U.S. Department of Education
SFA-Schools Channel
1999-2000 Direct Loans Confirmation/Appeal Form
(Please Return No Later Than September 28, 2001)


Date: ________________________________
School: ________________________________
G-code: ________________________________
Name and Title of School Official: _________________________________
Telephone #: _________________________________

Part I. Confirmation:
(Only complete this section if your letter shows a $0 balance on the August 10, 2001, 732-LOS and you agree with that balance. All other schools should proceed to Part II.)

I am confirming that my school's internal cash balance is $0, which is in agreement with the Department's official ending cash balance on the August 10, 2001, 732-LOS report. My school has no outstanding 99-00 issues.

Signature of School Official: _________________________________

If you have completed Part I, you do not need to complete Part II. Please stop here and submit this form to Direct Loan Operations as outlined in your letter.

Part II. Appeal:

I am appealing my school's ending cash balance as reflected on the August 10, 2000, 732-LOS. (Please complete the remainder of this form.)

Signature of School Official: _________________________________

My appeal is based on the following issues:

A. I will send in excess cash for 1999-00 for the following amount and check number:

Amount: ________________________________

Check #: ________________________________

If Fedwire, Wire Transfer #: _______________________________

B. I am requesting a final drawdown for 1999-00 for the following amount:
(NOTE: By completing this section, you are authorizing that you have confirmed and documented that this money is due to you.)

Amount: ________________________________

C. Or, sign here if you do not want the funds indicated in the letter.

_________________________________

D. I have cash allocations that need to be completed. These include the following:

Date of DrawAmount of
Draw		Control
Number		Year It is In
Now		Year It Should
Be

























E. I have unresolved Department issues. These include:
(Please list any outstanding Department issues. You may attach additional pages if necessary.)







F. I have unresolved School issues. These include:
(Please list any outstanding school issues. You may attach additional pages if necessary.)







G. I have other issues that do not apply to the above categories. These include:
(Please list any remaining issues. You may attach additional pages if necessary.)