TOEFL iBT ® SCORE REVIEW REQUEST FORM

IMPORTANT: Your scores cannot be reviewed if you have already requested that they be sent to an institution or agency.

You can request a score review of your TOEFL iBT Writing and/or Speaking section up to 30 days after you take the test.*
Additional information can be found in the TOEFL iBT Information Bulletin at www.ets.org/toefl/test-takers/ibt/about.
html#bulletin. The TOEFL iBT score review requests can be completed online, through your ETS account at
www.ets.org/mytoefl, using a credit or debit card.

Use this form ONLY if you are paying with a paper check or money order. Make sure to check the appropriate box below,
indicating what test section scores you are requesting to be reviewed for the test date specified. Complete the entire form and
follow the submission instructions below.

Speaking and Writing (US$160) Speaking (US$80) Writing (US$80)

Test Date: _____________________________________________________ Appointment Number:______________________

Month Day Year

Name: ________________________________________________________ Date of Birth:_____________________________

Month Day Year

Address (include ZIP or postal code): ________________________________________________________________________

______________________________________________________________________________________________________

Check this box if your mailing address has changed since the test date indicated above. Print your new address below.

Address (include ZIP or postal code): ________________________________________________________________________

______________________________________________________________________________________________________
* Not available for the TOEFL iBT Paper Edition

Copyright © 2023 by ETS. All rights reserved. ETS, the ETS logo, and TOEFL iBT are registered trademarks of ETS in the United States and other countries.
All other trademarks are the property of their respective owners.
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SUBMITTING THE TOEFL iBT ® SCORE REVIEW REQUEST FORM

DIRECTIONS – Fill in the dollar amount and include value-added or similar taxes where applicable. Make remittance payable to
ETS-TOEFL. DO NOT SEND CASH.
Fees and terms relating to fees and payments are available at www.ets.org/toefl/test-takers/ibt/register/fees.

TOTAL AMOUNT ENCLOSED ................................................................................................................... $ ________________

For all other payment methods, send completed form and payment to:
ETS-TOEFL
PO Box 382044
Pittsburgh, PA 15251-8044 USA

Make check/money order payable to ETS-TOEFL.

If you are paying by check, you are authorizing ETS at its discretion to use the information on your check to make a one-time electronic
debit from your account for the amount of your check; no additional amount will be added. Please be aware that your bank account may
be debited as soon as the same day we received your payment and you will not receive a canceled check.

The results of the rescoring process will be available 1–3 weeks after receipt of your Request Form and payment.

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