Borrower Authorization of Third Party

To protect the privacy of our members, Harvard FCU requires written consent in order to release your education loan information to a third party, and allow them to act on your behalf. To move forward with your request, please review and submit the below form.

Borrower Information
UAS Borrower ID*

Your Borrower ID is a 12 digit number that starts with 21, and can be found in your online account with UAS or on your monthly billing statement.
First Name*
Last Name*
Email*
Phone Number*
Third-Party Information
First Name*
Last Name*
Email*
Phone Number*
Borrower Acknowledgment
*
- I hereby authorize Harvard FCU to release information regarding my education loan(s) to the above referenced third party. I understand that I am also providing consent for the above mentioned person or organization to act on my behalf in all matters related to my Harvard FCU education loan(s), including the signing of all documents associated with my account(s). Any and all acts carried out by the above mentioned third party on my behalf shall have the same effect as acts of my own. By submitting this form, I understand that my information will be sent via mail, e-mail and/or fax.oice
*
- I understand that I may, at any time, withdraw this directive as long as I do so in writing by emailing us at ed_loans@harvardfcu.org.
*
- By submitting this form, I certify that I have the authority to execute this form and am a currently authorized signer/owner/or other designated representative for the above named borrower. I agree to release Harvard FCU, its officers, employees, contractors, affiliates and related personnel, both individually and collectively, from any and all liability for claims related to or arising out of any disclosure to the above mentioned person or organization.
Email
This field is for validation purposes and should be left unchanged.

Borrower Authorization of Third Party

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