Diploma Replacement Order Form

Instructions:

Your original diploma must be returned to Wellesley College when requesting a replacement due to damage or name change
Please send the original diploma to Office of the Registrar, Wellesley College, 106 Central Street, Wellesley, MA 02481
We will process your replacement request upon receipt of the returned original diploma

If the replacement diploma requested is due to a name change, please upload a copy of the official legal name change document(s)

Fields with asterisk are required.

First Name *
Last Name *
Student ID
I am requesting a replacement diploma due to: *: Loss
Damage
Legal name change
Enter the original diploma name *
Replacement diploma for name change: *: Remove
Name to appear on replacement diploma *
Degree Date *
Phone Number *
Mailing Address *
Email address *
Terms and Conditions * I have acknowledged that if I have holds on my records prohibiting the release of product or services my payment will be refunded. Orders will not be processed until holds on record have been released. We will not hold orders; a new order will be required.: I have read and acknowledge the terms

$75.00

Qty: