Request for Replacement Result Letters

If you have a passed an ICC examination, please complete this application in its entirety.

For Contractor Exams, go to preauthorization.iccsafe.org

Requests may take 3–5 business days for processing and verification of candidate records.

Exams passed prior to 2012 requires a $25 research fee.
If paying by check, please contact us at acrequests@iccsafe.org and we will email you the paper form.

Exam Candidate Information:

First Name*

Last Name*

Address*

City*

State*

Zip Code*

Business Telephone Number*

Home Telephone Number*

Email Address*

The Assessment Center will securely send the replacement result letter via email.

Result Letter Verification:

Location of Exam*

Date of Exam*

Year/Month/Day

Exam Type

Checkbox for Authorization

Authorize to process your request

Payment Authorization:

For your security, the Assessment Center elects to collect credit card information via telephone. If paying by credit card, please provide name on credit card and authorize the purchase.

Name as it appears on credit card

Authorize Credit Card

I authorize the Assessment Center to contact me to collect my credit card information via telephone.