Test Score Request

If you would like to have your test scores delivered to an employer or organization, please complete the form below to submit your request online.

Your Contact Information
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Email*
Phone number:*
Student ID (900#)
If you do not know your Student ID, leave this field blank. However, additional processing time may be required.
Request Delivery Information
Delivery Method*
- Email Address (Of Employer/Organization)
- Mail
Email Address (Of Employer/Organization)*
Address To (Employer Name/Department Name/ATTN)*
Mailing Address*
Street Address Address Line 2 City State Zip Code
Fax Number*
Fax Cover Page Content
Release Consent
By checking the box you are confirming you give permission for your ACCUPLACER test scores to be shared for educational or employment purposes*
- Agree
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Your Contact Information