ACH Information for Student Loan Holders Form

Please complete this form if you are a student loan recipient with Sallie Mae or Stratus. Payments will be processed via ACH.

Name:*

First Last

Student ETA ID:*

Email Address:*

Campus:*

Type of Account:*

Checking

Savings

Bank Name:*

Bank Code (Routing Number):*

Bank of America is NOT 026009593

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Last Four of Bank Code (Routing Number):

Bank Account Number:*

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Last Four of Bank Account Number:

Please sign your full name here:*

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Real IP Address: