Fundamentals Exam Score Review Request

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This form is for Fundamentals test takers (FLS, FES, FUSE) who have failed either or both portions of their exam and are requesting a breakdown of their performance. Requests should be submitted by the test taker only.

Email *

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.

Which Exam is this for?

FLS skills test

FLS written test

FES skills test

FES written test

FUSE Exam

When did you take your Exam? *

YYYY

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 additional information regarding your testing experience and your specific request *

Send me a copy of my responses.

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