Replacement Diploma You must have JavaScript enabled to use this form. There is a $25.00 fee for replacement diplomas. Contact the Business Office at 810-762-9552 to pay this fee prior to submitting this request. (Verification of payment will be made by the Registrar's Office upon receipt of this request.) When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic funds transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic funds transfer, funds may be withdrawn from your account as soon as the same day your payment is received and you will not receive your check back from your financial institution. Please allow approximately 4 weeks for processing after payment has been received. Issued by Full Name (as it should appear on the diploma) Name when degree was awarded (if different) Student ID or Last 4 Digits of Social Security Number Date of Birth Telephone Address Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code Your Email Degree Obtained Date Degree Was Awarded (month/year)