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Duplicate Diploma Request
This form shall only be used to request a duplicate diploma for students who have attended a Tennessee public high school. Please allow five business days for processing.
Type of Request
Duplicate Diploma
Graduation Verification
First Name
*
*
(as it was the year of graduation)
Middle Name
*
(as it was the year of graduation)
Last Name
*
(as it was the year of graduation)
Name of the Tennessee Public High School Attended
*
Tennessee Public School District Attended
*
(where the school is located)
City
*
(where the school is located)
County
*
(where the school is located)
Date of Graduation
*
(month and year)
Date of Birth
*
(month, day, and year)
Payment Type
Money Order
Online
Money Order Number
*
Status Reason
Current Mailing Address
Note that this is where the diploma will be mailed. Please make sure the address submitted matches the
United States Postal Service
website to ensure the diploma will arrive at the correct address.
Current Name
*
(as you would like the diploma mailed to)
Check the box if your current name is different than it was the year of graduation
Address 1
*
Address 2
*
City
*
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip Code
*
Submitter Type
Former Student
Third-party company
Company Name
*
Telephone No
*
Email Address
*
*
I certify that I am the former student of Tennessee Public Schools and that I am requesting a copy of my high school diploma. I understand the fee accompanying this request is non-refundable. I authorize the Tennessee Department of Education to mail a copy to the address listed in this request.
Certify former student grad verification
I understand that the fee is for processing the request. Processing the request includes the Tennessee Department of Education thoroughly exploring all their databases and reaching out to the issuing district and school, if need. The fee is required regardless of whether or not we are able to provide the duplicate diploma you requested.
Transaction Details
New Section
TransactionID
*
userpart1
*
Userpart2
*
Transaction Date Stamp
*
Payment Amount
*
Convience Fee
*
TotalPaymentAmount
*
Account Holder
*
Payment Method
*
Masked Account
*
Authorization Number
*
Payment Method Description
*
Billing Name
*
Billing Address
*
Billing City
*
Billing State
*
Billing Zip
*
Billing Country
*
Billing Email
*
Billing Phone
*
Please upload a signed student release
You can upload a maximum of 1 file, up to 90MB.
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