Fundamentals Exam Appeal and/or Explanation of Results Form
This form is for Test Takers ONLY who would like a review of their score and/or appeal their test results.
Test Taker First and Last Name
Test Taker Phone Number
Please provide a phone number where you can be reached at. Be sure to include an area code.
What Exam is this for?
Indicate below which part of the Exam you did not pass.
Manual Skills Test
Manual Skills and Written Test
Please select your request below
Appeal of Exam Results
Explanation of Exam Results
Both Appeal and Explanation of Exam Results
When did you take your Exam?
At which Test Center did you take your Exam?
Who was your proctor?
Please enter "Don't remember" if you can not recall the exact name of the Proctor
Please provide a detailed written explanation of your testing experience below.
Send me a copy of my responses.
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