If you meet eligibility requirements, you may defer payments on your Federal Perkins Loan while you complete a year of teaching/service/employment by filling out this form. If you do not qualify for cancellation, your deferment request will be denied and you will be required to make payments by the due date on your billing statements.

Federal Perkins Loan Deferment/Cancellation Request

To complete this form, an official job description must be attached for those in the following jobs:

• Special Education Teachers
• Teachers in Shortage Areas
• Early Intervention Services
• Law Enforcement
• Child/Family Services
• Nurse and Medical Technicians

If you teach students with disabilities, you must provide information regarding the number of students you teach with each type of disability, the age range of the students, and information regarding your teaching program.

Your employer must complete and sign section 4 of the form.

Eligibile service/employment

You teach:

• in a public/nonprofit elementary/secondary school that has a high concentration of students from low-income families,
• in an elementary or secondary school operated by the Bureau of Indian Affairs or operated on an Indian reservation by an Indian tribal group under contract with the Bureau; or serve as a full-time faculty member at a tribally controlled university, OR
• a majority of special education (disabled) children, ages 0–21, in a public or other non-profit elementary or secondary school system. Children with disabilities include mental retardation; hard of hearing; deaf; blind; speech impaired; or other health-impaired children, or children with specific learning disabilities who, due to their disability, require special education and related services.

You serve:

• as a full-time, educational staff member in a Head Start Program; or a full-time staff member in a pre-kindergarten or child care program that is licensed or regulated by the state,
• as a librarian with a master’s degree in library science, employed in a school served under Title 1 of the Elementary and Secondary Education Act (ESEA) or a public library serving a Title 1 school,
• as a full-time speech language pathologist with a master’s degree working exclusively in Title 1 schools,
• on active duty in the U.S. military in an area of hostility,
• as a full-time public defender, OR
• as a full-time firefighter.

You provide:

• early intervention services to children. You must be employed by a public/nonprofit program under public supervision. The employing agency must be in compliance with Section 676(b)(9) of the Individuals with Disabilities Education Act. Your duties must comply with Section 672(2) of the same Act,
• or supervise service providers to high-risk children and their families from low-income communities. You must be employed by a public/nonprofit child/family service agency. High-risk children are those under the age of 21 who are at risk of, or have been, abused, or neglected; have serious emotional, mental, or behavioral disturbances; reside in placements outside the home; or are involved in the juvenile justice system, or health care services as a nurse or medical technician.
  • To qualify as a nurse, you must be a licensed practical nurse, a registered nurse, or other individual who is licensed by the appropriate state agency to provide nursing services.
  • To qualify as a medical technician, you must be certified, registered, or licensed by the governing state agency in the state where you are providing service. You must be employed as an allied health professional working in a field such as therapy, dental hygiene, medical technology, or nutrition. You must assist, facilitate, or compliment the work of physicians or other specialists in the health care system.
• Be employed as a law enforcement or corrections officer.
  • You must be employed in a local, state, or federal agency that prevents crime.
  • Your principal duties must support crime prevention, control, or reduction, or the enforcement of criminal law.
  • Activities may include police efforts; criminal court jurisdiction; and corrections, probation or parole authorities. However, agencies and/or positions with responsibilities that are primarily civil, regulatory, administrative, or supportive are not eligible.