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November 16, 2005
To: Lenders and Holders Participating in the Health Education Assistance Loan (HEAL) Program
Subject: Newly Issued
Lenders Application for Insurance Claim HRSA Form 510 and Request for
Collection Assistance HRSA Form 513
HEAL Lender Policy Memorandum L-2006-3
Each of the above-referenced forms have been approved by the Office of Management and Budget (OMB) and given a new expiration date of September 30, 2008. We will allow the use of the older forms through January 31, 2006, however after that date only the new forms will be accepted. Please note, the Lenders Application for Insurance Claim HRSA Form 510, in addition to receiving a new expiration date, several items have been realigned on the form.
To obtain copies of these and other approved HEAL forms, please visit our web site at http://bhpr.hrsa.gov/dsa/healsite/forms.htm.
If you have questions concerning this policy, please call Mr. Dick Horton on (301) 443-1541.
Sincerely,
Henry López, Jr.
Director
Division of Health Careers Diversity And Development
