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) Select one Cell Home Business Other * Date of Birth  

Palmer Information

* Campus   Select one Main 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) 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

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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.