OCPP Final Exam Request Form

Your Final Examination Test Proctor must be someone other than your Sponsor. Further, your Final Examination Test Proctor must not have knowledge of the optical profession in any way. As soon as we receive your Request for the Final Exam, we will mail the information to the final examination proctor informing him/her of the testing rules and administration, necessary arrangements and scheduling, and any other appropriate information. If you have any questions, please feel free to contact the Academy at 800/229-4828.

Proctor Information*

My proctor is someone other than my sponsor
My proctor is someone with no working knowledge of the optical field

Test Proctor's Name*

First Last

Address to which the exam is to be sent*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Proctor's Phone*

Name of Proctor's Employer*

Proctor's Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If you would like to have this test expedited please call the NAO at 800-229-4828

If you have already returned a previous exam that was late and are paying the late test fee please fill out the credit card information below. If you are not paying a late test fee please disregard the credit card section below.

Product Name

$50 Late Fee

Credit Card Type*

Credit Card Number*

Expiration Date*

mm/yyyy

Expiration Date*

mm/yyyy

Security Code*

Total

$0.00

Phone

This field is for validation purposes and should be left unchanged.

OCPP Final Exam Request Form

Final Exam Request

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