COLORADO
Affidavit of Exam by Exam Monitor
(To be completed and signed by Exam Monitor)

I, ____________________________, affirm that I am not related by family or employment to the examining agent. I also verify that this agent took the examination without help or assistance from any source.

The agents’ name taking the exam: ____________________________.
The exam was taken on _________________.
                                                 (Date)
_____________________________ _________________________
Signature of Monitor                                   Monitor’s Printed name

This affidavit must be mailed by the monitor, along with the exam answer sheet and test questions in order for the agent to receive credit.

This signed affidavit must be faxed to Myceisonline at 800-479-8700 immediately after taking your exam for processing. Print This Page