Score Transfer Request October 2020

CONNECTICUT BAR EXAMINING COMMITTEE

OCTOBER 2020 REMOTE EXAM SCORE TRANSFER REQUEST FORM Transfer October 2020 exam score from Connecticut to another Jurisdiction

Pursuant to reciprocity agreements entered into by CBEC and the following jurisdictions, you may transfer your examination score earned in Connecticut on the October 2020 remote bar examination to the jurisdictions listed below. Please complete this form and submit it to the address listed at the bottom of the page. **Requests via fax or email will not be accepted. Requests will only be processed upon receipt of a completed form bearing an original signature. The $25 score transfer fee is waived for the October 2020 administration of the exam. Mail to: Connecticut Bar Examining Committee, Special Services Department, 100 Washington Street, 1st Floor, Hartford, CT 06106

Name of Applicant (first, middle, last):

Address:

City: State/Province: Zip/Postal Code:

Date of Birth (mm/dd/yy): Social Security Number:

Daytime Phone: Email Address:

Name when tested, if different from above:

Transfer October 2020 examination score to: (check one or more jurisdictions) 󠄉 District of Columbia 󠄉 New York

󠄉 Illinois 󠄉 Ohio

󠄉 Kentucky 󠄉 Oregon

󠄉 Maryland 󠄉 Tennessee

󠄉 Massachusetts 󠄉 Texas

󠄉 New Hampshire 󠄉 Vermont

󠄉 New Jersey I request that my October 2020 examination score be transferred in accordance with the above referenced information.

Signature: Date: