
Ogden School District
87-6000507
1950 Monroe Blvd
Ogden, UT 84401
www.ogdensd.org
Weber School District
87-6000534
5320 Adams Ave. Pkwy
Ogden, UT 84405
www.wsd.net
Box Elder School District
87-6000480
960 S Main
Brigham City, UT 84302
www.besd.net
Weber State University
87-6000535
3848 Harrison Blvd
Ogden, UT 84408
www.weber.edu
Canyons School District
26-3770988
9361 S 300 E
Sandy, UT 84070
www.canyonsdistrict.org/
Elementary: kim.mccluskey@canyonsdistrict.org
Secondary: shauna.flash@canyonsdistrict.org
Admin: paulette.takata@canyonsdistrict.org
Utah Schools for the Deaf and the Blind
87-6000545
742 Harrison Blvd
Ogden, UT 84404
www.usdb.org
DaVinci Academy of Science and the Arts
73-1694745
2033 Grant Ave
Ogden, UT 84401
https://www.davinciacademy.org/
Cache School District
87-6000482
84 E 2400 N
North Logan, UT 84341
www.ccsdut.org
Logan School District
87-6000500
101 W Center St
Logan, UT 84321
www.loganschools.org/
Morgan School District
87-6000502
67 N 200 E
Morgan, UT 84050
www.morgansd.org/
Davis School District
87-6000487
45 E State St
PO Box 588
Farmington, UT 84025
www.davis.k12.ut.us
Greenwood Charter School
47-1439324
840 US-89
Harrisville, UT 84404 https://www.greenwoodcharter.org
Murray School District
87-6000503
5102 Commerce Drive
Murray, Utah 84107 https://www.murrayschools.org
Ogden Preparatory Academy (OPA)
35-2210009
1435 Lincoln Ave
Ogden, UT 84404
https://ogdenprep.org/
Alpine School District
87-6000478
575 N 100 E
American Fork, UT 84003
alpineschools.org/
Preston School #201
82-6000749
105 E 2nd S
Preston, ID 83263
www.psd201.org
Leadership Learning Academy
45-3821104
1111 2nd St
Ogden, UT 84404
www.llacharter.org
Maria Montessori Academy
26-3938335
2505 N 200 E
North Ogden, UT 84414
https://www.mariamontessoriacademy.org/
Jordan School District
87-6000497
7387 S Campus View Dr
West Jordan, UT 84084
*TLF form must be signed prior to sending
Uintah School District
87-6000524
826 S 1500 E
Naples, UT 84078
Washington County School District
87-6000531
121 W Tabernacle
St. George UT 84770
State of Utah
87-6000545
Intermountain Health
87-0269232
Utah State University
87-6000528
Internal Revenue Service (IRS)
72-0564834
Fax: 855-890-0420
TLF Email:
School District,
Please complete Section 5 and return directly to the educator. Template here
Educator,
When you receive the form back from the school district please do the following:
-
Page 1: Write in your social
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Page 2: Write in your social (top-right section)
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Page 3: Write in your social and sign/date
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Page 4: Write in your social. Verify that Section 5 was completed by the district including CAO Name and title (like "HR Director")
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Send the completed form to your loan servicer. Only pages 1-4 are necessary
PSLF Email:
School District,
On page 3 of the attached please enter the employment begin date and sign & date. Return directly to the educator. Thanks!
Educator,
When you receive the form back from the school district please do the following:
-
Page 1: Write in your social
-
Page 2: Write in your social, sign, and date
-
Page 3: Write in your social
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Send the completed form (3 pages only) to the U.S. Department of Education as per Section 8 of the form. That info is listed below as a quick reference:
Fax: 540-212-2415
- or -
Mail to:
U.S. Department of Education
P.O. Box 300010
Greenville, TX 75403
Common Contacts
Box Elder School District:
Kimberly Bott
Ogden School District:
Nicole Hemming
Weber School District:
hrfax@wsd.net
Davis Schoo District: