CampusGroups

Degree Verification Request

Requestor's Name *

Student/Alum Information

Student ID (7-digit)

First Name *

Middle Name

Last Name *

Former Name(s)

Date of Birth *

Phone Number

Email Address *

Degree Information

Degree Awarded *

Year Degree was Awarded *

Send Verification to

Name

Please select one of the following delivery options.

Address, if verification is to be mailed

Fax Number, if verification is to be faxed

Email, if verification is to be emailed

For questions regarding this form, please contact the University Registrar's Office at registrar@case.edu or 216-368-4310.