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Please photocopy this form before use.

You may also down-


load this form from www.collegeboard.com/ap/coordinator.

School Code:_ ___________________________________

AP® Score Cancellation Form


Download or make copies of this form before completion; each student must use a separate form.
Provide the information requested and mail or fax this form to the address or fax number below. Scores may be canceled at
any time. However, for scores not to appear on the current year’s score report, this request must be received by June 15, 2010.

AP® Services, P.O. Box 6671, Princeton, NJ 08541-6671 Fax: 610 290-8979

Please cancel my AP score. I understand that once I request a cancellation, the exam will not be scored and a score will never
be available.

Name:_____________________________________________________________________________________________

2010 AP Number:_ __________________________________________________________________________________

Address:___________________________________________________________________________________________

City:_ _____________________________________________ State:_ ___________ ZIP/Postal Code:_________________

Student Signature: ___________________________________________________ Date:__________________________


(required for processing request)

School Name:_______________________________________________________________________________________

Street Address: ____________________________________________________________________________________

City:_ _____________________________________________ State:____________ ZIP/Postal Code:_________________


Check one: ❏ This exam is a regularly scheduled exam, Form 4GBP.
❏ This exam is an alternate exam for late testing, Form A.
❏ This exam is another form:___________________________
(Specify)
Place a check mark next to the exam(s) you want canceled.
Exam Code Exam Name Exam Code Exam Name
07 U.S. History 55 German Language
13 Art History 57 Government and Politics: U.S.
14 Studio Art–Drawing 58 Government and Politics: Comparative
15 Studio Art–2-D Design 60 Latin: Vergil
16 Studio Art–3-D Design 64 Japanese Language and Culture
20 Biology 66 Calculus AB
25 Chemistry 68 Calculus BC
28 Chinese Language and Culture 75 Music Theory
31 Computer Science A 78 Physics B
34 Microeconomics 80 Physics C: Mechanics
35 Macroeconomics 82 Physics C: Electricity and Magnetism
36 English Language and Composition 85 Psychology
37 English Literature and Composition 87 Spanish Language
40 Environmental Science 89 Spanish Literature
43 European History 90 Statistics
48 French Language 93 World History
53 Human Geography

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