A replacement diploma is printed in the current format showing the graduate’s name, degree earned, designated honors,
college which awarded the degree, date of graduation and signature of the dean at the time of graduation. All other
signatures on the diploma will be those of incumbent University and/or State officials.
A fee of $10.00 is charged for a replacement diploma. (This fee is subject to change)
Complete this form and mail it to the address below. Attach your check or money order for $10.00 made payable
to University of South Florida and send to:
Replacement Diploma
University of South Florida
P.O. Box 864571
Orlando, FL 32886-4571
Graduate’s Signature
Diploma Signatory ________________________________________
Pending Checked ________________________________________
Diploma Ordered ______________
Pending Mailed ______________
Detail Code: DIPL
Name at the time of graduation _______________________________________________________
Name you wish to have printed on your diploma ______________________________________________________________
If this name is different from that displayed above, legal documentation must be submitted with this form.
USFID Number __________________________ Date of Graduation _____________________________
Degree Awarded _______________________________________ Honors Earned ___________________________
College(s) ____________________________________________
Diploma Mailing Information
Street Address 1 _______________________________________________________________________________________
Street Address 2 _______________________________________________________________________________________
City ______________________ State ____________ Zip Code _______________________ Country ____________
Phone ___________________________ Email ____________________________________________________________
Replacement Diploma
Request Form
If you would prefer to pick up on campus, check the applicable box:
Tampa St. Petersburg Sarasota-Manatee
Office of the Registrar
Tampa Campus
4202 E. Fowler Ave., SVC 1034
Tampa, FL 33620
St. Petersburg Campus
140 7th Avenue S., BAY 102
St. Petersburg, FL 33701
Sarasota-Manatee Campus
6350 N. Tamiami Trail, SMC C107
Sarasota, FL 34243
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