history information, disclosures may be made 

to educational institutions. To assist program 

administrators with tracking refunds and cancellations, 

disclosures may be made to guaranty agencies, to financial 

and educational institutions, or to federal or state 

agencies. To provide a standardized method for 

educational institutions to efficiently submit student 

enrollment statuses, disclosures may be made to guaranty 

agencies or to financial and educational institutions. To 

counsel you in repayment efforts, disclosures may be 

made to guaranty agencies, to financial and educational 

institutions, or to federal, state, or local agencies. 

In the event of litigation, we may send records to 

the Department of Justice, a court, adjudicative body, 

counsel, party, or witness if the disclosure is relevant and 

necessary to the litigation. If this information, either alone 

or with other information, indicates a potential violation 

of law, we may send it to the appropriate authority for 

action. We may send information to members of Congress 

if you ask them to help you with federal student aid 

questions. In circumstances involving employment 

complaints, grievances, or disciplinary actions, we may 

disclose relevant records to adjudicate or investigate the 

issues. If provided for by a collective bargaining 

agreement, we may disclose records to a labor 

organization recognized under 5 U.S.C. Chapter 71. 

Disclosures may be made to our contractors for the 

purpose of performing any programmatic function that 

requires disclosure of records. Before making any such 

disclosure, we will require the contractor to maintain 

Privacy Act safeguards. Disclosures may also be made to 

qualified researchers under Privacy Act safeguards. 

Paperwork Reduction Notice. According to the 

Paperwork Reduction Act of 1995, no persons are required 

to respond to a collection of information unless such 

collection displays a valid OMB control number. The valid 

OMB control number for this information collection is 

1845-0018. Public reporting burden for this collection of 

information is estimated to average 12 minutes per 

response, including time for reviewing instructions, 

searching existing data sources, gathering and maintaining 

the data needed, and completing and reviewing the 

collection of information. The obligation to respond to this 

collection is required to obtain a benefit in accordance 

with 34 CFR 682.211 or 685.205. If you have comments or 

concerns regarding the status of your individual 

submission of this form, please contact your loan holder

directly (see Section 4).