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Loan Forgiveness Forms

Employees may be eligible for student loan forgiveness under several different programs such as the NC State Education Assistance Authority (NCSEAA) and the Public Service Loan Forgiveness Program (PSLF). The employee’s departmental HR/Payroll Representative should assist with the completion of loan forgiveness forms. Employees can locate their departmental HR/Payroll Representative here.

Instructions for Completing Loan Forgiveness Forms

NC State Education Assistance Authority Loan Forgiveness Application

  • Download the NC State Education Assistance Authority Loan Forgiveness Application
  • Borrower (Employee) completes Section 1-Borrower Request for Loan Forgiveness of the NCSEAA Loan Forgiveness Application
  • Borrower’s (employee’s) local HR/Payroll Representative completes Section 2- Certification of Employment. This section generally asks for position title, employment dates, and whether the employee is full-time or part-time which should be verified via iForms. The HR/Payroll Representative signs the form to certify this employment data.

Public Service Loan Forgiveness Program (PSLF)

  • Download the Public Service Loan Forgiveness Program (PSLF)
  • Borrower (Employee) should complete Sections 1-3 of the PSLF Employment Certification Form:
    • Duke University & Health system is tax-exempt under Section 501(c) (3) of the Internal Revenue Code: (answer Yes to question 10)
    • Duke University employees’ tax id number is: 56-0532129
    • Duke Health System employees’ tax id number is: 56-2070036 (employee’s tax id # can also be located on W-2 statement available via Duke@Work)
    • Duke Health Integrated Practice, INC employees’ tax id number is: 86-2109896 (effective July 1, 2023 on forward)
  • Borrower’s (employee’s) local department HR/Payroll Representative should complete Section 4 of the PSLF Employment Certification Form:
  • HR/Payroll Representative is certifying:
    1. the information in Section 3 is true, complete, and correct to the best of his/her knowledge and belief (employment dates/status/hours should be verified via iforms)
    2. he/she is an authorized official of the organization named in Section 3, and
    3. the borrower named in Section 1 is or was an employee of the organization
  • Faculty in the School of Medicine (SOM) should follow instructions posted on the SOM Finance and HR intranet sites.  For more information, please contact your department administrator.
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Loan Forgiveness Forms