Diploma Replacement Payment Form

Surname*

Given Name(s)

Former Name (if applicable)

Email*

example@example.com

Contact Telephone Number*

Please include applicable country and/or area codes

University of Toronto Student Number or Date of Birth*

Degree Earned*

Example: Doctor of Philosophy; Master of Arts; Bachelor of Applied Science; Honours Bachelor of Arts, etc.

Faculty/School/Campus*

Example: Faculty of Arts & Science; School of Graduate Studies; UTM, etc.

College (if applicable)

Product and Credit Card*

Diploma Replacement Fee$150.00CAD

Total $0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Reason for Replacement*

Lost or Destroyed Diploma - I confirm the following:

There are no outstanding fees or a financial hold on my accountI have completed a Replacement Diploma Order form with an original signatureI have had a Statutory Declaration form completed by a Notary PublicI will ensure the Office of Convocation receives my Order form and Statutory Declaration form within 90 days

Damaged Diploma - I confirm the following:

There are no outstanding fees or a financial hold on my accountI have completed a Replacement Diploma Order form with an original signatureI have my damaged original diplomaI will ensure the Office of Convocation receives my Order form and damaged original diploma within 90 days

Diploma Never Claimed - I confirm the following:

I have contacted the Office of Convocation to verify that my diploma was never claimedThere are no outstanding fees or a financial hold on my accountI have completed a Replacement Diploma Order form with an original signatureI will ensure the Office of Convocation receives my Order form within 90 days

Name Change on Diploma - I confirm the following:

The name on my University of Toronto record has been updated by my RegistrarThere are no outstanding fees or a financial hold on my accountI have my original diploma with my former nameI have completed a Replacement Diploma Order form with an original signatureI will ensure the Office of Convocation receives my Order form and original diploma with my former name within 90 days

Conversion of LLB to JD with Original Diploma - I confirm the following:

There are no outstanding fees or a financial hold on my accountI have my original LLB diplomaI have completed an LLB to JD Conversion Order FormI will ensure the Office of Convocation receives my Order form and original diploma within 90 days

Conversion of LLB to JD without Original Diploma - I confirm the following:

There are no outstanding fees or a financial hold on my accountI have had a Statutory Declaration form completed by a Notary PublicI have completed an LLB to JD Conversion Order FormI will ensure the Office of Convocation receives my LLB to JD Conversion Order form and Statutory Declaration form within 90 days

*Please note that this purchase is final. No refunds provided.

Your order will only be processed upon receipt of your hard-copy signed order form and any applicable additional documentation (original diploma, statutory declaration) based on your reason for replacement.

Please include the Transaction ID from your receipt (or include the confirmation email) with your Diploma Replacement order form.

All documentation must be received by our office within 90 days of your payment submission.

Questions or special requirements not captured in this form? Contact us at convocation.office@utoronto.ca for assistance.

Clicking on Purchase more than once will result in multiple transactions.

Diploma Replacement Payment

Personal Information

Degree/Diploma Information

Payment

Replacement