This form are for those professionals who have taken and passed an examination offered through DCB and require a copy of their examination results.
Do not fill out this form for any other purpose. All other requests should be sent via email to firstname.lastname@example.org.
Please note: a $25 processing fee is required. You will be able to pay by credit card prior to submitting your request for Examination Verification. Requests submitted without payment will not be processed.