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Diploma and Certificate Reprint Request

Thursday, July 18, 2024

A valid photo ID must be uploaded when submitting this form. Diplomas are not released to any student with a Bursar Office hold.

*Required

Step 1: Student Information

*Did you attend UA-PTC before 1991?
If your contact information (including e-mail, address, phone number) on file is different from this form, do you agree for the Office of Records to update your information?
*Upload Valid Photo ID:

Step 2: Delivery Method

*Choose one method of delivery. One request form per mailing address is required.

Note: If the mailing address is the same as above, type in the space: same address provided

Note: A valid photo ID must be presented by anyone picking up document(s). Documents not picked up within two weeks will be mailed to the address provided on this form.

I understand that typing my full name in this box constitutes a legal signature.