Revised: 4/2020
Additional copies of your diploma, or replacement diplomas, may be obtained from the Office of the University
Registrar and must be requested by the student. To request an additional or replacement diploma, please
complete this form and send it, along with your check or money order for $40.00 (made payable to William &
Mary) to:
Office of the University Registrar
William & Mary
PO Box 8795
Williamsburg, VA 23187-8795
Name at Graduation: ________________________________________________________________________
(Please print)
Name you want to appear on new diploma: _______________________________________________________
(Please print)
(Proof of legal name change – copy of Social Security Card, Passport, or legal documentation required if name is different
from record at graduation.)
Social Security or Banner ID #: _________________________ Date of Graduation: _____________________
Degree Earned: _____________________
Address to send diploma (If inside the US, diploma sent via UPS; Street address needed; PO Boxes are not
acceptable. If outside the continental US, sent via International Airmail USPS.):
_________________________________________________________________________________________
__________________________________________________________________________________________
Daytime phone number: _________________________ Email Address: _______________________________
Please allow approximately four (4) weeks for processing.
Note: Additional fees apply if expedited or certification services are required.
STUDENT SIGNATURE: __________________________________________________________ Date______________________
William & Mary
Office of the University Registrar
Blow Memorial Hall Room 240
P.O. Box 8795
Williamsburg, VA 23187-8795
(757) 221-2800 Fax: (757) 221-2151
degreeaudit@wm.edu
