Parchment Reprint Request

Parchments are reprinted once each month for a fee of $100 per parchment. Please submit separate request forms for each parchment.

Parchments will be reprinted with the graduate’s name that was printed on the original parchment (except in the case of name changes) but in the current style and language. The reprint bears the signatures of officials now in office and replaces the original parchment.

As the parchment is an official document pertaining to the graduate’s official academic record, parchment reprints can only be requested by and provided to the graduate.

Note: Parchment reprints will not be issued if you have outstanding accounts with any University of Alberta Department.

OrderID

Full Name*

First and Middle NameLast Name

Former Name (if applicable)

First and Middle NameLast Name

Student ID Number

(If known)

Date of Birth*

Your Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Country CodeArea CodePhone Number

Email Address*

Your current email address

Degree to be reprinted*

Date of Convocation (Month and Year)*

Name as it should appear on your parchment (for name changes only)

Name must match the name on your student record

Reason for Replacement*

Lost parchmentOriginal parchment never receivedDamaged (original parchment must be returned)Name change (original parchment must be returned; supporting documentation, including a Change of Name from the Office of the Registrar, must be presented before the reprinted parchment will be released)For professional display purposes (note: MD, DDS, LLB/JD degrees only)Convert BPE to BKin (original BPE parchment must be returned)Convert LLB to JD (original LLB parchment must be returned)Convert MPharm to PharmD (original MPharm parchment must be returned)

If the original parchment must be returned before the request is processed, please deliver it to:

Convocation and Ceremonies Office
1-27 South Academic Building
University of Alberta
Edmonton, Alberta T6G 2G7

How would you like to receive your parchment?*

I will pick up my parchment reprint. Please email me when ready.$100.00CAD

Regular Mail$100.00CAD

Courier - Canada$120.00CAD

Courier - United States$140.00CAD

Courier - International$160.00CAD

Total $0.00CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Parchment Delivery Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Additional Information

I certify that the information in this application is true and complete in all respects and that I have withheld no information. I understand that misrepresentations or attempts to obtain official documentation under false pretences are serious offences which may result in prosecution under the University's Code of Behaviour and/or the Criminal Code of Canada.*

I agree and certify my responses

Type a question

The personal information requested on this form is collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act (the FOIP Act) and will be protected under Part 2 of that Act. It will be used for the purpose of determining eligibility for university admission and/or the administration of academic programs and student services. Certain personal information may be made available to federal and provincial government departments and agencies under appropriate legislative authority. Questions concerning the collection and use of this information should be directed to the Assistant Registrar, Enrolment Services at enrolmentservices@ualberta.ca.