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Instructions specify that incomplete submissions, requests made more than 12 months after the test date, or submissions without payment and signature will be returned unprocessed. For multiple-choice, verification checks responses against the correct scoring key; for writing, ACT verifies scoring by two qualified readers, a third reader when needed, and confirms proper capture and display for readers, with rescoring and corrected reports issued when errors are found. Includes applicant details, test date, ACT ID, fees, payment method requirements, and submission address.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/request-form-act-score-verification/344329/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/request-form-act-score-verification/344329.png","ImageObject",300,407,{"name":92,"@type":93},"Theodora","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-22",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What happens if the request form is incomplete or submitted incorrectly?","Question",{"text":112,"@type":113},"If the request form is incomplete, received more than 12 months after the test date, or submitted without payment or signature, it will be returned unprocessed.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does ACT verify writing test scores?",{"text":117,"@type":113},"ACT verifies that the essay was scored by two independent qualified readers and, when the two scores differ by more than one point in any domain, by a third reader. ACT also verifies the essay was properly captured and displayed to readers, and rescoring occurs if errors are discovered.",{"name":119,"@type":110,"acceptedAnswer":120},"How should payment be submitted for ACT score verification?",{"text":121,"@type":113},"Payment is by check or money order only, payable to ACT Education Corp., and submitted with the form. The request cannot be canceled after payment is submitted, and sales tax applies in South Dakota and West Virginia.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},344329,1792110818,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},687197207919,"https://ap-avatar.wpscdn.com/avatar/a000253d6f5f7c60be?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779446848396160552","REQUEST FORM ACT Score Verification  \nInstructions: Use this form to request verification of your ACT® multiple-choice and/or your writing test scores. If your request form is incomplete, received more than 12 months after the test date, or submitted without payment or signature, it will be returned unprocessed.  \nOverview  \nFor multiple-choice tests, ACT will verify that your responses were checked against the correct scoring key.  \nFor writing tests, ACT will verify that your essay was scored by two independent, qualified readers and by a third reader in the event that the two scores differed by more than one point in any domain. ACT will also verify that your essay was properly captured and displayed to readers. In the case of an online test that was scored only by automated scoring engine, ACT will have an independent human rater validate the score. If errors are discovered during score verification, ACT will rescore your essay.  \nIf a scoring error is discovered, your scores will be changed, and corrected reports will be released to you and all previous score report recipients at no charge. In addition, your score verification fee will be refunded. ACT will inform you by letter of the results of the score verification approximately three to five weeks after receiving your request.  \nInformation  \nPlease complete all the information below. Print clearly.  \n\n| Test Date (MM/DD/YYYY) ACT ID\\# |\n| --- |\n| First Name (at time of testing) MI |\n| Last Name (at time of testing) |\n| Date of Birth (MM/DD/YYYY) |\n\nEmail Address  \n\n| Street Address |  |  |\n| --- | --- | --- |\n| City | State | ZIP/Postal Code |\n| Country |  |  |\n\nTest Center Name Test Center Code  \nI am requesting verification of the following score(s) from the test date noted on this form:  \n Multiple-choice test  \nscore verification Fee: $67    \n Writing test  \nscore verification Fee: $67   Total amount enclosed: $    \nOnce you submit this request with payment, you will be charged the total amount, and the request cannot be canceled. Payment is by check or money order only, payable to ACT Education Corp. Note: Sales tax is applicable in South Dakota and West Virginia. If you have questions regarding sales tax, please email [tax@act.org](tax@act.org).  \nSubmit  \nSubmit this form with full payment to:  \nACT Customer Support  \nPO Box 414  \nIowa City, IA 52243-0414  \nUSA  \nNote: Do not enclose cash or provide a credit card number when mailing a payment. Payment must be made in US dollars drawn on a US (or US affiliate) bank. When you pay by check, you authorize ACT Education Corp. to convert your check to an electronic funds transfer, which may be withdrawn from your account as soon as the same day you make your payment. You will not receive your check back from your financial institution. If your check is returned to us due to insufficient or uncollected funds, it may be represented electronically, and your account will be debited.  \n© 2026 by ACT Education Corp. All rights reserved. FT04016 .CJ22892","cbCaitL64RUcZlgF","https://ap.wps.com/l/cbCaitL64RUcZlgF","pdf",86910,"English","# Overview\n## Multiple-choice score verification\n## Writing score verification\n## Results, rescoring, and refunds\n# Information\n## Applicant and test details\n## Test center and score types\n## Fees and payment requirements\n## Submission address","[{\"question\":\"What happens if the request form is incomplete or submitted incorrectly?\",\"answer\":\"If the request form is incomplete, received more than 12 months after the test date, or submitted without payment or signature, it will be returned unprocessed.\"},{\"question\":\"How does ACT verify writing test scores?\",\"answer\":\"ACT verifies that the essay was scored by two independent qualified readers and, when the two scores differ by more than one point in any domain, by a third reader. ACT also verifies the essay was properly captured and displayed to readers, and rescoring occurs if errors are discovered.\"},{\"question\":\"How should payment be submitted for ACT score verification?\",\"answer\":\"Payment is by check or money order only, payable to ACT Education Corp., and submitted with the form. The request cannot be canceled after payment is submitted, and sales tax applies in South Dakota and West Virginia.\"}]","REQUEST FORM - ACT Score Verification | PDF",1790053400]