Complete this form to make an insurance claim for an exam retest. To qualify for one (1) exam retest, you must have completed and failed the exam. The claim cannot be applied to missed, cancelled, or suspended exams. Withing 24-48 hours your claim status will be emailed.

After waiting atleast 24 hours after the last exam attempt, you may retake the exam. You may take the examination twice within 30 days. If you don’t pass your second attempt, you must wait at least 60 days from your most recent attempt before taking the exam again. No more than four attempts are allowed within a 12 month period. Examinations must be scheduled in advance.

  • Locate on order receipt - example 11223
  • MM slash DD slash YYYY
    To locate the record for the past exam, what date was the exam taken (approximately)?
  • Max. file size: 256 MB.
    Attach the exam results here (i.e. jpg, gif, png, pdf)