LASACT CEB Test Payment Form

Test Payment Form

P.O. Box 80235 Baton Rouge, Louisiana 70898-0235 | www.LASACT.org
Applicant information will be entered into the testing system once YOU submit a copy of ADRA’s approval to test email, a completed Test Payment Form, and the required fee. Information regarding selecting a testing date (a minimum of five days out) and location site will be generated by the testing company. (Be sure to check spam/junk mail folders.) An admission letter will be emailed to the applicant and must be brought to the test site along with a photo ID. NO ADMISSION WITHOUT THESE ITEMS.
Applicant Information
LAST Name
First Name/M.I.
Name*

Last NameFirst Name/M.I.
Email Address*
example@example.com
Work Phone Number*
Please enter a valid phone number
Cell Phone Number (if applicable)
Please enter a valid phone number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Today's Date*

MonthDayYear
Select today's date
Testing Options

Please select only one option in each section.
ADRA/CEB Test Offerings:*

RAC or CAC / ADC — $285LAC / AADC — $285LPP, CPP, or RPP / PS — $285CCS / CS — $200PRSS / PR — $125CCJP / CJ — $285SAP (Paper/Pencil Only) — $285
Are you seeking to take a non-ADRA exam?

YesNo
Payment Options:*

Will pay using the payment system below.Money Order payable to "LASACT/CEB" (NO CHECKS).
Testing History:*

First time testing for the above selected examSecond or more time testing for above exam. Number of attempts at exam:
Remote Testing (If applicable, please select Remote Testing payment option below):*

YesNo
Special Accommodations:*

YesNo
Payment Information

Please select only one testing option below.
My Products
prevnext( X )
RAC or CAC | ADCRAC and CAC credential take the ADC exam. Price includes: $285 ADC Exam + $11.12 transaction fee for all credit/debit card payments.
$296.12 Quantity



LAC | AADCLAC credential take the AADC exam. Price includes: $285 AADC exam + $11.12 transaction fee for all credit/debit card payments.
$296.12 Quantity



LPP, CPP, RPP | PSLPP, CPP, and RPP credential take the PS exam. Price includes: $285 ADC Exam + $11.12 transaction fee for all credit/debit card payments.
$296.12 Quantity



CCS | CSCCS credential take the CS exam. Price includes: $200 CS exam + $7.80 transaction fee for all credit/debit card payments.
$207.80 Quantity



PRSS | PSPRSS credential take the PR exam. Price includes: $125 PR exam + $4.88 transaction fee for all credit/debit card payments.
$129.88 Quantity



CCJP | CJCCJP credential take the CJ exam. Price includes: $285 CJ exam + $11.12 transaction fee for all credit/debit card payments.
$296.12 Quantity



SAP (Paper/Pencil Only)Price includes: $285 SAP exam + $11.12 transaction fee for all credit/debit card payments.
$296.12 Quantity



Remote TestingPrice includes: $15 Remote Testing fee + $0.59 transaction fee for all credit/debit card payments.
$15.59 Quantity



Total

$0.00
Acknowledgments
I acknowledge that remediation is required after FOUR (4) failed testing attempts.*

Yes, I acknowledge.
Failure to submit ADRA approval to test, emailed to CEB@lasact.org, will ultimately result in the delay of this application and scheduling of this exam.
Please retype the following sentence in the field below: I will submit my ADRA approval to test to CEB@LASACT.org*
NOTE: A 90-day waiting period will be enforced for those applicants wishing to retest for any of the above-listed exams. Information regarding Test Preparation classes and study material can be found on the LASACT website: www.lasact.org.
Should be Empty:

Test Payment Form

Applicant Information

Testing Options

Payment Information

Acknowledgments