Request for Replacement Diploma

You have three options for completing this form:

Download the PDF, print it out, and complete by hand.
Download the PDF, open it in your favorite app to fill out and submit either by printing or emailing.
Complete the form below that upon clicking the button, will fill out the PDF and download it for you so you can print or email the form accordingly.

Last four digits of your SSN

Date of Birth (M/D/Y)

Full Name under which you were registered as a student

Current Name if different from student name

Full Name to appear on Diploma

If requesting a diploma in your new name you must provide legal proof of change of name documentation.

Degree Received

Graduation Date (M/Y)

Reason for replacement

Lost Damaged/Destroyed Other

Please return damaged diploma to our office.

Type of diploma

Parchment Certified Electronic Diploma Both

Replacement Fees

$75 each type, RUSH: $125 for one; $200 for both.

Check or Money Order made out to Washington and Lee University with this request.

Name

Street Address

City

State

Zip Code

Country

Phone Number

Please send this completed and signed form with your check or Money Order made out to Washington and Lee University to:

Washington and Lee University Registrar’s Office
Attn: Debbie Alden
204 West Washington Street
Lexington, VA 24450

Please allow 3-4 weeks for delivery from receipt of request.