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Get CG12500A.pdf. Request For Student Loan Repayment Benefit

Umber Title Series/Grade/Step or Cluster/Band Type of Appointment Total Amount of Student Loan Repayment Benefit Received to Date (Include the Requested Amount from this Form). $ Student Loan Repayment Benefit Amount Requested: Student Loan Repayment Benefit for Year Number: (Check One) 1 2 3 4* 5* 6* **Other $ NOTE: Service agreement must be attached to this request form. A minimum three-year period of employment with the Coast Guard is required, if.

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