OFFICE OF THE UNIVERSITY REGISTRAR
One Shields Avenue, 3100 Dutton Hall
Davis, CA 95616-8692 | https://registrar.ucdavis.edu/
Office: 530-752-3639 | Fax: 530-752-6906
OUR- D045
RO Duplicate Diploma Request
This revision supersedes all earlier revisions. rev. 12/19
3-REGR820-MAIL2
Duplicate Diploma
Application
Complete this form and return it with payment to the Cashier’s Office, in 1200 Dutton Hall, or by mail to:
Cashier’s Office
University of California Davis
PO Box 989062
West Sacramento, CA 95798-9062
Make check or money order payable to UC Regents, include your student ID number.
Allow six―eight weeks processing time for your request.
If it has been more than one year since your original diploma was mailed, but not received, you must pay for a Reissue diploma.
Note: The Office of the University Registrar does not accept faxed Duplicate Diplomas applications.
The Office of the University Registrar retains a diploma for five years, after which the diploma is destroyed.
Note: Signatures on duplicate diploma may not match signatures on original diploma.
Undergraduate or Graduate Diploma
Mailed within the U.S. $27.50
Mailed outside of the U.S. $36.00
Professional Diploma; Law, Medicine, Veterinary Medicine
Mailed within the U.S. $44.00
Mailed outside of the U.S. $49.50
Personal Information
Student ID Number __________________________________________ Email Address ____________________________
Name (
as in university records) ____________________________________ Birth Date _______________________________
Local Address ______________________________________________________________________________________
City/State/Zip _______________________________________________ Phone __________________________________
College ___________________________________________________ Major __________________________________
Graduation Date ____________________________________________ Degree Type; A.B., B.S., etc. _________________
Reasons for Request
Original diploma lost/destroyed/stolen.
Original not received.
Name legally changed; include original diploma, name change petition, and verification of name change with this request.
I certify that I am the above-named person and the information I have provided is accurate.
Student Signature ___________________________________________ Date ___________________________________
A “wet” or ink signature is required; an electronic signature will not be accepted because it cannot be authenticated by the university.
Payment
We do not accept payment information by fax, phone, or email. Pay by check or money order payable to UC Regents, include
your student ID number, and mail to the Cashier’s Office, University of California Davis, PO Box 989062, West Sacramento, CA
95798-9062.
Paid by: Check # _________ MasterCard Visa Discover Money Order Cash in-person
Name on Credit Card ___________________________________________________________ Zip Code ______________
Credit Card # ______________________________________________________ Expiration Date; mm/yy ______________
Signature __________________________________________________________________________________________
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