IHS Cheating and/or Stealing Incident Report Form
Incidents that compromise the content of any IHS examinations/assets, including the ILE, the Distance Learning for Professionals in Hearing Health Sciences course, and ILE Test Prep can be submitted anonymously. To further discuss the incident with IHS staff, include personal contact information when submitting the report.
Today's Date:
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Month
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Day
Year
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Which IHS examination/asset does the incident pertain to?
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The International Licensing Examination for Hearing Healthcare Professionals (ILE)
The Distance Learning for Professionals in Hearing Health Sciences course
ILE Test Prep
Date of the incident:
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Month
-
Day
Year
Date
Where did the Incident occur? City
*
State/Province
*
Country
*
Examination Site (if applicable)
Name of the company/person which/whom committed the incident:
*
Describe the incident.
*
Please provide enough details to allow IHS to fully investigate the matter.
Would you like to report another incident?
*
Yes
No
Which IHS examination/asset does the incident pertain to?
*
The International Licensing Examination for Hearing Healthcare Professionals (ILE)
The Distance Learning for Professionals in Hearing Health Sciences course
ILE Test Prep
Date of the incident:
-
Month
-
Day
Year
Date
Where did the Incident occur? City
*
State/Province
*
Country
*
Examination Site (if applicable)
Name of the company/person which/whom committed the incident:
*
Describe the incident.
*
Please provide enough details to allow IHS to fully investigate the matter.
Would you like to report another incident?
*
Yes
No
Which IHS examination/asset does the incident pertain to?
*
The International Licensing Examination for Hearing Healthcare Professionals (ILE)
The Distance Learning for Professionals in Hearing Health Sciences course
ILE Test Prep
Date of the incident:
-
Month
-
Day
Year
Date
Where did the Incident occur? City
*
State/Province
*
Country
*
Examination Site (if applicable)
Name of the company/person which/whom committed the incident:
*
Describe the incident.
*
Please provide enough details to allow IHS to fully investigate the matter.
May IHS or a regulatory agency contact you for more information or clarification?
*
Yes
No
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Submit
Should be Empty: