Exam Withdrawal Request Form

The Faculty of Forensic & Legal Medicine
of the Royal College of Physicians Raising standards in forensic and legal medicine; protecting vulnerable people

Exam Withdrawal Request Form

Withdrawal Request Form for candidates who wish to withdraw from an examination

Please review the regulations regarding withdrawals and refunds to ensure you are eligible for a refund. Please use this form to request a refund for an exam that you were unable to attend. Evidence of your inability to attend is required.

Full Name(Required)

Email Address(Required)

Candidate Number (If Known)

Exam Title(Required)

Please select

Exam Date

If known

Reason for Withdrawal(Required)

Please provide as much information as possible in support of your request.

Supporting Evidence(Required)

Max. file size: 8 MB.