Request for Replacement Diploma

Request for Replacement Diploma

There is a $25 fee to replace your diploma and it will be mailed to the exact address provided. Please allow 4-6 weeks for delivery.

Pay by: Cash, Check, Money Order or Credit Card.

Receive a completed Receipt from the Business Office.

Return this completed form and Receipt of payment to the Admissions Office.

Grayson College

Office of Admissions & Records

6101 Grayson Dr.

Denison, TX 75020

Please enter your name EXACTLY as you would like it to appear on your diploma.

Last Name:*

First Name:*

Full Name:*

Please enter your name EXACTLY as you would like it to appear on your diploma (must be your legal name)

Student ID Number:*

Student Social Security:*

Phone Number: *

Phone

Email Address: *

All Former Last Names:

Address (Where Diploma will be mailed): *

City:*

State: *

Zip Code: *

Degree:*

Major:*

Term:*

Year Graduated*

Number of Copies Being Requested: *

**Reminder: There is a $25 fee for EACH replacement requested**

How would you like to receive your Diploma? *

Pick Up

Mail Out

Please attach a copy of your receipt as proof of payment. If the fee has been waived from the graduation office, please attach the email verifying that no payment is necessary.

File Upload*

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