Student Loan Refund Protection Intake Form
Please complete the form below to begin.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you currently have student loans?
Yes
No
Not Sure
Are you aware of your current loan status?
I think I’m in default
I received a collections notice
I’m not sure
My loans are current
Have you ever been told your refund may be offset?
Yes
No
Not Sure
Best time to contact you:
Consent Agreement
*
I would like help getting my student loans in good standing before tax season and understand I will receive next steps after submitting this form.
Submit
Should be Empty: