Duplicate Diploma Request Home Duplicate diplomas will: Be of the same style and signatures as those currently issued to the campus you graduated from. Bear only the name that is legally yours. A name acquired after your graduation must be validated by submitting copies of legally acceptable document(s). (example: Marriage certificate, copy of court order or divorce decree stating name change) Have the official date of your graduation from the campus you attended. Cost $30.00 each * Required Personal Information * First Name Middle Name Recommended * Last Name * Email * Phone (use dashes) Cell Residence Other * Date of Birth Palmer Information * Campus Davenport Florida West Matric or Last four digits of Social Security Number Recommended * Date of Graduation Diploma Request * Name to appear on diploma Note: If your name has changed since graduation, please contact us to update your records. * Degree(s) Required D.C.M.S.B.S.A.S.C.T * Address to mail Diploma Processing Time - We order our diplomas from an outside company and therefore it may take 6 to 8 weeks to complete the process. Shipping charges - Diplomas are sent regular US Mail for no charge. If you would like to request another form of delivery please contact our office at (563) 884-5863(408) 944-6025(386) 763-2785 Don't have a PayPal account? You can use your credit / debit card on PayPal's secure site. Payer's name (if other than you): I certify the information submitted in my request is correct and accurate. I am submitting this form which serves as my authorization to Palmer College of Chiropractic to process my request.