DUPLICATE DIPLOMA ORDER FORM
STUDENT’S OFFICIAL NAME:
Banner ID K #:
DATE OF GRADUATION:
DEGREE RECEIVED:
Email Address:
Phone #:
REASON FOR SECOND DIPLOMA (check one):
Original diploma lost: ____
Original diploma destroyed: ____
Desire second copy: ____
Other: _______________________________________
MAIL TO: ____________________________
____________________________
____________________________
Or Call: _______________________________to pick up.
DO NOT WRITE BELOW THIS LINE:
Confirmation of Degree: ________________________________________________
Date Degree Awarded: __________________________________________________
Degree Awarded: ______________________________________________________
G.P.A. (For Honors):____________________________________________________
TO BE COMPLETED BY BUSINESS OFFICE
Duplicate diploma fee: _________ Receipt No.: _______________
Date Paid: ___________________ Initials: ___________________
Revised 07/13/2020
Format changes occur from time to time. So an exact replica copy may not be available.
Duplicate Diploma Fee must be paid to the Business Office. Please call (361) 593-2616 before
submitting.
Mail form to TAMUK Office of the Provost, 700 University Blvd., MSC 102 Kingsville, TX 78363 or
Scan and submit your form to provost@tamuk.edu
Diplomas are ordered once a month, and take 6-10 weeks to arrive.
