RICA

Alternative Testing Arrangements Request Form

A red asterisk * indicates a required field.

Alternative testing arrangements may only be applied to unscheduled test registrations.

Prior to submitting this form: Register for the test(s) for which you are requesting accommodations. Do not schedule your appointment. If you did schedule a test date, please cancel your appointment before completing and submitting this form.

(Found in your account)

Documentation (check one of the following)*: • Allowance of a medical device in the testing room. • Use of a trackball mouse. • Adjustable table.
Previous Alternative Testing Arrangements (check one of the following)*:

Upload Your Files
  1. Preview your files before uploading. Ensure they are legible and complete.
  2. Click “Add” and select a file to upload.
  3. Continue adding files as needed, up to ten files totaling no more than 20 megabytes.
  4. To remove a file from the queue, click the “X” next to the filename.

I hereby agree to abide by the conditions set forth on the current program website, including the Rules of Test Participation in the RICA, and I certify that I am the person whose name and address appear on this form. I have completed my test registration and submitted correct payment. I am submitting, together with this completed Alternative Testing/Assessment Arrangements Request Form, any required documentation as noted on the website. I understand that the information I provide, including any supporting documentation, may be shared with the CTC in order to process my request. Because of space, staff, and time constraints, I may not be able to schedule a test appointment with accommodations in my preferred date range. I understand and agree that the alternative arrangements I have requested herein will be given due consideration. If and to the extent that any such request is granted, I understand that I will be taking the test under alternative conditions.



Please check the box below.

Please note, this form must be submitted with each registration.