AAI/ACSR Exam Retake Order Form

Student Information:

Full Name *

First Name Last Name

Agency/Company *

If not employed put N/A

E-mail *

example@example.com

Student ID # *

Exam Information

Retake Fee: $39 EACH

**Exams are not ordered until full payment is received**

ACSR Exam Retakes

ACSR 1 ACSR 2 ACSR 3 ACSR 4 ACSR 5 ACSR 6 ACSR 7 ACSR 8 ACSR 9

AAI Exam Retakes

AAI 81A AAI 81B AAI 81C AAI 82A AAI 82B AAI 82C AAI 83A AAI 83B AAI 83C

Payment by: *

Will Mail Check Pay by eCheck/CC (fees apply)

Make checks payable to: IIAMD

Mail to: 2408 Peppermill Dr., Ste A, Glen Burnie, MD. 21061

Total Due:

Please note: All Institutes ACSR/AAI exam retakes are completed online. Once we receive the Exam Retake Form and payment, we will submit the request to the Institutes and immediately (within 24 hours) the retake exam will be ordered and placed in your Student Institutes Account. You will only have 30 days to retake the exam, so if the exam expires you will need to order and pay for a new one. PLEASE ORDER EXAM RETAKES ONLY WHEN YOU ARE READY TO SIT FOR THE EXAM TO AVOID HAVING ANY ISSUES WITH THE EXAM EXPIRING.