Replacement Diploma Request
Please
complete, sign and return this form to the University of St. Thomas Office of Student Data &
Registrar
There is a $20.00 fee for each replacement diploma request. We accept cash or check. We do not
accept Credit Cards.
o The Office of Student Data & Registrar will process the request once the payment is received
Please make checks payable to the University of St. Thomas
You may pick up your diploma at our office, or we will mail it to the address listed below
o Please note: Diplomas are mailed in an oversized envelope with cardboard and they
typically do not fit into the standard-size mailbox
Name to be printed on Diploma:
St. Thomas ID or SSN:
Email Address:
Phone Number:
Degree Received:
Date of Degree:
Quantity Ordered:
Hold for Pickup
Mail to the address below:
Address Line 1:
Address Line 2:
Address Line 3:
City/State/Zip:
Signature:
Date:
Please return this form to the Office of Student Data & Registrar Located in MHC 126 or by email registrar@stthomas.edu
If you have any questions, please call us at 651-962-6700 or email us at registrar@stthomas.edu
Of
fice Use Only
Payment Type: Check
Cash
Payment Received: Processed:
click to sign
signature
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