Exam Score Verification Request

This request form is for an Exam Score Verification Letter, NOT the Official Exam Score Report. The Official Score Report will be released by the administering credentialing board within 90 days following the exam.

The Official Score Report must be released by the board before IC&RC is able to provide an Exam Score Verification letter. If you require score verification before the official score has been released, you must reach out to the administering credentialing board directly.

Name*

First NameLast Name

Alternative name under which you may have tested:

First NameLast Name

Email*

example@example.com

Phone Number*

Name of Examination*

Date of Examination

Please provide the estimated year if you do not know the exact date.

IC&RC Member Board through which the examination was administered

How should the verification be sent?*

EmailMail

E-mail to send verification

example@example.com

Address to send verification

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Attention to

Would you like to receive a copy to your email address?*

YesNo

Email to send additional copy

example@example.com

My Products*

Exam Score Verification

$25.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Disclaimer: While International Certification & Reciprocity Consortium (IC&RC) uses every reasonable effort to provide accurate and up-to-date information, we make no warranties or representations as to the accuracy of the content and assume no liability or responsibility for any error or omission in the content.

Acknowledgement*

Exam Score Verification Letter Request