Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal information. Fill in your name, candidate ID (optional), address, city, state, phone number, zip code, and email address (required). Ensure this information is accurate to avoid processing delays.
3. Indicate your birth date. This information may be used to verify your identity.
4. In the section titled 'Please send this report to,' provide the name and address of the state or agency where the results should be sent. Make sure to fill in all required fields, including the state and zip code.
5. Review the fee schedule and select your payment type by checking the corresponding box for either Check or Money Order, MasterCard, or VISA. If paying by check or money order, make it payable to NCCAOM.
6. If paying by credit card, input your card number, expiration date, cardholder's name, and billing zip code. Sign where indicated to authorize the payment.
7. Once all fields are filled out correctly, review the form for any errors or omissions. Make necessary adjustments to ensure the accuracy of the information provided.
8. Submit the completed form along with payment to NCCAOM at the specified address. If you are paying by credit card, you may also fax the form to the provided fax number.

Complete your NCCAOM Exam Results And Certification Verification Form online today for efficient processing.