Duplicate Diploma Order Form

The University of Montevallo
Records Office Station 6040
Montevallo, AL 35115

• Duplicate Diplomas will be reprinted as originally issued
• Duplicate Diplomas will have the signatures of current University administration
• Duplicate Diplomas will not be ordered and/or released for anyone with outstanding
  financial obligations to the University
• Duplicate Diploma fee is $35.00 and payment must be made at time of request
• Payment should be made by check to the University of Montevallo

__________________________________________________________________________
                                           Name as listed on University records

UM ID or SSN: ______________________________________________

Date of Graduation: __________________________________________

Degree Earned: _____________________________________________

Honors (if any): ______________________________________________

Major: _____________________  College: ________________________

Address for mailing diploma:

_________________________________________

_________________________________________

_________________________________________

Phone Number: _____________________________

Email Address: _____________________________

Signature: ____________________________________________________________
                               This Request WILL NOT BE PROCESSED Unless Signed!