def/cn __________ to __________
def/cn __________ to __________
sent ltr ________________________
request for cancellation of perkins loan
law enforcement/corrections officer/public defender/prosecuting attorney
Law enforcement or corrections officer is defined as a person who is employed by a local, state, or federal agency that is publicly
funded and whose activities pertain to crime prevention, control, reduction, or enforcement of the criminal law.
part i - to be completed by the borrower
BC Eagle ID or the last four digits of your Social Security Number
Borrower’s Name
Home Address
City
State
Zip
Job Title
Telephone Number
Email Address
Job Description
Name of Service Agency
Address of Service Agency
▼
City
❒
❒
Zip
Telephone Number
I am requesting deferment. (Loans will be deferred until 12 months of service has been completed.
No payment is necessary during deferment.)
▼
I am requesting cancellation for service as a law enforcement/corrections officer/public defender/prosecuting
attorney as certified below for the previous 12 months of full-time service just ending.
Period of employment or service beginning ______________________ and ending _______________________ .
(For the previous year only.)
Month Day Year
Month Day Year
▼
State
If applying for cancellation for the year just ending, check below if you intend to complete another 12 months
of employment:
❒
▼
I intend to complete another year of employment to _______________ .
Date
__________________________________________________________________________________________________
Borrower’s Signature
Date
No
Is the borrower an Attorney employed in a defender organization Yes
No
established in accordance with section 3006(g)(2) of title 18, U.S.C.?
Does the borrower have full-time status?
Yes
No
Is the borrower a sworn officer of the law?
Yes
No
▼
▼
▼
Yes
▼
Is the borrower employed by a local, state, or federal agency that is publicly
funded and whose activities pertain to crime prevention, control, reduction,
or enforcement of the criminal law? Such activities include, but are not limited
to, police efforts to prevent, control, or reduce crime, or apprehend criminals;
activities of courts and related agencies having criminal jurisdiction; activities
of corrections, probation, or parole authorities; and problems relating to the
prevention, control, or reduction of juvenile delinquency or narcotic addiction.
▼
▼
part ii - to be completed by the employer
If the borrower is not a sworn officer of the law, are his or her principal
responsibilities unique to the criminal justice system? If so, please explain.
Activities may include police efforts, criminal court jurisdiction, and corrections
probation or parole authorities. However, agencies and positions whose primary
responsibilities are civil, regulatory, administrative, or supportive are not eligible. YesN/A
What is the borrower’s job title?__________________________________________________________
(Please attach an official, detailed job description.)
__________________________________________________________________________________
Name and Title of Certifying Official
__________________________________________________________________________________
Signature of Certifying Official
__________________________________________________________________________________
Telephone Number
Date
Cancellation forms can be mailed or faxed to:
Boston College Office of Student Services, Lyons Hall
140 Commonwealth Avenue, Chestnut Hill, MA 02467
Fax: 617-552-0739