Change of Contact or Organizational Information

Please complete this form if you would like to update the current contact or organizational information on your account, and are duly authorized by your organization to do so.

Requests to add/remove sites, assessments, products, change RegiSTAR options, and cancel a contract must be submitted from the contract holder organization.

Contact, company, or billing information changes can be requested by each testing organization and/or contract holder organization.

Fields marked with an asterisk are required.

What change(s) would you like to make?
NOTE: We will reach out to you to collect detailed information on the sites you'd like to add or remove.

New Contact is Responsible For (check all that apply)*

This change applies to (check all that apply below)*

Local Scan
Online Assessments
Walk-up Testing (customers with this service have indicated that their organization accepts walk-up testing or scheduled test registrations and are listed on ACT’s website as a provider of ACT WorkKeys assessments)