Follow the steps to successfully complete your diploma replacement request

1. Press the ‘Get Form’ button to access the Diploma Replacement Request Form and open it for editing.
2. Enter your name exactly as you would like it to appear on your diploma in the 'Student Name' field.
3. Fill in your Student I.D. number in the corresponding field.
4. If applicable, include your former name in the designated section.
5. Provide your Social Security number in the specified field.
6. List your primary phone number and any alternate phone number for contact purposes.
7. Input your email address to receive confirmations and updates regarding your request.
8. Specify your mailing address where the diploma will be sent, including the street address, city, state, and zip code.
9. Record your last date of attendance at Broward College in the MM/DD/YYYY format.
10. Indicate your graduation date in the MM/DD/YYYY format.
11. Select the type of diploma or certificate you are requesting by checking the appropriate box, and specify any degree or specialization.
12. Fill in the program code and catalog year if applicable.
13. If requesting a certificate, similarly specify the degree and specialization along with the program code and catalog year.
14. Note that only one copy can be requested per form submission.
15. If someone else is authorized to pick up your diploma or certificate, write their name in the provided field.
16. Specify the name of the recipient if the diploma or certificate should be sent to someone other than yourself.
17. Read the important notes regarding processing times, responsibilities, and conditions related to the request.
18. Sign and date the bottom of the form to acknowledge that you have read and understood the information provided.
19. After filling out the form, save your changes, then download or print the completed form for submission.
20. Submit the completed form to the Registrar’s Office along with the applicable fee.

Complete your Diploma Replacement Request Form online today and secure your replacement diploma or certificate!