AGREEMENT HEALTH PROFESSIONALS LOAN REPAYMENT (HPLR) DA FORM 5536, FEB 2016-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information in the designated fields, including your name and Social Security Number (SSN). Remember, providing your SSN is voluntary but necessary for eligibility.
3. In Section I, ensure that the appointing official explains the requirements clearly. This section is crucial as one copy will be filed permanently.
4. Proceed to Section II and confirm your eligibility by checking off each criterion. Make sure to list your approved medical/nursing specialty.
5. In Section III, understand the repayment terms. Fill in details regarding eligible loans and ensure you are aware of the maximum repayment limits.
6. Complete Section IV by acknowledging conditions that may terminate your eligibility. Review this carefully to avoid any misunderstandings.
7. Finally, sign and date the form in Section VII. Ensure all required signatures are obtained from both you and the appointing official.

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