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ACCA PROCTOR REGISTRATION FORM

ACCA Section 608 Refrigerant Transition and Recovery Certification

This entire agreement must be completed and submitted by the exam proctor responsible for site testing before an order can be processed. Once you have become registered with ACCA, you are registered until you receive notice stating otherwise. Therefore, you only need to complete this registration form once.

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First Name:
Last Name:
School/Company:
Address:
City:
State:	AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code:
Email:
Phone:
As an Exam Proctor, I will (please check/acknowledge each item):
Store machine-readable answer booklets and test booklets in a locked cabinet or closet until testing begins. (Test booklets are not to be reviewed prior to the test.)   Not reproduce any test materials.   Read, become thoroughly familiar with, and follow the procedures and policies of the certification program.   Mail all tests and answer sheets to ACCA on the first business day following the test date using ACCA's postage paid label.   Conduct the examination in a non-communicative and non-sharing atmosphere among examinees with continuous surveillance.   Photo identify each examinee prior to the exam.   Not assign or transfer proctor responsibility to another person.   Permit inspection by ACCA or PCT of the testing and/or testing site.   Comply with all parts of this agreement or terminate future orders and agreements between said parties.