Student Loan Refund Request Form - Atlanta's John Marshall Law School

Academic Year*
Student ID*

Please input the last 4 digits only.
Name*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Please determine which of the statements below is applicable and select one.*
- I request that Atlanta's John Marshall Law School release any excess funds directly TO ME, THE STUDENT, via my bank account on file with the law school.
- I request that Atlanta's John Marshall Law School return any excess funds TO MY LENDER.
Signature
Student Signature*

Please type your name as your electronic signature.
Date*
MM slash DD slash YYYY

Signature