Duplicate Diploma Request Form

Please complete the form below to request a Duplicate/Replacement Diploma.  Please allow up to 4 weeks for processing.

Please note if you wish to have your diploma ordered with a name different than waht appears in North Country Community College's current records you must complete a "Change of Name" request along with the Duplicate Diploma Request.

Diploma Options
Year of Graduation
Degree / Certificate Earned:
Other names used:
Date of Birth
Last 4 of SSN
Phone Number
Street Address
Street Address Line 2
Zip Code
I understand, I am formally requesting a duplicate diploma by submitting this form. I understand the request will not be processed until payment is received.
Enter your full name.
Enter today's Date