Pearson VUE Authorized Center Log Sheet

Testing Center ID __________________

ALL CANDIDATES MUST READ RULES, SIGN IN, RETURN ERASABLE NOTEBOARD AFTER EXAM AND SIGN OUT.

Page ____ of ____

Date ________________

CANDIDATE (print name) ________________________________

ADMINISTRATOR (print name) ____________________________

Exam series # ____________ Received exhibits (initial) ______

Check (sign in):

Received & read candidate rules agreement (sign in):

Primary ID Type ___________ Primary ID # _______________

_______________________________________

Time _________

Returned erasable noteboard or booklet & exhibits (sign out):

_______________________________________

Time _________

Unscheduled Break Time:

OUT ________ IN ________

Check ID

Primary ID

Erasable noteboard or booklet:

Issued

Secondary ID

Exhibits (if applicable):

Returned

Issued

Returned

Administrator (sign):

OUT ________ IN ________

Check ID

OUT ________ IN ________

Check ID

CANDIDATE (print name) ________________________________

ADMINISTRATOR (print name) ____________________________

Exam series # ____________ Received exhibits (initial) ______

Check (sign in):

Received & read candidate rules agreement (sign in):

Primary ID Type ___________ Primary ID # _______________

_______________________________________

Time _________

Returned erasable noteboard or booklet & exhibits (sign out):

_______________________________________

Time _________

Unscheduled Break Time:

OUT ________ IN ________

Check ID

Primary ID

Erasable noteboard or booklet:

Issued

Secondary ID

Exhibits (if applicable):

Returned

Issued

Returned

Administrator (sign):

OUT ________ IN ________

Check ID

OUT ________ IN ________

Check ID

CANDIDATE (print name) ________________________________

ADMINISTRATOR (print name) ____________________________

Exam series # ____________ Received exhibits (initial) ______

Check (sign in):

Received & read candidate rules agreement (sign in):

Primary ID Type ___________ Primary ID # _______________

_______________________________________

Time _________

Returned erasable noteboard or booklet & exhibits (sign out):

_______________________________________

Time _________

Unscheduled Break Time:

OUT ________ IN ________

Check ID

Primary ID

Erasable noteboard or booklet:

Issued

Secondary ID

Exhibits (if applicable):

Returned

Issued

Returned

Administrator (sign):

OUT ________ IN ________

Check ID

OUT ________ IN ________

Check ID

CANDIDATE (print name) ________________________________

ADMINISTRATOR (print name) ____________________________

Exam series # ____________ Received exhibits (initial) ______

Check (sign in):

Received & read candidate rules agreement (sign in):

Primary ID Type ___________ Primary ID # _______________

_______________________________________

Time _________

Returned erasable noteboard or booklet & exhibits (sign out):

_______________________________________

Time _________

Unscheduled Break Time:

OUT ________ IN ________

Check ID

Primary ID

Erasable noteboard or booklet:

Issued

Secondary ID

Exhibits (if applicable):

Returned

Issued

Returned

Administrator (sign):

OUT ________ IN ________

Check ID

OUT ________ IN ________

Check ID

CANDIDATE (print name) ________________________________

ADMINISTRATOR (print name) ____________________________

Exam series # ____________ Received exhibits (initial) ______

Check (sign in):

Received & read candidate rules agreement (sign in):

Primary ID Type ___________ Primary ID # _______________

_______________________________________

Time _________

Returned erasable noteboard or booklet & exhibits (sign out):

_______________________________________

Unscheduled Break Time:

OUT ________ IN ________

Check ID

Time _________

Primary ID

Erasable noteboard or booklet:

Issued

Returned

Secondary ID

Exhibits (if applicable):

Issued

Returned

Administrator (sign):

OUT ________ IN ________

Check ID

OUT ________ IN ________

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Check ID

Version 1.3 (High-Security Log Sheet)