Replacement Diploma Request Form

For graduated students who need to replace a lost or damaged diploma

Please note it may take up to two weeks to order the diploma and forward it to your mailing address.

Part 1. Current Information

First Name *

Middle Name

Last Name *

Name attended under (if different from above)

Name as you would like it to appear on your diploma: *

WPI ID Number

Date of Birth *

Dates of Attendance (e.g. 2000-2004) *

Degree Awarded *

Major or Program Completed *

Graduation Date (e.g. May 2004 or Spring 2004) *

Part 2. Contact Information

Address where we will mail the diploma *

Email *

Phone *

Payment

By submitting this form with the required $35 payment, I request a replacement diploma be mailed to the address specified above. I understand that the processing time for replacement diplomas is up to two weeks. *

$35

Currently, what country are you physically present in? *

By providing the information requested in this form, you are consenting to WPI’s use of the provided information for the purpose for which the form is being used. See Privacy Policy Below.

Privacy Policy: https://www.wpi.edu/about/policies/privacy-policy

Refund Statement: Refunds are issued at the discretion of the Event Coordinator or Department Manager. For inquiries regarding refunds please contact the managing department of your event/program, or email bursar@wpi.edu.