School Enrollment Verification Form - Discover

1 School Enrollment Verification Form Borrower Instructions: If you wish to defer your payments while you are enrolled in School at least half time, complete Section 1 of this form. Take the form to the School Registrar's office for completion of Section 2. Once the School has completed Section 2, please send the completed form, with your deferment application, using one of the following methods: Mail: Discover Student Loans Secure Document Upload: (login required). Customer Service PO Box 30948 Fax: 1-224-813-5210. Salt Lake City, UT 84130-0948. Section 1. To Be Completed By Borrower I am enrolled as a continuous (at least half-time) student at ( School Name). Please read: Please call us at 1-800-STUDENT if your loan application was received before 03/31/2012 and you have CitiAssist Loan(s) that was purchased by Discover , you may qualify for In- School deferment if you are enrolled less than half time.

2 My anticipated graduation date is / /. MM DD YYYY. Borrower's Information First Name MI Last Name Last 4 of SSN Phone Number - - Borrower's Street Address City State Zip Signature Date / /. MM DD YYYY. Section 2. Authorized Official's Certification (Please print or type). I certify, to the best of my knowledge and belief that the borrower named above is/was enrolled as at least a half-time student as indicated in Section 1. The School may attach its own Enrollment certification report listing the required information in lieu of completing this section. The borrower: 1. Is/was enrolled at least half-time during the academic period: / / / /. from to MM DD YYYY MM DD YYYY. 2. Is reasonably expected to complete his/her program requirements on: / /. MM DD YYYY. School Name Street Address School Code City State Zip Phone Number - - Signature of Authorized Official Date / /.

3 MM DD YYYY. Name/Title of Authorized Official