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Get Pearson Vue Special Accommodations Request Form

Examination arrangements. Candidates who wish to request special accommodations for ADA should fax this form to Pearson VUE at (610) 617-9397. Certain documentation must be faxed along with this form. All requests must rst be approved by Pearson VUE. Candidates must wait for con rmation of the approval before scheduling an examination. PLEASE PRINT CLEARLY Date: Last Name: First Name: M.I.: Address: City: State: Zip: Email address: Daytime Telephone: Description of Disability: Larg.

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