Form

Customer declaration and medical declaration form

You can use this form to provide evidence that you are permanently unfit for work so we can consider your student loan for cancellation.

• From: Student Loans Company
• Published: 19 December 2025

Documents

Customer declaration and medical declaration form

PDF, 259 KB, 3 pages

This file may not be suitable for users of assistive technology.

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If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email alternative_format_correspondence@slc.co.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

This form includes a medical declaration form for a medical professional to complete and a customer declaration form for you to complete.

We require this form to be fully completed to consider you student loan for cancellation on the basis that you are permanently unfit for work.

Published 19 December 2025