TEST CANCELLATION REQUEST FORM

Request for cancellation must be made via this form only. Cancellations by telephone, email, or fax will not be accepted. Before you complete this form, please review our Policies & Procedures.

If you would like to cancel your test, please complete and submit the form below. You will receive an email confirming your request.
We will contact you again, after we have assessed your submission. Please allow up to 5 business days. To avoid delays, please submit the form only once and ensure all your information is correct.

Cancellations made less than 10 business days before your confirmed test date will NOT be refunded. You will be notified if you are not eligible for a refund.
Cancellations made more than 10 business days before your confirmed test date will result in a partial refund. You will be charged a $95.00 administrative fee, and refunded a total of $300.00.
When calculating the number of business days’ notice, the date we consider is the date this form is submitted.

TEST LOCATION

SCHEDULED TEST DATE

dd/mm/yyyy

TEST TAKER INFORMATION

CELBAN ID (if available):

Given (First) Name:

Family (Last) Name:

Date of Birth:

dd/mm/yyyy

Email:

Confirm Email:

TEST TAKER ADDRESS AND PHONE NUMBER

Street Number and Name:

City:

Province/Territory/State:

Country:

Postal Code:

Phone Number:

I testify that the information included on this form is accurate and truthful.