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OFFICE OF THE REGISTRAR (Kenai Peninsula College)

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OFFICE OF THE REGISTRAR
Diplomas > Duplicate or Replacement Diplomas
The UAA Office of the Registrar may, at his or her discretion, authorize the issuance of a
replacement in certain limited cases. For example, a duplicate diploma may be issued in
some instances of loss or damage to the original.
Duplicate diplomas will not be issued for name changes incurred by marriage and/or
divorce. Your diploma is part of your Academic History. The name on your diploma will
be your official name on file at the time you earned your degree/certificate.
All applicants for a placement or duplicate diploma must complete and return an
application for duplicate diploma form. Verification of your signature by a Notary Public
is required. The applicant for a replacement diploma must provide a statement regarding
the loss of or damage to the original that is satisfactory to the Registrar. Damaged
originals must be returned to the UAA Office of the Registrar. Applicants seeking a
replacement for a lost diploma must agree to return the replacement if the original is
found.
Duplicate diplomas will be processed upon receipt of the completed application form and
its attachments, including a check/money order/credit card order in the amount of $25.00
(payable to the University of Alaska Anchorage) to cover costs. Please allow
approximately 10 business days after you have placed your order for the diploma to be
sent-certified mail.
UA is an AA/EO employer and educational institution and prohibits illegal discrimination against any individual: www.alaska.edu/nondiscrimination.
Office of the Registrar ● PO Box 141629 ● Anchorage, AK 99514-1629 ● Phone: (907) 786-1480
APPLICATION FOR DUPLICATE DIPLOMA
Your signature below must be notarized.
NAME: DATE:
Last First Middle
ADDRESS:
CITY: STATE: ZIP:
UAA STUDENT ID:
SOCIAL SECURITY #:
PHONE: EMAIL:
DEGREE:
DATE DEGREE WAS CONFERRED:
NAME ON ORIGINAL DIPLOMA:
REASON FOR REQUESTING A REPLACEMENT:
IS THE ORIGINAL DIPLOMA ENCLOSED? YES NO
IF NO, EXPLAIN WHY NOT:
PLEASE INDICATE THE DATE OF LOSS OF ORIGINAL:
I hereby certify that the above statements are true. I understand that UAA reserves the right to institute any appropriate legal or other
proceedings for misrepresentation of the information stated above or in the case of fraud. I enclose the original diploma if possible,
check/money order for $25.00 to cover the costs; and other documents as necessary. I agree (I) to return the replacement immediately
if I ever find the original or (II) to inform the Registrar upon learning of the location of the original.
DATE:
SIGNATURE
I hereby certify that this applicant has shown proof of identity sufficient to establish that he or she is the person named above.
DATE:
NOTARY PUBLIC
My commission expires on:
SIGNATURE OF CARD HOLDER
UA is an AA/EO employer and educational institution and prohibits illegal discrimination against any individual: www.alaska.edu/nondiscrimination.
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OFFICE OF THE REGISTRAR (Kenai Peninsula College)

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Completed 10 October 2020

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