Test Score Request

Please allow 3-5 business days for your document request to be processed.

Step 1: Student Information

Date:

Photo ID:

A valid photo ID must be provided when submitting this form. To upload a scan of your valid photo ID, click the browse button above.

Social Security Number/Student ID:

First Name:

Middle Name:

Last Name:

Street Address:

City:

State:

Zip:

Phone:

Email:

Full Name When Attending UA-PTC (if different from above):

Date of Birth:

Did you attend UA-PTC before 1991?

Yes

Step 2: Instructions

Select to Include: (1 request per test score)

Compass

Accuplacer

Kaplan

TEAS

ATI

Step 3: Delivery Method

Choose one method of delivery. One request form per mailing address is required.

Mail

Pick-up

Fax

Mail

Name:

Street:

City:

State:

Zip:

Pick-up:

Select a choice

I will pick up the document(s)

Allow my document(s) to be picked up.

Authorized person picking up document(s):

A valid photo ID must be presented by anyone picking up document(s).

Documents not picked up within two weeks will be mailed to the address provided above.

Fax

Name:

Number:

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Test Score Request

Step 1: Student Information

Step 2: Instructions

Step 3: Delivery Method

Mail

Pick-up:

Fax