Diploma Replacement Request Form
Diploma replacements, measuring 16 inches by 12 inches, are available and can be ordered by mail for a cost of $25. Diplomas may only be ordered by the graduate. Allow 4-6 weeks for delivery. If you have any questions about completing this form, contact the Registrar's Office at firstname.lastname@example.org.
- Complete this form in its entirety and print this page.
- Mail this form with a check or money order, in the amount of $25 (US funds),
made payable to "
University of Delaware"to:
Office of the University Registrar
University Visitors Center
University of Delaware
Newark, DE 19716
|Your UD ID
|Date of birth:||(use format mm/dd/yyyy)|
|Full name while attending University of Delaware:|
|Name to appear on diploma:||(Print name exactly as it should appear, including special punctuation or characters.
Paper documentation must be submitted if changing name that is reflected in University records. See Change of Name Request Form.)
|UD degree and major:|
|Daytime phone:||(use format nnn-nnn-nnnn)|
Student Signature: __________________________________________________________ Date: _______________________