Order / Reorder Certificate Form | Registration

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 *

If your name differs from out 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