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Federal Loan Dispute Form

Thank you for registering!

Now, we need some information to fill out your Defense to Repayment form. The personal information you provide here will only be used to fill out the Defense to Repayment form. We will not share it with anybody else without your permission.

Please answer the following questions and provide as much detail as you can in your response. The more information you can provide, the better chance you have of getting a loan discharge. Filling out the form will probably take around 30 minutes. If a question doesn’t apply to you, you can leave it blank and click Next.

First, we need to know about the school you went to.

Which campus did you attend?

What was the name of your program? (Leave blank if unsure.)

When did you attend Corinthian?

What type of degree were you working on? (Select your highest degree.)

Did you complete the program?

Did your school close before you graduated?

Did you withdraw within 120 days of your school closing?

Now we’ll prompt you to describe different aspects of your experience with Corinthian.

How did Corinthian lie to you or mislead you about your job prospects? Check all that apply.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

How did Corinthian mislead you about the quality of the education you would receive?

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

In what ways did Corinthian mislead you about how you would pay for the program?

Please explain.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

How did Corinthian mislead you about your options as the school shut down? Check all that apply.

Please explain. Include as much detail as possible.

For example, did they fail to inform you that you had a right to receive a complete refund if you did not take the teach out?

Please explain. Include as much detail as possible.

Did Corinthian mislead you in other ways that you didn't already describe? Please explain. Include as much detail as possible.

Now we'll ask you to explain how the conduct you’ve already described here by Corinthian caused you harm you and put you in debt.

Because of this conduct, I've suffered the following harm:

Please describe how the debt has affected your life.

Please explain.

Please explain.

Please explain. Include as much detail as possible.

Please explain. Include as much detail as possible.

If Corinthian hadn't lied and misled me in the ways I just described, I would not have attended or continued to attend.

I agree

Finally, we need some personal information.

Are you currently employed?

Is your job in your field of study?

Who is your loan servicer? (If you don't know, you can leave it blank.)

You're almost done! By signing below, you declare the following:

I acknowledge that any person who knowingly makes a false statement or misrepresentation on this form or any accompanying document is subject to penalties that may include fines, imprisonment, or both, under the U.S. Criminal Code and 20 U.S.C. § 1097.

I certify, under penalty of perjury, that all of the information I have provided on this form and in any accompanying documentation is true and accurate to the best of my knowledge and belief.

I certify that I will provide, upon request, testimony, a sworn statement, or other documentation reasonably available to me that demonstrates to the satisfaction of the Department that I meet the qualifications for defense to repayment of my student loans.

I certify that, if my defense is successful, upon request I will provide assistance and cooperation to the U.S. Department of Education (the Department)in any proceedings or enforcement actions against the school related to my defense or the conduct asserted herein.

I hereby assign and transfer to the U.S. Department of Education (the Department) any right to a refund on the amount discharged that I may have received from the school and/or any owners, affiliates, or assignees of the school, and from any third party that may pay claims for a refund because of the actions or omissions of the school, up to the amount discharged by the Department on my loan(s).

I authorize the loan holder to which I submit this request (and its agents or contractors) to contact me regarding my request or my loan(s), including repayment of my loan(s), at the number that I provide on this form or any future number that I provide for my cellular telephone or other wireless device using automated telephone dialing equipment or artificial or prerecorded voice or text messages.

Congratulations! You may qualify for a student loan discharge.
To continue, please click the "Continue" link below.

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