Score Request

Please fill out the Score Request form below.

Personal Information
Name*
First Middle Last
If your name has changed, please fill in your original name.
Madien Name (If applicable)
Last
Last 4 digits of SSN*
Phone*
Email*
Enter Email Confirm Email
Exam Details
Year You Took the Exam*
Exam Location*
Exam type:*
Have you taken the exam more than once?
- Yes
If yes, please enter additional exam locations and years.
Do you want your score request notarized? (Extra $5)*
- No
- Yes
Address to Send Scores
Institute:
Address
Street Address Address Line 2 City State ZIP Code
- Same as Current Mailing Address
Current Mailing Address
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Physical Address, no PO Boxes
Additional Comments: If requesting an electronic, authorized .pdf copy to be sent in lieu/in addition to a physical copy, please provide an e-mail address below. ONLY .GOV e-mail addresses will be accepted.
Fee Information
Duplicate Score
Price:
Notarize
Price:
Total
$0.00
Payment Information*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
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Hit the 'Submit' button 1 time only.

Personal Information