Request for Diploma Replacement
Diplomas are only ordered three times a year, on or around February 1
, July 1
, and October 1
Please keep this in mind when requesting your replacement diploma. Once an order is received it may
take an additional seven to ten business days to process your request.
______________________________ ______________________________ ___________________
Last Name First Name Middle Name
________________________________________________ _______________________________________
Former Name (if applicable) Daytime Phone Number
________________________________________________ _______________________________________
Student ID # or SS # Date of Birth
________________________________________________ _______________________________________
Degree(s) on diploma(s) being replaced Year Degree(s) Earned
Email Address
Mail Diploma to: _____________________________________________________________
Mailing Address (Street)
Mailing Address (City, State, Zip)
$30 Payment by: Check or Money Order Credit Card
Made payable to: Please call Student Accounts at
SUNY Cobleskill (518)255-5539 to pay via credit card
Note on check: and note the payment date for us to
Diploma Replacement verify __________________
Mail form and payment to:
SUNY Cobleskill
Student Accounts Office
Knapp Hall 118A
Cobleskill, NY 12043
For Office Use Only
Request Received Date: _________________________
Diploma(s) Ordered: __________________________