DIPLOMA REPLACEMENT REQUEST
Directions: Please provide the following information to assist us with your diploma replacement request. Processing time is typically
about 8-10 weeks. The cost of the diploma is $40, $50 for Doctoral diploma, or $75 for School of Law Diploma. UPS shipping is
available for an additional $20 ($35.00 for international addresses).
If you have questions or special requests regarding your diploma replacement request, please contact OneStop at 310-506-7999.
Upon completion of this request form, return it to Pepperdine with payment (cashier’s check or money order payable to Pepperdine
University) by mail to the following address: Pepperdine University/ Attn: OneStop/ 24255 Pacific Coast Highway/ Malibu, CA 90263
Information About You:
Last Name First Name MI Previous Last Name
Current Address Student ID Number or SSN
City State Zip Code Birth date
E-mail address Phone Number
School Attended
Seaver College GSEP The Graziadio School
Public Policy
School of Law
Yea
rs Attended
From: To:
Degree Received: Graduation Date:
Delivery Address:
Recipient
Diploma Fee $40.00
Address (1)
Delivery Method
Shipping
Charge
Address (2)
City State Zip Code
US Mail
UPS
UPS International
$0.00
$20.00
$35.00
Country
Total charge
($40 plus shipping) $
_________
Comments/Special Instructions
Authorization
I authorize Pepperdine University to reissue a duplicate diploma to the destination indicated on this request. I understand that Pepperdine University
cannot accept responsibility for diplomas lost in the U.S. Mail system.
Signature: ____________________________________________________________________ Date:
______________________________________
FOR OFFICE USE ONLY
Received/Processed Payment Date Sent/ Picked Up
S:\Forms\Diploma Reorder
click to sign
signature
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