DUPLICATE
DIPLOMA/CERTIFICATE
REQUEST
The University of Akron
Office of the University Registrar
As a graduate of The University of Akron, you may request, free of charge, a single duplicate
diploma/certificate by properly completing this form and submitting it to the Office of the University Registrar.
Please be advised that the duplicate diploma/certificate will bear the signatures of current university officials as
well as a notation indicating that the document is a duplicate. Your duplicate diploma/certificate will be mailed
via the United States Postal Service within ten (10) business days of receipt of your request.
Full Name exactly as it appears on the original diploma or certificate:
Address:
City:
Daytime Phone Number:
Student ID Number:
- OR -
Degree/Certificate Earned:
State:
Zip:
E-Mail Address:
Last 4 digits of SS Number:
- AND -
Month and Day of Birth
Month and Year Earned:
Reason for duplicate request:
Original destroyed
Original never received
Original lost or stolen
Additional copy
Name change
To preserve the integrity of your permanent academic record, all name change requests must be
accompanied by an unaltered and legible copy of a legal document indicating the name change.
Acceptable legal documents include a marriage license, divorce decree, court order, driver’s license or
social security card.
Previous Name:
New Name:
- OR Name Change Request previously submitted on:
Signature:
Date:
Submitting Your Request:

Mail your signed request to: Office of the University Registrar
The University of Akron
Simmons Hall Room 120
Akron, OH 44325-6208
- OR -

Fax your signed request to 330-972-6097. Please note that name change requests may not be
faxed due to document illegibility.
- OR -

Scan and email your signed request to [email protected].
- OR -

Submit your signed request to the Office of the University Registrar in room 120 of Simmons Hall.
Submitting your request in person does not expedite its fulfillment.
01/21/2016