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Student Financial Services

Loan Repayment Forms

Nurse Faculty Loan Program (NFLP) Forms

The following forms are applicable to students in the Nurse Faculty Loan Program (NFLP):

Student Loan Information Release Form

The following release form will enable you to grant authorization to your student loan information to specific people.

Student Loan Information Release Form


The following deferment form is to be used to defer loans administered by UTHealth.*

UAS Deferment Form

Temporary Repayment Form

The UAS Financial Arrangement form will enable you to make financial arrangements for your student loan if you are delinquent or in default.

Financial Arrangement Form

Cancellation Form

If your financial situation meets the requirements for cancellation, as described on your promissory note, you may begin the cancellation process by completing the UAS Perkins Loan Cancellation form; only for canceling Perkins services.

Perkins Loan Service Cancellation Form

ACH Payment Plan Form

Ensure your payments for your student loan(s) are received on-time for life of your loan; complete the UAS ACH Payment Plan form.*

ACH Payment Plan Form

*For Stafford loans, please contact your lender to obtain the appropriate document.