Request for Replacement/Display Diploma

This form will guide you through the process of ordering a replacement or display diploma.

A replacement diploma may be requested if your original diploma was lost, damaged, destroyed, and/or where your legal name has changed since the diploma was issued

• Before we can process your request, you must provide all requested documents, complete payment, and in cases of a name change return the original diploma if it has not been lost.
  • Note: If your diploma has been lost/damaged/destroyed, we will require you to obtain and scan a notarized Statutory Declaration (see here for more information).
    • We will also require you to scan a copy (front/back) of valid government-issued photo identification.
  • In addition, if your legal name has changed, we will require you to scan a copy (front/back) of the appropriate name change document.

  A display diploma may be requested if you wish to obtain a larger-format version of your diploma, suitable for display/framing.

  • Before we can process your request, you must provide all requested documents and complete payment.
    • In addition, if your legal name has changed, we will require you to scan a copy (front/back) of the appropriate Name Change Request document found on Registrar’s website: https://carleton.ca/registrar/name-change/#sect3.

    Current costs for replacement/display diplomas are available at the Registrar’s Office website.

    Request for Replacement/Display Diploma

    I wish to order(Required)

    a replacement diploma

    a display diploma

    Personal Data

    Student number(Required)

    Student ID Number* (if you no longer remember your ID, please enter ‘100000000’ (without the quotes)

    Current legal name:(Required)

    First Last

    Date of birth(Required)

    MM slash DD slash YYYY

    
    
    

    Step 2: Contact Information

    Email address:(Required)

    Please upload your photo ID - Government Photo Identification (e.g. valid driver’s license, passport, age of eligibility card, gov’t work ID)(Required)

    Accepted file types: pdf, docx, Max. file size: 15 MB.

    Acceptable file extensions are: pdf

    Daytime phone number(Required)

    format: xxx xxx xxxx

    Alternate phone number

    format: xxx xxx xxxx

    Step 3: Degree Information

    Level of degree received(Required)

    Undergraduate

    Master

    PhD

    Certificate

    Degree / diploma received(Required)

    Date degree was awarded/conferred(Required)

    E.g., 06/1991
    
    if not certain of the date, provide your best guess

    Legal name as it appeared on your original diploma(Required)

    Given Last

    Step 4: Reason replacement degree is required

    Check all that apply(Required)

    My Original diploma is lost/damaged/destroyed - A notarized Statutory Declaration is required if the original diploma is not returned (see this page for more information).

    Official name change (supporting documentation must be enclosed in all cases where a name change is requested, e.g. marriage certificate, copy of passport, birth certificate).

    Notarized statutory declaration(Required)

    I have included a notarized statutory declaration.

    Notarized statutory declaration(Required)

    Accepted file types: jpg, doc, png, pdf, docx, Max. file size: 15 MB.

    Legal name

    Official name change (supporting documentation must be enclosed in all cases where a name change is requested, e.g. marriage certificate, copy of passport, birth certificate).

    Original diploma(Required)

    I will mail my original diploma to
    
    The Registrar's Office
    300 Tory
    Carleton University
    1125 Colonel by Drive
    Ottawa ON
    K1S 5B6

    Supporting documentation(Required)

    I have enclosed all required supporting documentation and/or notarized statutory declaration

    Supporting documentation(Required)

    Accepted file types: doc, pdf, docx, Max. file size: 15 MB.

    Acceptable file extensions are: doc, pdf, docx

    I have additional documents to upload. Number of files to upload

    1

    2

    3

    4

    First additional document(Required)

    Accepted file types: doc, pdf, docx, Max. file size: 15 MB.

    Acceptable file extensions are: doc, pdf, docx

    Second additional document(Required)

    Accepted file types: doc, pdf, docx, Max. file size: 15 MB.

    Acceptable file extensions are: doc, pdf, docx

    Third additional document(Required)

    Accepted file types: doc, pdf, docx, Max. file size: 15 MB.

    Acceptable file extensions are: doc, pdf, docx

    Fourth additional document(Required)

    Accepted file types: doc, pdf, docx, Max. file size: 15 MB.

    Acceptable file extensions are: doc, pdf, docx

    Hidden

    Supporting documentation(Required)

    Drop files here or Select files

    Accepted file types: doc, pdf, docx, Max. file size: 15 MB.

    Acceptable file extensions are: doc, pdf, docx

    Delivery Instructions

    Check as appropriate(Required)

    Hold for Pick-up

    Mail

    Send by Courier

    (delivery to an address outside of Canada and/or courier arrangements must be organized and paid for by the requester)

    Address(Required)

    Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

    Declaration(Required)

    I hereby certify that all the above statements are correct and complete.

    Please note your request will not be processed until payment is received.

    Diploma

    Price:

    Total

    HST will be added on the next page

    The personal information requested on this form is collected in accordance with Sections 38(2) and 41(1) of the Freedom of Information and Protection of Privacy Act (FIPPA), R.S.O. 1990, c.F.31 as amended. The information provided will not be used for any purposes other than those stated upon this form unless the applicant provides express written consent. Should you have any questions concerning your personal information, please contact the Registrar’s Office (300 Tory Building, 613-520-3500). Carleton University is fully compliant with FIPPA and endeavours at all times to treat your personal information in accordance with this law.

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