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Thank you for your expression of concern. Signature Printed name Address Telephone Number Date Please return the completed form to INDIANA DEPARTMENT OF EDUCATION OFFICE OF STUDENT ASSESSMENT 115 W. Washington Street South Tower Suite 600 Indianapolis IN 46204 Fax Number 317-233-2196 Indiana Department of Education Office of Student Assessment INassessments doe. The Testing Irregularity Report form in Appendix B of the Assessment Program Manual should be used to report irregularities that are...
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