Duplicate Diploma Request Form

Print out and complete the form below, using the name under which you were registered as a student. Include your first name, middle name or middle initial, and last name.

Mail this form to the Office of the Registrar with a check or money order for $30, made payable to Rutgers, The State University of New Jersey.

Please Note:  Duplicate and/or reissued diplomas are printed with the current President's name and the current Dean's name.

Office of the University Registrar                        A request for a replacement diploma
Rutgers, The State University of NJ                    takes six to eight weeks to process.
ASB, Room 200A
65 Davidson Road                                               If you have any questions, please call
Piscataway, New Jersey 08854-8096                  (732) 445-2778

9-Digit RUID Number: ______________________ Date of Birth ____________________

Year Degree Awarded: ________________ Degree Received: ________________________

School(s) Graduated From: _____________________________________________________

Was this a Joint Degree? If YES, please describe: __________________________________

Did you graduate with HONORS? If YES, specify type of Honors: ____________________

Mail Diploma to (Current Name): ________________________________________________

Current Mailing Address: ______________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Phone Number:(____)________________ Email Address:_____________________________

Enclosed is my check #_______ in the amount of $_____________.

_____ Standard Diploma (81/2" X 11")         _____ Large Diploma (11" X 14")

Revised: December 5, 2007