Fillable Rescheduling Form* - Written Component

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Rescheduling Form* - Written Component

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Rescheduling Form* - Written Component
Candidate Name
Last
First
Candidate PIN / Client ID
I am registered for the exam
on
Current Exam Date
I want to change my exam
date to
New Exam Date
Rescheduling : STEP BY STEP (Please refer to page 6 of the Registration Guide for step-by-step instructions on how
to reschedule to the NEXT CALENDAR YEAR)
1. Complete the ‘Written Component – Rescheduling Form
2. Complete the Credit Card Authorization Form for the appropriate reschedule amount (see
rescheduling chart below for fee structure).
3. Scan and email both forms to the attention of the Client Service Coordinator – Examinations
(csc_exams@alliancept.org).
4. Once you receive an updated registration notice, you are eligible to schedule into your new
5. confirmed exam date
6. You will receive an updated registration notice within 10 to 15 business days.
IMPORTANT:
• You cannot change your exam date to an exam if the application deadline for that exam has passed.
Fees for Rescheduling the Written Component
22 or more days
prior to the exam
date
3 to 21 days prior to
the exam date
Less than 3 days prior
to the exam date
Reschedule (Date or Site):
$104.00
$156.00
$520.00
Changing your exam date may affect your application for a licence to practice. Contact your provincial or territorial
regulator for more information.
Date received:
Date entered:
Entered by:
Candidate Signature
Date
Current Exam Date
New Exam Date
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Rescheduling Form* - Written Component

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Completed 25 January 2022

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