Home Welcome To Assessments ACT Score Replacement Request Form 2025-2026 ACT Score Replacement Request Form 2025-2026 Description An ACT score replacement request may be approved by ADE's Assessment Section when a student in Cohort 2027 has a previous ACT test score obtained on a national test date in the current school year. The ACT score replacement allows the student to use the score obtained outside the statewide administration and administered by a person other than the school district or charter, pursuant to HB2540, rather than Arizona's statewide assessment date, for accountability purposes.The ACT score replacement is subject to ADE's review and approval, using the criteria outlined below.To be comparable, the replacement test score must be obtained within the 2025-2026 school year, no earlier than July 1, 2025.All of the following ACT test sections must be included in the student's score because they are required for the state test administration: English, Math, Reading, Science, and Writing. ACT score replacement requests are to be submitted from the school district or charter directly to ADE's Assessment Section for review and must be submitted before the date on which the school administers the state assessment.This request form is not to be submitted by students or parents/guardians.A copy of the student's ACT score report (either the student or the high school copy), as well as a completed parent consent form, must be uploaded with the request. ADE's Assessment team will review the request then will respond to the Achievement District Test Coordinator regarding the final decision. Today's Date District Test Coordinator (DTC) Name First Name Last Name Email Person Submitting Form First Name Last Name Email Name of Person Submitting Form District/School Information District/Charter Name District Entity Number District/Charter Entity Number (9 max characters) School Name School Entity Number School entity number (9 max characters) School's Spring 2026 ACT State Test Date Student Information Student SSID Student First Name Student Middle Name Student Last Name Date of Birth Student Cohort Year ACT Account Number / ACT ID Date of ACT Test Student must have taken the test during their Junior / 11th grade / Cohort 2027 school year. Test Site Enter the location where the student took the ACT test. THIS IS A SECURE REQUEST AND FILE SUBMISSION SITE Note A copy of the ACT score report, either the student or high school copy, must be uploaded with this request form. ADE's Assessment team will confirm the report with ACT and respond regarding the final decision.A copy of the Parent Consent form must also be uploaded with this request.THIS IS A SECURE FILE SUBMISSION.Allowed file extensions – .pdf, .doc, .docx, .jpg, .png, .xls, or .xlsx File upload 1 - ACT Score Report Upload One file only.100 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. File upload 2 - Parent Consent Form Upload One file only.100 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. I Consent - Select -Yes I confirm that the submitted documentation reflects this student's ACT score from a National test day and that the student's parent or guardian has consented to the submission of this request for ACT score replacement. Submit Leave this field blank