This form is being requested because you have received a Total and Permanent Disability (TPD) discharge for a student loan(s), as reported in the National Student Loan Database System (NSLDS). Complete this form if you would like to be considered for federal student loans.

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Confidentiality Statement: Your individual response is tied to you. Your information will be kept confidential. If you have questions about your data, contact Financial Aid at: finaid@clackamas.edu.