Roster Change Request Form

Roster Change Instructions

Prometric understands that occassionally candidates need to be moved to alternative requested test dates. However, to increase scheduling accuracy, and to limit confusion roster changes must be made no later than 5 days before the test administration date.

If you are rescheduling candidates to an alternate test date, please provide the IFT tracking #.

If this is a new date, a test event request must be submitted prior to making changes.

Prior to submitting your request please confirm the following:

Is the test date more than 5 days away?

Have all applications been submitted?

Have all fees been submitted?

If you answered yes to all of the above please proceed in submitting your roster change details.

Organizer Details

Program

Name of Approved Training Program *

Test Center Site Code * 🛈

Request being submitted by *

Contact Email Address *

Contact Phone Number *

Roster Change Additions

Please provide the original IFT Tracking # for the event being requested.
(Example: IFT-1234)

Note this number was provided at time event was originally requested

*

Original Test Date Requested * 🛈 +

Roster Details Please Identify which candidates need to be added to the test date

	Full Name	Prometric ID	Reason for addition
Candidate # 1	Full Name	Prometric ID	Reason for addition
Candidate # 2	Full Name	Prometric ID	Reason for addition
Candidate # 3	Full Name	Prometric ID	Reason for addition
Candidate # 4	Full Name	Prometric ID	Reason for addition
Candidate # 5	Full Name	Prometric ID	Reason for addition
Candidate # 6	Full Name	Prometric ID	Reason for addition
Candidate # 7	Full Name	Prometric ID	Reason for addition
Candidate # 8	Full Name	Prometric ID	Reason for addition

Roster Change Candidate Removal

Please provide the IFT Tracking # for the event being scheduled to
(Example: IFT-1234)

Note this number was provided at time event was originally requested

*

Date to be moved to * +

Roster Details Please Identify which candidates removed from the test date

	Full Name	Prometric ID	Reason for removal
Candidate # 1	Full Name	Prometric ID	Reason for removal
Candidate # 2	Full Name	Prometric ID	Reason for removal
Candidate # 3	Full Name	Prometric ID	Reason for removal
Candidate # 4	Full Name	Prometric ID	Reason for removal
Candidate # 5	Full Name	Prometric ID	Reason for removal
Candidate # 6	Full Name	Prometric ID	Reason for removal
Candidate # 7	Full Name	Prometric ID	Reason for removal
Candidate # 8	Full Name	Prometric ID	Reason for removal

Additional Notes

Please provide any additional information to ensure candidates are scheduled accurately

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