Get Adelphi University Registrar Form

Adelphi University Office of the University Registrar 516 877-3300 Replacement Diploma Form To obtain a replacement diploma please complete this form and return to Adelphi University Office of the University Registrar Garden City NY 11530 with a 25. 00 check or money order made payable to If you have any outstanding financial obligations to the University your diploma request will not be processed and your diploma will not be mailed* Please be advised that we are unable to replace the exact diploma you received when you graduated* The diploma we will furnish you with will indicate the degree you received and school you were graduated from but will be signed by the current officers of the Administration* It will also carry the notation Replacement Diploma. Please note Your name will appear on the diploma as it is in our system* If your name has changed since you last attended and you wish for your diploma and record to reflect your current name you will need to provide the appropriate legal documentation* Name I. D. Number Name if different when attended Degree Address Date of Issue Phone Number Email I am requesting that Adelphi University furnish me with a replacement diploma* I understand that this diploma will be signed by the present officers of the Administration* Signature. 00 check or money order made payable to If you have any outstanding financial obligations to the University your diploma request will not be processed and your diploma will not be mailed* Please be advised that we are unable to replace the exact diploma you received when you graduated* The diploma we will furnish you with will indicate the degree you received and school you were graduated from but will be signed by the current officers of the Administration* It will also carry the notation Replacement Diploma. Please note Your name will appear on the diploma as it is in our system* If your name has changed since you last attended and you wish for your diploma and record to reflect your current name you will need to provide the appropriate legal documentation* Name I. Please note Your name will appear on the diploma as it is in our system* If your name has changed since you last attended and you wish for your diploma and record to reflect your current name you will need to provide the appropriate legal documentation* Name I. D. Number Name if different when attended Degree Address Date of Issue Phone Number Email I am requesting that Adelphi University furnish me with a replacement diploma* I understand that this diploma will be signed by the present officers of the Administration* Signature. 00 check or money order made payable to If you have any outstanding financial obligations to the University your diploma request will not be processed and your diploma will not be mailed* Please be advised that we are unable to replace the exact diploma you received when you graduated* The diploma we will furnish you with will indicate the degree you received and school you were graduated from but will be signed by the current officers of the Administration* It will also carry the notation Replacement Diploma. Please note Your name will appear on the diploma as it is in our system* If your name has changed since you last attended and you wish for your diploma and record to reflect your current name you will need to provide the appropriate legal documentation* Name I. D. Number Name if different when attended Degree Address Date of Issue Phone Number Email I am requesting that Adelphi University furnish me with a replacement diploma* I understand that this diploma will be signed by the present officers of the Administration* Signature.