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Click ‘Get Form’ to open it in the editor.
Begin by entering your Current Legal Name, ensuring you include your First, Middle, and Last names as required.
Next, input your Social Security Number and the Name at Time of Test if it differs from your current name.
Fill in your Date of Birth and Current Mailing Address, including City, State, and Zip Code.
Provide your Current Phone Number and approximate Test Center Location if known.
Indicate the Approx. Test Date and whether you tested on Computer or Paper.
Finally, review the Certification statement, sign the form, and date it before submission.

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Versions	Form popularity	Fillable & printable
2023	4.2 Satisfied (51 Votes)
2022	4.9 Satisfied (27 Votes)
2021	4.9 Satisfied (47 Votes)
2018	4.7 Satisfied (31 Votes)
2017	4.7 Satisfied (26 Votes)
2017	4.2 Satisfied (28 Votes)

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