Technical Challenge Form

Technical Challenge Form
Purpose: Use this form to submit a technical challenge, defined as an objection to the validity of an exam question. Provide as much detail as possible about the item so it can be reviewed.

IMPORTANT: All changes must be submitted within 30 days from the exam date. Challenge content must be based solely on the exam information listed below. If you tested multiple times on one date, items from the last administration may be challenged.

If you test again before receiving a response, this challenge will become null and void.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Candidate Record/Certification Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred contact method if additional information is needed
Preferred delivery method for the determination letter
How would you like to be contacted if additional information is required?
Determination Letter
Exam Name and Year
Exam Date

MonthDayYear
Method of Exam Administration
Method of Exam Administration
Technical Challenge Details

A technical challenge must explain why a specific question may be invalid. Requests to review all questions, all missed questions, or questions that cannot be identified because insufficient detail was provided are not valid challenges and will not be reviewed by staff.

IMPORTANT: You do NOT need to recall the exact wording of the question. We have a record of each question presented during your exam administration. Please provide enough detail, such as keywords, topics, or descriptions, to help identify the question(s) you are challenging.
Question 1: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
1. Reason for challenge:
Please be specific.
Reference materials used to support your claim (code book, standard, etc.):
Question 2: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
2. Reason for challenge:
Please be specific.
Reference materials used to support your claim (code book, standard, etc.):
Question 3: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
3. Reason for challenge:
Please be specific.
Reference materials used to support your claim (code book, standard, etc.):
Question 4: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
4. Reason for challenge:
Please be specific.
Reference materials used to support your claim (code book, standard, etc.):
Question 5: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
5. Reason for challenge:
Please be specific.
Reference materials used to support your claim (code book, standard, etc.):
Question 6: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
6. Reason for challenge:
Please be specific.
Reference materials used to support your claim (code book, standard, etc.):
Question 7: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
7. Reason for challenge:
Please be specific.
Reference materials used to support your claim (code book, standard, etc.):
Question 8: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
8. Reason for challenge:
Please be specific.
Reference materials used to support your claim (code book, standard, etc.):
Question 9: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
Reference materials used to support your claim (code book, standard, etc.):
Question 10: Describe the exam questions you are challenging, including any details you remember about the question or answer options.
Why do you believe the question is invalid or incorrect? Select the type of issue:
Reference materials used to support your claim (code book, standard, etc.):
Additional Comments:
Should be Empty: