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2019-20

AP Score School Code:

Cancellation Form
Canceling your AP® Exam score permanently deletes it—it cannot be
reinstated at a later time. Scores may be canceled at any time. However, Fill in the circle(s) next to the AP Exam score(s)
for scores not to be sent to the college or university you indicated online
through My AP, AP Services must receive your request by June 15 of the
to be canceled.
year you took the AP Exam. Once you request a cancellation, the score
Exam Code Year(s) Exam Name
will never be available to you, and it will never be listed on any future score
reports. (Archived scores cannot be canceled.) There is no fee for this
service; however, your exam fee is not refunded.
○ 07 _______ U.S. History

By signing this form, you confirm that you agree with the terms and
○ 13 _______ Art History

conditions on this form. You also certify that you are the person (or the ○ 14 _______ Drawing
parent/guardian of the person) whose personal information is being ○ 15 _______ 2-D Art and Design
provided for this service.
○ 16 _______ 3-D Art and Design
Provide the information requested, and mail or fax this form to the
address or fax number below. Please print all of the fields except
○ 20 _______ Biology
“Signature.” (You may also give this form to your AP coordinator after ○ 22 _______ Seminar
the exam.) ○ 23 _______ Research
AP Services, P.O. Box 6671, Princeton, NJ 08541-6671 ○ 25 _______ Chemistry
Fax: 610-290-8979
○ 28 _______ Chinese Language and Culture
Please cancel my AP score. I understand that once ○ 31 _______ Computer Science A
I request a cancellation, the score will never be ○ 32 _______ Computer Science Principles
available, and it will never be listed on any future ○ 34 _______ Microeconomics
score reports.
○ 35 _______ Macroeconomics
TEST-TAKER INFORMATION (Please print clearly.) ○ 36 _______ English Language and Composition
○ 37 _______ English Literature and Composition
Last Name
○ 40 _______ Environmental Science

First Name M.I. ○ 43 _______ European History


○ 48 _______ French Language and Culture
Date of Birth
○ 53 _______ Human Geography
Street Address ○ 55 _______ German Language and Culture
○ 57 _______ Government and Politics: U.S.
City State/Province
○ 58 _______ Government and Politics: Comparative
Zip/Postal Code Country ○ 60 _______ Latin
○ 62 _______ Italian Language and Culture
○ 64
Phone Number AP ID
_______ Japanese Language and Culture

Email ○ 66 _______ Calculus AB


○ 68 _______ Calculus BC
Signature (Signature of student or parent/guardian required for processing request) Date
○ 75 _______ Music Theory
○ 78 _______ Physics B
School Name
○ 80 _______ Physics C: Mechanics

City State/Province
○ 82 _______ Physics C: Electricity and Magnetism
○ 83 _______ Physics 1

Zip/Postal Code Country ○ 84 _______ Physics 2


○ 85 _______ Psychology
For all exams you indicate on the right, please specify which are regularly ○ 87 _______ Spanish Language and Culture
scheduled exams and which, if any, are late-testing exams.
○ 89 _______ Spanish Literature and Culture
 Exam Code(s) for regularly scheduled exam(s)
○ 90 _______ Statistics
 Exam Code(s) for late-testing exam(s):
○ 93 _______ World History: Modern

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