Student Loan Assistance Application Form – Teamsters Local 727 Benefit Funds

"*" indicates required fields

Please fill out the Student Loan Assistance Application Form below and submit.

NAME OF PLAN PARTICIPANT (MEMBER)*

Address*

ADDRESS CITY STATE ZIP CODE

PHONE NUMBER*

DATE OF BIRTH*

NAME OF COLLEGE OR UNIVERSITY ATTENDED*

NAME OF EMPLOYER*

I understand that I am responsible for providing all required documentation including an Official Transcript and a copy of my student loan statement. I also understand that the Fund Office must receive this application and all other required documentation by NOVEMBER 1, 2024.