EXTRA OFFICIAL REPORT FORM

REQUEST FORM FOR DUPLICATE REPORT OF EVALUATION
SECTION 1. APPLICANT INFORMATION
Depite the coronavirus pandemic, ACEI would like to reassure you that our customer support and our evaluation and translation services are working without any disruption. We are making every effort while maintaining the safety and security of our team to ensure evaluation reports are delivered in a timely manner to recipients.
First Name *
Middle Name
Last Name *
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Telephone *

Country Code Area Code Phone Number
Email *
example@example.com
Date of Evaluation
ACEI REFERENCE #
SECTION 2. FEES
DUPLICATE REPORT FEES *

Fee for 1st Duplicate Report- This fee applies each time an order is places $50.00 (Automatically Selected for Your Convenience)
Fee for Additional Duplicate Report - $35.00 (Each)

$35.00
Please Specify the Number for Each Additional Duplicate Report (ENTER 0 IF NONE) *
COURSE MATCH FEES

Fee is in Addition to Duplicate Report and Mail Fees (for specific colleges/universities only, check with ACEI) $100.00
RUSH SERVICE (OPTIONAL)

One (1) Business Day (Completed within 1 full business day from receipt of documents) - $50.00
Total fee of Additional Copies
DELIVERY/HANDLIING FEES [REQUIRED] (Fee per each address)
Email the 1st extra official report of the evaluation to: (College /University/Employer) *

E-Mail (Official Evaluation to 3rd Party) (Automatically Selected for Your Convenience) $10.00
Institution/Organization
Contact Name

Street Address Line 2
Telephone Number

Street Address Line 2
Email Address

Street Address Line 2
Email the 2nd extra official report of the evaluation to: (College/University/Employer)

E-Mail (Official Evaluation to 3rd Party) Please check box if you are choosing a 2nd extra official report $10.00
Institution/Organization
Contact Name

Street Address Line 2
Telephone Number

Street Address Line 2
Email Address

Street Address Line 2
STOP! Please Read BEFORE You Click Submit and Pay

If you have not read the Terms and Conditions, please do so now by clicking on the link. ACEI observes a NO REFUND or CANCELLATION policy. Once you click on the Submit and Pay button, the administrative/initial review/file creation/database and evaluation process begins and ACEI, as per the Terms and Conditions, will not refund or cancel any application submitted for evaluation. You will be contacted via email for any additonal information necessary.

Standard Processing Time: Five (5) Business days.[NOTE: No refunds will be issued once a request form has been submitted.] There is a 3-year limit on requests for duplicate reports. Requests for duplicate reports of evaluations that exceed the 3-year limit require a new application, fees and resubmission of academic documents. ACEI reserves the right to deny a request for a duplicate report if evaluation policies have changed or requirements of the institution/licensing board or agency stipulate additional information. In such a case, a new report and new application fees are required.]
SECTION 3. CERTIFICATION BY APPLICANT/AGENT REPRESENTING APPLICANT and TERMS and CONDITIONS
1. I certify that, to the best of my knowledge, all the information provided in this form is true, complete and correct.

2. I certify that I have read TERMS & CONDITIONS and agree to the terms stated herein.

3. I understand that the evaluation prepared by ACEI is advisory and not binding upon any individual, institution or agency that uses it and release ACEI from any liability for damages resulting from the use of the evaluation report.

4. I understand ACEI is NOT responsible for loss/damage of any documents while in transit to/from ACEI offices.

5. I understand that, once this application is submitted, there are no cancellations and all fees are non-refundable
Do you attest that you have read, understand and agree to our Terms & Conditions? *

Yes, I have read, understand and agree to ACEI's Terms & Conditions
First and Last Name *
Please use Mouse Pointer to E-Sign *

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Date
Comments
Total Amount Due
Payment Due *

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REQUEST FORM FOR DUPLICATE REPORT OF EVALUATION

SECTION 1. APPLICANT INFORMATION

SECTION 2. FEES

SECTION 3. CERTIFICATION BY APPLICANT/AGENT REPRESENTING APPLICANT and TERMS and CONDITIONS