Records & Registration
126 Tillman Hall, Rock Hill, SC
29733
Phone: 803-323-2194 Fax:
803-323-4600
REPLACEMENT DIPLOMA ORDER FORM
Student
Number: Daytime
Phone
#:
Degree
Received
(e.g.
BA,
BS,
MBA):
_________________
Month
and
Year
of
Graduation
_____________________
Name
on
record
at
Winthrop:
Name
on
your
original
diploma:
_
Name
you
wish
on
this
replacement
diploma:
_
(
If replacement diploma name differs from Winthrop record, legal documentation may be required)
Address
where
diploma
should
be
mailed:
Win
throp University is proud to assist you in securing this replacement diploma. Please print clearly or type all information
requested above, sign form and be certain that your $30.00 payment is complete.
Cr
edit Card Payment information: To complete your payment for your replacement diploma request, please go to the
Winthrop Marketplace
and select Transcripts/Diplomas FEES under Store Categories, then select REPLACEMENT DIPLOMA
ORDER to make your payment. Your replacement diploma request will not be processed until you complete your payment.
Che
ck Payment information: If you are paying by check, please make check payable to Winthrop University.
Retu
rn the form to the Office of Records & Registration. It can be mailed to Winthrop University, 126 Tillman Hall, Rock Hill,
SC 29733, emailed to recandreg@winthrop.edu
, or faxed to 803-
323-4600.
Un
der normal circumstances, replacement diplomas are ordered on the last Thursday of each calendar month. Please note
that for replacement diplomas, Winthrop serves as an intermediary between you and a private company contracted to
Winthrop to provide this service. Every effort will be made to deliver your replacement diploma in a timely manner.
Under usual circumstances, delivery can be made within six weeks from the time we place your order; however,
Winthrop cannot provide a binding delivery date.
Signature: Date:
For Records Use Only:
Request
r
eceived:
Diploma
Ordered:
Dip
l
o
ma
Ret
urn
e
d
:
Diploma Delivered:
:
