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[su_heading size=”20″]To request access to our online system to order exams and review results. Please complete option 1 or 2.[/su_heading]

Option 1: Please complete and submit [su_button url=”https://allstatportable.com/onlineform/” style=”glass” background=”#ab0505″ size=”5″ wide=”50″ radius=”5″ icon=”icon: file-text-o”]Online Login Request Form[/su_button]

Option 2: Please print Form and Fax to (847)564-3148 or Email to it@allstatportable.com

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