Duplicate Diploma Request
Form must be submitted to the Admissions and Records Office in person at FSSB 2nd Floor,
Faxed to 775-784-4283, or mailed to:
1664 N. Virginia Street
Admissions & Records/MS 0120
Reno, NV 89557
This form is for DUPLICATE Diplomas only.
Please note that there is a fee of $95.00 for each duplicate diploma requested. Once payment has been processed the printing of
duplicate diploma(s) may take up to 15 business days.
Name
*How name will appear on diploma
NSHE ID
*Leave blank if unknown
Former Name(s) Birth Date
Signature Date
Degree Year Degree was Awarded
# of Diplomas Requested
Notes/Comments:
Current Contact Information:
Mailing Address
Street Address City
State
Zip Code
Phone Number
Email
Hold for Pick-up
Mail to the address listed
*Pay in person at the Cashiers office (receipt must be submitted with form to A&R), mail check, and mail or fax credit card info
Payment Options:
# of Diplomas X $95.00
Check Enclosed (made payable to the "Board of Regents")
Pay by Credit Card (fill-out the credit card authorization information below)
* Only submitted in person, by mail or fax
Total:
Visa
MasterCard
Discover
American Express
Card #
Expiration Date:
Cardholder Name
3-digit Code
By signing below I authorize the UNR Cashier's Office to charge my credit card in the amount specified for duplicate diplomas.
Cardholder Signature
Student Information:
Degree Information:
