$10 - Per degree/certificate
IDENTIFICATION: Please list the Student ID Number issued while in attendance at Cal State LA.
CIN SID or last 4 digits of your SSN PFN
FIRST NAM
MIDDLE NAME LAST NAM
DEGREE INFORMATION: A diploma/certificate will not be issued if your degree is not reflected on your transcripts.
For Dual Degrees (BS & BA, MS & BS, etc.): please submit 2 request forms (1 per degree) and a $20 payment - this type of award receives 2 diplomas.
For Dual Majors (BS & BS, BA & BA, etc.): please submit 1 request form and a $10 payment - both majors appear on a single diploma.
DEGREE DATE:
B
BM BS BVE M
MB
MM MF
MS MSW
MAILING / CONTACT INFORMATION:
Your diploma will be sent to the diploma mailing address listed on your GET account unless a different address is indicated below:
STREET ADDRES
CIT
STAT
POSTA
PHONE EMAIL - (Optional) to status notifications.
Please indicate your delivery preference:
[]
MAIL - Your diploma/certificate(s) will be mailed.
[]
PICK UP - You will be contacted for pick up. Please provide a phone number.
Cal State LA, Graduation Office
5151 State University Drive
Los Angeles, CA 90032-8531
Please allow 3-4 weeks for distribution.
You may track the progress of your diploma using the following link:
https://www.michaelsutter.com/calstatela
website:
http://www.calstatela.edu/registrar/records‐enrollment
or contact the National Student Clearing House at
703/742-4200. Complete information is available at:
http://www.studentclearinghouse.org/
MINOR(S):
(I.E.: Submitting original payment, name change, original not received, damaged in mail, framing purposes, etc.)
There is a $10 charge for each duplicate diploma/certificate. Please submit 1 form per degree sought accompanied by a $10 check or
money order payable to Cal State LA. to:
To obtain degree verification without ordering a diploma, you may order your Official Transcripts from the Records & Enrollment Office
(Optional) Reason for requesting duplicate:
MAJOR(S):
OPTION(S):
Complete this form to order a duplicate copy of a diploma or a duplicate copy of a certificate. For every duplicate degree/certificate sought,
submit a copy of this form with a $10 check or money order to the Graduation Office, ADMIN 409 or by mail to:
DEGREE:
If you have recently filed for a name change, please check: [ ]
-or- -or-
DUPLICATE DIPLOMA / CERTIFICATE REQUEST
Cal State LA, Graduation Office, 5151 State University Drive | Los Angeles, CA 90032-8531.
The name on your duplicate diploma/certificate will appear exactly as your Cal State LA records. If your name has changed since the
issuance of your original diploma/certificate, please submit the Bio/Demo Change form available in Admissions Office, SA 101 prior
to
submitting this form. To ensure the proper presentation of your name for your printed diploma, please print clearly and be sure to indicate
below if you have any special marks (accent marks, hyphens, capitalization, etc.) in your name.
Doctorate Certificate
