Diploma Re-Order Form 


You may order a new diploma if your old diploma has been damaged, lost or stolen 



Student Information – Please print clearly 


EMPLID (CUNYfirst ID) ___________________________________


Last 4 Digits of SSN  ___________________________________           Date of Birth ________________________

(Kindly provide full SSN ONLY if you have graduated prior to 1991) 

 
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 - 

. Identification card (Lehman College ID or Government-issued ID) 
. $30 check or money order signed and made out to Lehman College must accompany this form 
. In-person orders must be paid at the Bursar’s Office located in Shuster 031 during office hours 

 
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. 

 

Office Use Only 

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