Form Name:Payday Loan LetterInvestigator Name:Jay TrehanClick here to view a sample form. Your Full Name*Email Address* Phone*Preferred form of contact Email PhoneDigital Signature*By digitally signing this agreement, I accept the assistance for my Pay Day/Cash/Title loan(s), on the terms that I will not utilize these types of services (Payday/Cash/Title loans) again. I realize if I fail to keep this commitment, the Veteran Service Commission has the right to deny any further assistance pursuant to paying off the current loan and providing verification of payoff. I also understand that I am subject to a purposed ban of services from the Commissioners if I fail to keep this commitment."