HomeRegistrationOrder / Reorder Certificate Form Utah Tech University Order / Reorder Certificate Form Contact your academic advisor if you have any questions. Order/Reorder Certificate Form Personal Information First Name: * Middle Name: Last Name: * Maiden or Former Name: Phone Number * Birth Date: * Digital ID: * Email Address: * Certificate Information Choose One * I am applying for a new certificate to be awarded I am ordering a paper copy of a certificate, which I have already earned Name as you would like it to appear on your certificate: * Certificate Earned * Art, Photography/Digital ImagingAutomotive MechanicsBiotechnologyComputer ForensicsComputing FundamentalsCryptography, Level ICryptography, Level IIData AnalyticsDesignDigital Forensics BasicseMarketingEmergency Medical Technician (EMT)Engineering, Maker CertificateEntrepreneurshipAdvanced Emergency Medical Technician (A-EMT)General Education (current students only)General MarketingGerontologyHealth CommunicationInformation TechnologyMedia ProductionMediationModeling and SimulationMultimedia JournalismNurse Assistant (CNA)ParamedicPhlebotomyPiano PedagogyProfessional WritingRetail ManagementSocial MediaSocial Research MethodsStrategic CommunicationSurgical TechnologySustainabilityVisual Technologies If your name differs from our records, you must complete an Information Change form. Info Change Delivery Information Upon submission of this form, you will be sent a confirmation email and charged a $10 order/replacement certificate fee. The fee may be paid online through your MyUT account or through the Cashier’s Office (435) 652–7605. Hold Certificate at the Registrar’s Office or mail certificate: * Please hold certificate at the Registrar’s Office Mail certificate to the following address Please enter address here if applicable If you are human, leave this field blank.
