REQUEST FOR REPLACEMENT J.D. DIPLOMA

Application Form

 

Please fill out the form and click the SUBMIT button at the bottom.

After you submit the request, you will be presented with a confirmation page and a form that you MUST print, sign and submit with your application, payment and your original diploma (or statutory declaration).

The personal information collected pursuant to this application is collected under the authority of the University of Western Ontario Act, 1982, as amended, and is used to administer the program, identify applicants, determine applicant eligibility, and match applicants with partner universities. Please direct questions about this collection or use of personal information to the Faculty Director of Administration, Faculty of Law, The University of Western Ontario, London, ON, N6A 3K7, tel: 519-661-2111.

Personal Information

First Name
Middle Name
Last Name
Address
City
Province/State
Postal Code/ZIP
Country
Telephone
Home
Telephone
Other
E-Mail
   
Graduation Information
Date of Convocation
- -

Diploma Held
Faculty of Law

Request to Change Diploma to

Student Number (if known)
   
Payment Method *Do Not Mail Cash
Certified Cheque
Money Order
Personal Cheque
Cash (Deliver in person to the Registrar's Office)
Credit Card
 

*We do not accept American Express

  Visa  
  MasterCard  
  Please click here for the Credit Card Payment Authorization form
   
*If you deliver your diploma or statutory declaration in person, you may pay cash to the Registrar's Office.
Note: Certified Personal Cheques and Money Orders must be payable to The University of Western Ontario
   
FEES
CAD$57.00 for replacement diploma
   
  Plus:
  CAD$0 for pick-up from Office of Registrar
  CAD$27 for delivery in Canada
  CAD$54 for delivery to International Destinations
   
  Total for Replacement of Diploma:
CAD$57.00 pick up only
CAD$84.00 Canadian delivery
CAD$111.00 International delivery
   
Return Options
I will pick up the Diploma
Please call me when it is ready Telephone
Please mail the Diploma to the address listed in my Personal Information
 
 

 

Updated May 9, 2017