Payment Plan Change Request and Financial Statement

This is a request form for changing your payment plan on a loan held by the University.

To complete this form you will need:

  • Names, addresses, and phone numbers of two personal references.
  • Information regarding your employment history.
  • Information regarding your financial background and loans & credit card debt.

View the Payment Plan Change Request and Financial Statement form

Use this form if...

You want to change your payment plan on a loan held by the University and are able to provide a financial statement.

Don't use this form if...

  • You do not want to change your payment plan and/or cannot provide a financial statement.

Next steps

Complete and return form.

In person

Student Account Assistance 
University of Minnesota, Twin Cities 
211 Robert H. Bruininks Hall

Mail

Student Account Assistance 
University of Minnesota, Twin Cities 
211 Robert H. Bruininks Hall
222 Pleasant St. SE
Minneapolis, MN 55455-0239

Fax

612-624-2873