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Diploma Replacement Form

Diploma Replacement Request

You can request a replacement diploma by submitting this form. There is a $25 replacement fee.
Please allow five business days after receipt of payment for processing. You will receive an email once the diploma is printed, confirming it has been mailed or is ready for pick up.
Items marked with an * are required.

Current Name(Required)

First Last

Former Name

First Last

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email Address(Required)

Date of Birth(Required)

Degree Earned(Required)

Approximate Date of Graduation(Required)

Payment Method(Required)

Delievery Method(Required)

Pick up

Mail

Main Campus
2080 Three Rivers Blvd., Poplar Bluff, MO 63901
Office Hours: Monday – Friday 8 a.m. to 5 p.m.

P: (877) 879-8722 View all locations

Consumer Information

Three Rivers College is an equal opportunity institution that commits itself to the policy that there will be no unlawful discrimination against any person because of race, color, gender, sexual orientation, religion, age, disability, or national origin.