Get Actual Practice Form - University Of Mississippi Medical Center - Umc

Filling out the Actual Practice Form is an essential step for healthcare professional student loan recipients seeking deferment or cancellation. This guide will provide you with clear, step-by-step instructions for completing the form online to ensure that your submission is accurate and complete.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the Actual Practice Form in your preferred format.
2. In Section 1, enter your last name, first name, last four digits of your social security number, address, telephone number, and email address. Additionally, select your loan or scholarship program and provide the name under which you were enrolled.
3. Select the type or reason for your request; choose between deferment, cancellation, or both. Fill in the dates for deferment or cancellation by using the mm/dd/yyyy format.
4. Indicate your current employment status, selecting either Mississippi Employment, UMMC Employment, or Out of State Residency as applicable.
5. Sign and date the form in the Recipient Signature section to confirm that the information provided is accurate.
6. In Section 2, if applicable, have your employer fill out their details, including the employer name or name of practice, address, email, telephone number, and the name of the department head or human resources representative.
7. Ensure that the employer signs and dates their portion of the form to verify your employment.
8. Once the form is completed, save your changes and download a copy for your records. Note if you need to print or share the form for submission.
9. Return the completed form and any required documents to the University of Mississippi Medical Center's Student Financial Aid Office as specified.

Start filling out your Actual Practice Form online today to ensure timely submission.