College of DuPage 2019-2020 Return of Direct Loan Funds Request Form
Office of Student Financial Assistance
2019-2020 Return of Direct Loan Funds Request Form Rev 01/18/19
Last Name First Name Student ID
Email Phone Number
PLEASE NOTE: Federal Direct Student Loan & PLUS Loan funds cannot be returned if more than 120 days have elapsed since the
funds were disbursed. After 120 days, you must return your excess funds directly to your lender as a payment.
STUDENT Loan Return
Please return to the lender $ _______________ on my Federal Direct Loan for the following semester:
Check One: 2019 Fall 2020 Spring 2020 Summer .
A refund has been generated, and I have enclosed the original refund check.
Please cancel any remaining disbursements for this term. I do not wish to receive any additional loan funds.
I have received an eRefund or cashed my refund check. (You will be notified by email when your loan has been reduced
so that you may make a payment on your student account.)
Please return to the lender $ _______________ on my Alternative Loan for the following semester:
Check One: 2019 Fall 2020 Spring 2020 Summer .
A refund has been generated, and I have enclosed the original refund check.
I have received an eRefund or cashed my refund check. (You will be notified by email when your loan has been reduced
so that you may make a payment on your student account.)
Student Signature: Date:
PARENT PLUS Loan Return
Please return to the lender $______________ on my Parent PLUS Loan for the following semester:
Check One: 2019 Fall 2020 Spring 2020 Summer .
A refund has been generated, and I have enclosed the original refund check.
Please cancel any remaining disbursements for this term. I do not wish to receive any additional loan funds.
I have received an eRefund or cashed my refund check. (You will be notified by email when the PLUS loan has been
reduced so that payment may be made on the student’s account.)
PLUS Borrower Full Legal Name:
Borrower’s SSN:
Parent Borrower Signature:
Date:
The refund checks being returned are made payable to me, the student, and by signing below I, the student, am
authorizing College of DuPage to return these funds on the Parent PLUS Loan. (To be completed ONLY if refund checks
are in student’s name but being applied to PLUS Loan; if this applies, PLUS funds cannot be returned unless both the
parent borrower and the student have signed the form.)
Student Signature:
Date:
Complete the form in its entirety as applicable to your situation.
Make a copy of this form for your records.
Fund Request Forms submitted without appropriate signature information will not be processed.
Please return this form to:
College of DuPage, Office of Student Financial Assistance SSC 2220
425 Fawell Blvd., Glen Ellyn, IL 60137
The College prohibits discrimination in its admissions, employment, and educational programs or activities on the basis of race, color, sex, religion, creed, national origin, age, ancestry, marital status, sexual
orientation, gender identity and expression, arrest record, military status or unfavorable military discharge, citizenship status, and physical or mental disability. (Board Policy 5010; 20-5).