Human Resources Service Center

Public Service Loan Forgiveness (PSLF) - Employment Certification

Program Information

The PSLF Program was established by Congress in 2007 to allow eligible borrowers to qualify for forgiveness of the remaining balance of their William D. Ford Federal Direct Loan after they have served full-time at a public service organization for at least 10 years, while making 120 qualifying payments.

More program information is available on the Department of Education's Federal Student Aid website.

Employment Certification

Payroll will complete Sections 3 and 4 to verify employment is with a public service organization. Employment Certification forms must be submitted to our office. If you are submitting via email, please be sure to withhold your SSN from the form.

It is the responsibility of the PSLF applicant to submit the application, and all required paperwork, to the U.S. Department of Education in order to qualify for the PSLF Program. The U.S. Department of Education, not the CSU, reviews the applications and makes the determination of eligibility for the PSLF Program.

Tips for form completion:

  • Employer Name: California State University, Chico
  • Employer's EIN/FEIN: 68-0219874 

Submitting your form to Payroll:

  1. Use the PSLF Help Tool to submit electronically, OR
  2. Download the form from the appropriate website. Complete the form on your computer without the SSN and save it as a PDF file. (You may need to "print" to Adobe PDF or Microsoft Print to PDF.)
    1. Email the PDF to: payroll@csuchico.edu 
    2. Subject: PSLF Employment Certification Form
    3. Attach the form

Upon Payroll's receipt, your form will be processed within 48-72 business hours.

PSLF Return Process:

If you used the PSLF Help Tool to submit electronically, your form will be completed & submitted directly to the Federal Student Aid.  If you submitted via email, your completed form will be returned via email.  Employees that submitted a paper form will expect to receive an email when the form is available for pick-up.

Important: After receiving the completed PSLF form from Payroll you must add your SSN and signature before submitting it to the requesting agency. 

Need Help?

Email: payroll@csuchico.edu