SSC-HR-Former Employees Data Request

Please complete the eForm below.  Please be sure to upload a signed authorization as well as any other forms needing completion.

University of Michigan Employee Information:

Please select the employment verification below that suits your needs:
Please select the employment verification below that suits your needs:
Please Note - Regarding PSLF submissions:
For questions regarding qualifying for the Public Service Loan Forgiveness program, please visit University Human Resources:
https://ssc.umich.edu/human-resources/public-se...

The Shared Services Center cannot comment on qualifying for the PSLF program.
The Department of Education considers full-time employment as 30+ hours per week. Please note that part-time employment will only be eligible if combined with another qualifying employer to equal 30+ hours per week, and if payments were being made at the same time.

For more information, please refer to this link: https://studentaid.gov/manage-loans/forgiveness...
Please provide more details for your VOE request.
Requested Information
Requested Information
Have you previously verified your University of Michigan employment for the PSLF program?
Have you previously verified your University of Michigan employment for the PSLF program?
PLBVOE-FormerEE-PSLF-Fax to MOHELA
Your PSLF application will be faxed to MOHELA at 877-222-7060.
PLBVOE-FormerEE-PSLF-Fax to Another Servicer NOTE
Please enter your alternate servicer and their fax number (or email address) in the description box below.
PLBVOE-FormerEE-PSLF-Return to Me
Your page 2 will be returned to you, and you will be responsible for submitting your application.
Where should we send your request:

If you have selected PSLF please be sure your page 1 is authentically signed (wet or hand-drawn) and dated within 90 days. Click here for a blank Page 1.

For all other employment verification requests upload a signed authorization document. Click here for a blank authorization form.

To attach files, click Browse, navigate to the file(s) you'd like to attach, and click Open. Attached files will appear in the Attachment space provided.

*Authorization
*Form
Browse...
The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.
Press Alt + 0 within the editor to access accessibility instructions, or press Alt + F10 to access the menu.
Please allow up to five business days for processing your request. We appreciate your patience.

Other Fields

Your name
Verification Code