Clarion University of PA
Student Financial Services
840 Wood Street
Clarion, PA 16214
(814) 393‐2315 – (800) 672‐7171, Option #2

Federal Direct Loan Return Request

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Date

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Student’s Name
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Student ID Number
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Semester Loan is to be cancelled
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Loan Type (Sub, Unsub, Parent Plus*)
Reason for cancelling or returning:
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Student’s Signature

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* Parent Signature (if Parent Plus loan)

For Office Use Only
Check Applied to account as payment: Yes ________ No ________ Refund Voided: _________________
Check Number: _____________________________ Amount:_____________________________________
Scanned: _________________ Refund Hold: _________________ Return Processed: _________________