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Test Security Incident Report Form

Instructions:
1.    Complete open fields in the form below as completely as possible. Fields with an asterisk (*) are required.
2.    You may report test security incidents in the following ways: (1) in person, (2) online via the OSSE Support Tool or Online Incident Reporting Form or (3) by phone at (202) 304-3269. Incidents should be reported within 24 hours. The following address can be used if delivering in person:
DC Office of the State Superintendent of Education
Attn: Nikki Stewart
Division of Data Management, Assessment and Research
810 First St. NE, Ninth Floor, Washington, DC 20002

Describe incident in relation to the Test Security Guidelines in as much detail as possible. If the incident relates to a specific test item, please note the item number, verify the unit number written above, and include the test form identification number if possible.

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