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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

https://jordandistrict.org/

*TLF form must be signed prior to sending

Uintah School District

87-6000524

826 S 1500 E

Naples, UT  84078

www.uintah.net

Washington County School District 

87-6000531

121 W Tabernacle

St. George  UT  84770

www.washk12.org

State of Utah
87-6000545

Intermountain Health

87-0269232

Utah State University

87-6000528

Internal Revenue Service (IRS)

72-0564834 

Other Fed Govt EINs

HCO.HRSS.Florence@irs.gov

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

  • Page 2: Write in your social (top-right section)

  • Page 3: Write in your social and sign/date

  • Page 4: Write in your social. Verify that Section 5 was completed by the district including CAO Name and title (like "HR Director")

  • 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

  • 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

kimberly.bott@besd.net

Ogden School District:

Nicole Hemming

Hemmingn@ogdensd.org

Weber School District:
hrfax@wsd.net

Davis Schoo District:

payrolloffice@dsdmail.net

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