The John R. Justice (JRJ) Student Loan Repayment Program Service Agreement requires beneficiaries of the program to remain employed as an eligible prosecutor or public defender for a period of service of not less than three years (36 months) unless voluntarily separated from employment.
The Bureau of Justice Assistance requires each JRJ Administering Agency to annually prepare a verification of JRJ beneficiaries who have either completed or have not completed their initial JRJ service obligation. As such, all individuals who have received a JRJ award as well as their employer must complete a Beneficiary Service Verification Form to certify the beneficiary remained in an eligible position during the service agreement period.
If you have been notified by the Administrative Office of the Courts JRJ grant management staff, please complete and return the following Beneficiary Service Verification forms. One form is for the individual beneficiary and one form is for the individual beneficiary’s employer. Please return/submit both completed forms together.
Click the applicable link below to access the Service Verification Form (Beneficiary), based on the term of service period for your current JRJ award:
1. Initial Term of Service for FY12 through FY14 (10/1/2012 – 9/30/2015)
2. Initial Term of Service for FY13 through FY15 (10/1/2013 – 9/30/2016)
3. Initial Term of Service for FY14 through FY16 (10/1/2014 – 9/30/2017)
4. Secondary Term of Service for FY14 (10/1/2014 - 9/30/2015)
The forms can be submitted via US Postal Service, email, or fax. Please send, email, or fax both completed forms to:
1501 W. Washington
Phoenix, Arizona, 85007
Fax number: 602-307-1274