Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091 / Student Services Center, First Floor Rm 101 / Phone: (808) 932-7447 / Fax: (808) 932-7448 / E-mail: uhhro@hawaii.edu
There is a $15.00 non-refundable fee which includes one diploma in both English and Hawaiian per certificate/degree
requested. Only one diploma cover provided.
Submit completed form with non-refundable processing fee to the UH Hilo Cashier’s Office
Please note that we may not be able to provide an exact replication of your original diploma
Replacement diplomas will have the word “DUPLICATE” engraved on them. Replacement diplomas are diplomas ordered
outside/after your graduation semester.
Additional diplomas are additional copies of your diploma ordered during your graduation semester
See
http://hilo.hawaii.edu/registrar/GraduationInfo.php#OfficialDiploma for diploma distribution dates
The name that will be printed on the Replacement/Additional diploma will be the name under which you completed your
degree requirements. You may order your Replacement/Additional diploma with your new legal name, provided that you
submit the Change of Name/Preferred Name Request Form along with two legal documents stating the name change. Form
is available online at https://hilo.hawaii.edu/registrar/documents/UHNameChange-PreferredNameForm.pdf.
Hawaiian language diplomas are available for ordering effective Spring 1995.
SECTON I: Type and Amount of Diploma(s) Requesting:
Degree
Major
(List Major)
Enter Quantity of
Diploma Requesting
Below
English Hawaiian
Unit Price
($15 per diploma)
Total Amount
(Diploma Quantity x Unit
Price)
BA $15.00
BS $15.00
BBA $15.00
Certificate
Program $15.00
Master's
Program
$15.00
Doctoral
Program $15.00
Total Cost:
Graduation Semester: Fall Spring Summer Year: 20_____
Please mail diploma to the mailing address below:
SECTION II: Student Information
Name: _______________________________________________________ Student ID Number: _____________________________
Address:_____________________________________________________________________________________________________
____________________________________________________________________________________________________________
City:____________________ State: ______________ Zip Code: __________________ Nation: _______________
Telephone Number: (_____) _______________________ Email Address: ___________________________________________
Signature: ______________________________________________________ Date: ________________________
FOR OFFICE OF THE REGISTRAR USE ONLY:
SOAHOLD SHADGMQ SHADIPL Log Initials: Date:
Revised 7/2019
REQUEST FOR REPLACEMENT/ADDITIONAL DIPLOMAS
FOR CASHIER’S OFFICE USE ONLY: Cashier: ____________
Amount Paid: __________ Date Paid: ______________
VISA / MC / CC Other / MO / Cash / Check #:________
Clear Form
click to sign
signature
click to edit