1 Year Retest Waiver

EIPA Performance Test - 6 Month Retest Request
To be considered for an early retest waiver interpreters must meet the following criteria.
- You are currently employed and working on a provisional license that will expire within 6 months.
- You will lose your job when the provisional license expires.
- The score on your most recent test must be within 0.5 of your state’s required minimum score.
If you do not meet the above items, please discontinue this form.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Last Performance Test

MonthDayYear
Date
Please upload a letter from your school administrator indicating you are currently employed and that you will loss the employment when your provisional license expires. This must be on letterhead, dated, and signed by the person completing the letter.

Cancelof
Please upload a copy of your provisional license.

Cancelof
I understand that checking this box constitutes a legal signature and is the legal equivalent of my manual signature.
Signature

Clear
Should be Empty:

EIPA Performance Test - 6 Month Retest Request