NOTE:  Duplicate Diplomas  will be available approximately 6-8 weeks after the order is received.

DUPLICATE DIPLOMA ORDER 
Fee:  $15

 

Name:                         _____________________________________________________________ 

 

SS #:                          ______________________________________________________________ 

 

Name to be printed on Diploma:     ____________________________________________________ 
(please print)


Degree:                      ______________________________________________________________ 

Year Received:          _____________________________________________________________  

 

Where to Mail:          _____________________________________________________________

                                  _____________________________________________________________

                                 ______________________________________________________________
                      

Signature:                _______________________________________________________________

 

Make $15 check payable to UW-La Crosse

 Mail to:    UW-La Crosse
                 ATTN:  Sharyn Lehrke
                 117 Graff Main Hall
                 1725 State Street
                  La Crosse, WI  54601