UC San Diego Certificate Replacement Request
This form is essential for requesting replacement copies of your academic certificates from UC San Diego Extension. Ensure that all fields are completed accurately to prevent any delays in processing your request. Follow the provided instructions for a smooth submission experience.
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How do I fill this out?
To fill out this form, please provide accurate personal details such as your name and address. Make sure to specify the type of certificate you are requesting. Follow the instructions for payment and submission carefully.

How to fill out the UC San Diego Certificate Replacement Request?
1
Enter your student ID number if known.
2
Provide your full name and contact information.
3
Specify the certificate type and quantity requested.
4
Include the payment information and method.
5
Review your submission for accuracy before sending.
Who needs the UC San Diego Certificate Replacement Request?
1
Former students seeking replacement certificates.
2
Individuals requiring proof of their educational achievements.
3
Professionals needing certifications for job applications.
4
Students who misplaced their original certificates.
5
Learners pursuing advanced education requiring verification.
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Open the PDF document on PrintFriendly.
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Click on the section you want to edit.
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Make the necessary changes to the text.
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Use the save feature to download your edited document.
5
Prepare for submission by reviewing all changes.

What are the instructions for submitting this form?
To submit your certificate replacement request, please download the completed form and send it to Student Services at UC San Diego Extension via mail or fax. The mailing address is Student Services, University of California San Diego, Extension, 9500 Gilman Drive, Dept. 0172-S, La Jolla, CA 92093-0172. Alternatively, you can fax your request to (858) 246-1031. Ensure that you include all required information and payment method with your request to avoid delays.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure you are aware of any specific submission deadlines. Keep track of important academic milestones relevant to your certificate replacements.

What is the purpose of this form?
This certificate replacement request form serves as a formal means for former students of UC San Diego Extension to obtain duplicate copies of their certificates. Whether due to loss, damage, or the need for additional copies, the form ensures that all requests are processed efficiently. Understanding the significance of maintaining your academic records, this form facilitates access to essential documentation needed for professional and educational advancement.

Tell me about this form and its components and fields line-by-line.

- 1. Student ID Number: Your unique identification number within the university, if known.
- 2. Last Name: Your last name as it appears on your original certificate.
- 3. First Name: Your first name as it appears on your original certificate.
- 4. Street Address: Your current mailing address.
- 5. City: City of your current residence.
- 6. State: State of your current residence.
- 7. Phone Number: Your contact phone number.
- 8. Email Address: Your email for confirmation and communication.
- 9. Certificate Program Name: The name of the program for which you require a certificate.
- 10. Total Copies Requested: The total number of replacement certificates you are requesting.
What happens if I fail to submit this form?
Failure to submit the form correctly may result in delays or the rejection of your request. It is essential to ensure that all fields are completed accurately and payment is included with your submission.
- Incomplete Fields: Leaving any required field blank can cause processing delays.
- Payment Issues: Not including payment or providing incorrect payment information may result in rejection.
- Incorrect Address: Providing an incomplete mailing address can lead to issues with delivery.
- Missing Signature: Not signing the form can prevent it from being processed.
- Missing Information: Failure to provide essential identifying information can slow processing times.
How do I know when to use this form?

- 1. Lost Certificate: If you have misplaced your original certificate, use this form to obtain a copy.
- 2. Damaged Certificate: In case your certificate is damaged, request a replacement using this form.
- 3. Additional Copies: When you need extra copies for various applications, this form allows you to request them.
- 4. Verification for Employment: Use this form to obtain proof of your academic achievements for job applications.
- 5. Further Education: If enrolling in a new program, you might need additional certificates for verification.
Frequently Asked Questions
How do I request a replacement certificate?
Fill out the certificate replacement request form and submit it as instructed.
What payment methods are accepted?
You can pay using cash/check or major credit cards.
Can I edit the form online?
Yes, you can easily edit the PDF using PrintFriendly's editing tools.
How do I submit my request?
Submit your request via mail, fax, or in person to the specified address.
How long does the process take?
Processing times may vary, but you will be notified once your request is complete.
What if I don’t have my student ID?
You can still submit your request by providing other identifying information.
Can I track my request?
Once submitted, our office will contact you regarding the status of your request.
Are there any fees associated with replacement certificates?
Yes, there are fees for processing replacement requests.
What if I miss the submission deadline?
Contact student services for assistance on late submissions.
How do I contact student services?
You can reach student services at (858) 534-3400 for assistance.
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