-In the box labeled ?COMPLETION BY STUDENT? fill in your name and social security number or campus ID number.
-Fill in the name last enrolled under.
-Fill in date of birth and current phone number.
-Place a check in the box Do not mail will pick up if the duplicate diploma will be picked up.
-If you are authorizing a third party to pick up the duplicate diploma, fill in the name on the line indicated.
-Identification is required for duplicate diploma pick up by either yourself or the third party you indicate.
-If you wish to have the duplicate diploma mailed, fill in the appropriate information.
-SIGN AND DATE YOUR REQUEST; without an original signature, the request will not be processed; electronic, or scanned signatures are NOT valid for requesting a duplicate diploma.
-You may fax the request form to the following number:
