Request a Diploma - Office of the Registrar - Western University of Health Sciences

Registrar

Request a Diploma

Diploma Order Request Form

The Family Educational Rights and Privacy Act (FERPA) of 1974 prevents the Registrar's Office from releasing materials contained in your student file without your written permission. To comply with FERPA, Western University of Health Sciences requires that requests must be made in writing. The Registrar's Office will not accept any requests by telephone or email.

Diploma Order Request Form (43.5 KB file)

This file is in PDF format and requires Adobe Acrobat Reader^® to view it. To download a free copy, please visit our Plug-Ins page.

The Diploma Order Request form is also available in the Student Affairs/Registrar's Office. If you are not able to download the above form or visit our office to complete the form; requests can also be made in writing with the following information:

Name as it appears on original diploma (please print).
Social Security number or student ID number.
Program and graduation date.
Daytime phone number, alternate phone number and email address (optional).
Current mailing address (no PO Box addresses).
Please indicate the purpose of your diploma order: duplicate, replacement or change of name*.
Please indicate whether you wish to pick up your diploma in the Student Affairs/Registrar's Office or have it forwarded by certified mail. If you wish to pick up your diploma,the Registrar's Officewill notify you by the phone number or email address listed on your request. If you wish for your diploma to be mailed, the Registrar's Office will forward your diploma by certified mail to the address listed on your request.
Date of request.
Request must have your signature. Requests made by others on behalf of the graduate will not be accepted.

Request may be mailed or faxed. Visit our Contact page for forwarding address and contact numbers.

Diploma Order Fee

The Diploma Order Fee is $60.00 each (payment methods include cash, check or money order payable to Western University). If you wish to faxyour request, please submit payment by mail. The Registrar's Office will not process request until payment is received.

Delivery Methods

Diploma orders areforwarded by certified mail only. Postage will be paid by the University.
Mail is picked up at 3:30 p.m. Monday through Friday.

Additional Information

Note: If you are ordering a diploma due to a change of name, you must submit a copy of the legal domumentation that supports your name change with your request. Legal documentation can include the following: naturalization certificate, marriage license, divorce decree, driver's license, social security card etc. Please clearly state on your request how you want your new name to appear on your diploma.
Please allow up to six weeks for processing.

Last Updated:05/05/2009

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Diploma Order Request Form

Diploma Order Fee

Delivery Methods

Additional Information