Submitted Sunday, February 5, 2023 

Important: Please read the information below before completing the  form.

The name on your diploma must match the name in your official record.  If there has been a change in your first or last name, please attach documentation such as a court order, marriage certificate or copy of a state or federally issued ID. 

All replacement diplomas are issued in 11” x 14” format and bear the name “Capitol Technology University” as the institution was renamed from “Capitol College” in 2014. 

The fee for a replacement diploma is $75.00.  Payment must be received before the diploma is ordered. The Business Office accepts credit card information via phone at 301-369-2318 or check/money orders made payable to Capitol Technology University. Please allow four to six weeks for processing. 

Full name exactly as you want it printed on the diploma:

Student ID:

Daytime Phone:

Email:

Year of Graduation:

Degree:

Major:

Current Address: