Diploma Mailing Request 


Please use this form to request that your diploma be mailed to the address you have on file. 


Student Information – Please print clearly 


EMPLID (CUNYfirst ID) __________________________


Last 4 Digits of SSN  __________________________            Date of Birth ___________________________

 
Last Name ______________________________________


First Name _____________________________________


MI __________


Name while attending (if different) _________________________________


Street Address __________________________________           City, State, Zip __________________________

 
Phone _______________________


Email ___________________________________________



Please provide the following to complete your request - 

. Priority mailer from the U.S. Post Office (Unused) 
. Self-addressed with prepaid postage 
. Priority Mailer Padded Flat Rate Envelope 9 ½ x 12 ½ 
       (Mailer MUST be size noted above and padded due to diploma case) 
. Identification card (Lehman College ID or Government-issued ID) 


 
Conferral (Graduation) Date ____________________________________

 

Academic Program (Degree)   ____________________________________

 

Academic Plan (Major)       ____________________________________

 

College Honors (if applicable) _________________________________

 
 

Student Signature ________________________________________         Date _____________________ 

 

If you have any additional questions or concerns regarding the information above, kindly refer all inquiries to 
Graduation.Audit@Lehman.cuny.edu (or) call the Graduation Audit Office (718) 960-7474. 

 *Please note that the Office of the Registrar is not responsible for diplomas that are lost in transit 

 

Office Use Only 

Received by: ______ Date: _______ 
Processed by: ______ Date: _______