Arizona High School Equivalency: GED
®
Test Pathway
Access Code Request
The purpose of this form is to request an Access Code to create a Test-Taker Profile on the MyHSE Arizona Web Portal.
Instructions
Please clearly fill out Section 1.
Sign and date the form.
This form MUST be submitted with a clear and readable photocopy of a current valid government-issued picture
I.D. and through one of the following options listed below:
By Email: adulted@azed.gov
By Fax: (602) 542-0031
In Person: Adult Education Services Walk-In Location at 1535 W Jefferson St. Phoenix AZ 85007
Monday to Friday from 8:00am—4:30pm
Please select one of two options below for the delivery of your ACCESS Code.
1. After 30 minutes of submitting the form, please call (602) 258-2410, option #2 to obtain the Access Code.
2. If you would like your ACCESS Code to be emailed, please provide your email address: _______________________.
∗∗∗
Access Codes will not be given to 3rd parties***
Once you receive your Access Code, go online to https://myhse.azed.gov and select step 1 to “Create Your Account”.
Section 1
Must be Completed by Former Test-Taker
Current Legal Name (REQUIRED, First, Middle, Last) Date of Birth (REQUIRED, month/day/year)
/ /
Name at Time of Test and Any Other Names Used (Required if different than above) Social Security Number (last 4 digits)
XXX - XX -
Current Mailing Address, City, State, Zip Code Current Phone Number
( ) -
Approximate Testing Location Approximate Testing Date
Certification: “I hereby certify that all information provided is true, and I authorize the release of my official tran-
script or completion date to the requestor.” (Signature Required by FERPA Student Privacy Act)
Signature Date / /
Important Notes:
DO NOT MAIL THE FORM.
If the submitted picture I.D. is not clear or readable, resubmission may be required.
If submitting the form by Fax, it is recommended to use the lightest setting.
Submitted requests are not kept for more than 2 business days.
Effective and updated 07/24/2018
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