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Click ‘Get Form’ to open it in the editor.
Begin with Section I, where you will provide your examination information. Fill in your Social Security Number, title of examination, exam number, test site, room number, and seat number as applicable.
In Section II, write the correct information only. Enter your new Social Security Number, daytime telephone number, email address, last name (including any suffix), first name, middle initial, and complete mailing address.
Proceed to Section III to indicate any incorrect information. Fill in only the boxes that are not correct with the previous details that need correction.
Finally, ensure you sign and date the form at the bottom before submission. Remember that supporting documentation is required for changes to Social Security Number or name.
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