Only use this form if you are an Illinois Licensee!

You've completed your course and want to take your test at an already approved ICE Testing Center.
You are sending this form to ICE to ask them to send ALL your tests to the Test Center you have selected.
Make sure the Test Center you indicate below is ALREADY APPROVED by ICE to proctor tests. See the list of approved Test Centers.

You can complete this form NOW and send it immediately.
Or, you can print this form, complete it later, and fax or mail it to ICE.

It is your responsibility to contact your selected Testing Center to determine if your tests have arrived.

Your Name
Your ICE Student Number
Name of your selected Testing Center	to select from a Test Center list
There is NO CHARGE if you want ICE to mail your tests to the above Testing Center.
State where your are licensed
Day Time Phone Number
Your eMail Address