Duplicate Diploma/Certificate Request Form

*There is a $20.00 fee for each duplicate diploma and/or certificate requested.
*If you owe money to the college or have a hold on your record, we will not process your order until all financial obligations are met.
*May take up to 5 business days to process.
*We do not mail outside the U.S.
Note: Duplicate and/or reissued diplomas/certificate are printed with the current President's name.

1Duplicate Diploma/Certificate Request Form > 2Form Survey
Full Name: Full Name: First Middle Last
Student ID# G00:
IVC Email:
I would like to have the diploma/certificate mailed to me at the following address. I would like to have the diploma/certificate mailed to me at the following address.
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Number: Contact Number: - ### - ### ####
Degree Received (Select One):
Major:
Date Received (Date awarded if known): Date Received (Date awarded if known): / MM / DD YYYY
How many copies are you requesting:

TOTAL AMOUNT MUST BE PAID BEFORE YOUR REQUEST IS PROCESSED.
Student Signature:

Draw or Type

I understand this is a legal representation of my signature.
Use Mouse to sign. Clear

Full Name

I understand this is a legal representation of my signature.
Use Mouse to sign.
Upload your IVC Student ID or a Valid ID for verification:

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