Nate Cressall Agency
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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/
Note: Educator must sign the form before the district will complete their portion
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
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DaVinci Academy of Science and the Arts
73-1694745
2033 Grant Ave
Ogden, UT 84401
https://www.davinciacademy.org/
Juab School District
87-6000498
346 E 600 N
Nephi UT, 84648
https://www.juabsd.org/
Thomas Edison Charter School
87-0673250
180 E 2600 N
North Logan, Utah 84341
1275 West 2350 S
South Nibley, Utah 84321
https://www.thomased.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/
Grand School District
84-1002372
264 S 400 E
Moab, UT 84532
https://www.grandschools.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
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Maria Montessori Academy
26-3938335
Academica West handles PSLF forms
2505 N 200 E
North Ogden, UT 84414
https://www.mariamontessoriacademy.org/
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Jordan School District
87-6000497
7387 S Campus View Dr
West Jordan, UT 84084
*TLF form must be signed prior to sending
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Uintah School District
87-6000524
826 S 1500 E
Naples, UT 84078
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Washington County School District
87-6000531
121 W Tabernacle
St. George UT 84770
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State of Utah
87-6000545
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Intermountain Health
87-0269232
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Utah State University
87-6000528
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Internal Revenue Service (IRS)
72-0564834
Fax: 855-890-0420
TLF Email:
School District,
Please complete Section 5 of the attached PDF and return directly to the educator. Template here
Crucial: Must use MM/DD/YYYY format
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Educator,
When you receive the form back from the school district please do the following:
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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
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Send the completed form to your loan servicer. Only pages 1-4 are necessary
Crucial: Must use MM/DD/YYYY format
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:
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Page 1: Write in your social
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Page 2: Write in your social, sign, and date
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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
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Common Contacts
Box Elder School District:
Kimberly Bott
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Ogden School District:
Nicole Hemming
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Weber School District:
hrfax@wsd.net
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Davis School District:
​
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