Xavier University, Office of the Registrar, 3800 Victory Pkwy Cincinnati OH 45207-3351
Replacement Diploma
DATE: _______________
NAME: ____________________________________________________________
STUDENT ID NUMBER or SOCIAL SECURITY NUMBER: ________________________________
DEGREE: __________________________________________________________
DATE OF GRADUATION: _______________________________________________
MAIL TO: ___________________________________________________________
___________________________________________________________________
Phone Number: ____________________
Signature (Required): __________________________________________________________
Number of Copies: _____
FEE: Cost is $30.00 per replacement diploma. Payment must be made by Check or Money
Order and submitted with the request. Processing will take 3-5 business days.
Please send request and payment to:
Xavier University
Office of the Registrar
Attn: Replacement Diploma
3800 Victory Parkway
Cincinnati OH 45207-3351
Office Use Only:
DATE DIPLOMA MAILED: __________
Amount: _________