Assessment Fee Voucher Order Form

State
Institution Name
Program ID
Name of Requester
Title
Email Address
Telephone Number

The edTPA assessment fee is $300; however, vouchers can be purchased in increments of $100, $200, or $300. The value of a single voucher may not exceed the assessment fee of $300. If a candidate registers with a voucher in a dollar amount that is less than the full assessment fee, the candidate must pay the balance of the assessment fee by credit card.

Indicate how many vouchers you wish to purchase:

Vouchers will be sent via e-mail to the above requester, within 2 weeks after receipt of the completed form and purchase order or payment. Vouchers will be valid for a period of 18 months from the date they are generated.

Payment Options: Indicate Your Selection

Credit Card

Complete and email this form to: estestvoucher@pearson.com
Be sure to include your email address above.
Upon receipt of the form, we will email you a link and payment instructions.

Purchase Order

Purchase Order number:
Complete and email this form with PO number to: estestvoucher@pearson.com

Prepaid check

Prepaid check number:
Complete and mail this form to:
Attention: Finance
NCS Pearson Inc
P O Box 7412594
Chicago, Il 60674-2526