Diploma Order Form
The cost is $35 per replacement diploma, payable only with a check or money order.
Please allow 4 - 6 weeks for delivery.
our name as it appears on your UW Colleges student records:
middle name last name
Campus ID number (if you know it):
7 digit number
Date of Birth :
type date awarded (mo/yr)
campus where degree was earned
number and street, city, state, postal code, and country (if not USA)
sign or type your name
Please include your check or money order, payable to University of Wisconsin Extended Campus.
Office of the Registrar
5602 Research Park Blvd., Ste 300
Madison, WI 53719
name as it should appear on diploma