Heartland ECSI Perkins Loan Deferment Request Form
This file contains the necessary information and instructions for requesting a Perkins Deferment or Cancellation. It is specifically designed for nurses, medical technicians, and firefighters. Use this form to provide your employment details and apply for loan forgiveness.
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How do I fill this out?
To fill out this form, start by providing your personal details in Section 1. Next, ensure that you have the required employment information and certifications ready for Section 3 and Section 4. Finally, review all provided information before submitting your request.

How to fill out the Heartland ECSI Perkins Loan Deferment Request Form?
1
Complete Section 1 with borrower identification.
2
Provide employment details in Section 3.
3
Include employer certification in Section 4.
4
Certify your information in Section 5.
5
Submit the form along with required documents.
Who needs the Heartland ECSI Perkins Loan Deferment Request Form?
1
Nurses seeking loan forgiveness for public service.
2
Medical technicians employed in certified roles.
3
Firefighters working in public service roles.
4
Borrowers interested in deferring loan payments.
5
Employees fulfilling service requirements for loan cancellation.
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What are the instructions for submitting this form?
To submit this form, mail the completed document along with supporting documents to Heartland ECSI at P.O. Box 1278, Wexford, PA 15090. Alternatively, you may fax your submission to [insert fax number here]. For queries, you may contact Heartland ECSI toll-free at 888.549.3274. Ensure you double-check that all sections are filled out and include any required certifications.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure that any requests for deferments or cancellations are submitted as soon as possible to maintain eligibility. Important deadlines may vary based on your employment and the terms of your Perkins loan. Stay informed about updates from Heartland ECSI regarding deadlines and processing times.

What is the purpose of this form?
The purpose of this form is to allow borrowers in specific professions to request deferments or cancellations on Perkins loans. Eligible individuals can benefit from temporary suspension of payments, and, upon qualification, loan forgiveness after serving in qualifying positions. This support aims to alleviate the financial burden on public service employees.

Tell me about this form and its components and fields line-by-line.

- 1. Last Name: The borrower's last name.
- 2. First Name: The borrower's first name.
- 3. MI: Middle initial of the borrower.
- 4. Student ID or SSN: Student ID number or last four digits of the social security number.
- 5. Current Mailing Address: The borrower's current mailing address.
- 6. Phone Number: Contact number of the borrower.
- 7. Email Address: Email address of the borrower.
- 8. Lender/School Name: Name of the lending institution or school.
- 9. School Code: Code identifying the school.
- 10. Employment Status: Current employment status of the borrower.
- 11. Employer Certification: Certification of employment by the employer.
What happens if I fail to submit this form?
Failing to submit this form may result in the continuation of loan payments without the possibility of deferment or cancellation. It is crucial to complete and submit the form to take advantage of the benefits available. Not submitting on time may also have a negative impact on credit scores.
- Loan Payments Continue: Without submission, borrowers will be required to continue making payments.
- Loss of Benefits: Failure to submit may lead to loss of eligibility for deferment or cancellation.
- Credit Score Impact: Not submitting can affect the borrower's credit score negatively.
How do I know when to use this form?

- 1. When Employed Full-Time: Use this form while employed in a qualifying public service role.
- 2. For Loan Deferment: Request a deferment of loan payments while fulfilling service.
- 3. To Initiate Cancellation: Begin the process for cancellation after completing a year of qualifying work.
Frequently Asked Questions
How do I fill out this form?
Fill out all sections completely, ensuring you include any required documentation.
Who needs to submit this form?
This form is necessary for full-time nurses, medical technicians, and firefighters seeking deferment or cancellation.
What documents do I need to submit?
You need to provide evidence of employment, job descriptions, and relevant certifications.
How do I submit this form?
Submit the completed form and documents to Heartland ECSI via mail or fax.
Can I edit this form on PrintFriendly?
Yes, PrintFriendly allows you to edit the PDF to suit your needs before submission.
What happens if I make a mistake on the form?
You can correct any mistakes before finalizing the submission using the PDF editor.
Is there a deadline for submitting this form?
It's best to submit this form as soon as you meet the eligibility requirements for the benefits.
How will I know if my request is approved?
Heartland ECSI will notify you via email once your application has been processed.
What if my employment changes?
If your employment status changes, notify your loan office immediately.
Can I save my edited PDF?
You can download your edited PDF onto your device after making changes.
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