Replacement Diploma Request FormReplacement Diploma Request Form Diploma's are only printed three times in a Academic year. Your request will be withheld until it is time to print a new batch of Diplomas. Typically , diplomas are printed in the months of May, August, and December. If you need letter for immediate verification of a Degree confirmation please contact , Amy Balog (304)336-8127.Name* First Last ATTENTION! Print name as it is to appear on the replacement diploma. If this name or your current name is not the name recorded in West Liberty University records, please send us a copy of legal documentation (e.g., SS CARD, Marriage Certification, or court order) which changed your name. You may upload the document below or FAX documents to (304)336-8220.Upload Name Change DocumentStudent ID Number (IF KNOWN)List all names while attending WLU (maiden)Social Security Number*If you do not feel comfortable providing your FULL SSN, please provide the last four.Date of Birth MMDDYYYY format*Graduation Date (Month and Year)*West Liberty State College AppearanceIf you would like to have West Liberty State College appear instead of West Liberty University please mark yes below. Yes NoAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email Important InformationThere is a $25.00 charge for a replacement diploma. Payment must accompany request. Financial obligation to the university must be satisfied before a replacement diploma will be released. If two or more West Liberty degrees have been awarded, please specify the one(s) for which the replacement diploma is requested. There is a $25.00 charge for each diploma requested. Replacement Diplomas will list the institution's name WEST LIBERTY UNIVERSITY (after May 3, 2009) Certifying signatures will be those of current officials.Consent* I agree to the privacy policy.How many replacement diplomas are you requesting?*Payment InstructionsPrice per transcript is $25.00. Payment are made via telephone (304)336-8052 or (304)336-8013, you may also pay via https://westliberty.edu/business-office/ .Contact InformationEnrollment Services Center West Liberty University 208 University Drive CUB 145 West Liberty, WV 26074 ---Physical Address: 121 Shaw Hall (Main Campus) 304-336-8007 Fax: 304-336-8220 Email: [email protected]du