Follow the steps to successfully complete your Replacement Diploma request.

1. Begin by pressing the ‘Get Form’ button to access the Replacement Diploma request form. This will open the document in your preferred editing tool.
2. In the 'Name and Contact Information' section, clearly print or type your last name, first name, and middle initial as they appear in the college's records. Ensure this matches your last attendance to avoid any discrepancies.
3. Fill out your full address, including the number and street, city, state, and zip code. This is important for the delivery of your replacement diploma.
4. Provide your email address and home phone number for any necessary follow-up communication regarding your request.
5. Enter your Student ID number or the last four digits of your Social Security number, followed by your birthdate in the mm/dd/yyyy format.
6. Indicate whether you attended the college before the Fall of 1990 by selecting 'Yes' or 'No'.
7. State your reason for requesting a replacement diploma in the designated space.
8. In the 'Replacement Diploma Order' section, note that a $10 replacement fee must accompany your request. Select the degree type you are requesting by checking the appropriate box (e.g., AS, AA, AAS, AGS, TC, CT) and fill in your major.
9. Enter the month and year of your graduation.
10. Review the information to ensure accuracy. The Family Educational Rights to Privacy Act prohibits the release of confidential information without your written consent.
11. Sign and date the request form in the designated area. This confirms your consent for processing.
12. Provide your delivery information, including the name and mailing address for where the replacement diploma should be sent.
13. Include payment information. Make checks payable to Ivy Tech Community College or fill in your credit card details, including number, expiration date, and security number.
14. Once you have filled out the form completely, ensure all required components are addressed. Finally, save changes to your document. You can then download, print, or share the form as needed.

Take the first step towards obtaining your replacement diploma by completing the document online today.