Parent Plus Borrower Deferment Request
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4PARENT PLUS BORROWER DEFERMENT REQUEST
OMB No. 1845-0011
Form Approved
William D. Ford Federal Direct Loan (Direct Loan) Program / Federal Family
Exp. Date 9/30/2018
Education Loan (FFEL) Program
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
PLUS
the U.S. Criminal Code and 20 U.S.C. 1097.
SECTION 1: BORROWER INFORMATION
Please enter or correct the following information.
Check this box if any of your information has changed.
SSN
Name
Address
State
Zip Code
City
Telephone - Primary
Telephone - Alternate
Email (Optional)
SECTION 2: BORROWER DETERMINATION OF DEFERMENT ELIGIBILITY
Carefully read the entire form before completing it.
To qualify, you must be a parent borrower of a Direct or Federal PLUS Loan:
• That was first disbursed on or after July 1, 2008 or
• Who has an outstanding balance on a FFEL Program loan first disbursed before July 1, 1993, or had a balance on a
FFEL Program loan first disbursed before July 1, 1993, when you obtained a Direct or Federal PLUS Loan on or after
July 1, 1993.
• In addition, if your loan was first disbursed before July 1, 1993, the student must be a dependent student (as defined
in Section 6) during the deferment period.
To qualify, the student on whose behalf you borrowed the PLUS Loan must:
• Be enrolled full time.
• Be enrolled at least half time, but less than full time, unless you had a balance on a FFEL Program loan first disbursed
before July 1, 1987 when you obtained a Direct Loan or FFEL Program loan that was first disbursed on or after July 1,
1987.
You may also defer repayment for the 6 months following the date that the student on whose behalf you borrowed ceases to
be enrolled at least half time if your Direct or Federal PLUS Loan was first disbursed on or after July 1, 2008.
SECTION 3: BORROWER REQUESTS, UNDERSTANDINGS, CERTIFICATIONS, AND AUTHORIZATION
I request:
• To defer repayment of my PLUS Loans for the period during which I meet the eligibility criteria outlined in Section 2,
as certified by an authorized official in Section 4, and based on the student's enrollment (identified below):
Name
SSN
If indicated, to make interest payments on my loans during my deferment.
•
•
If I am eligible and if indicated, to defer repayment of the PLUS Loan for the 6-month period after the student
identified above is no longer enrolled on at least a half-time basis, graduates, or withdraws.
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