Self-Certification Of Ds-82 Adult Passport Renewal Form

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Self-Certification of DS-82 Adult Passport Renewal
Please review your DS-82 application to check for completeness and ensure that all fields
are completed. Incomplete applications or damaged passports may lead to delays in
processing. Please ensure that your application meets the following requirements:
Your product choice is checked: U.S. Passport Book, U.S. Passport Card, or Both
Name is complete and matches your previous passport
Social Security number is included
Email address is listed and can be easily read
A local phone number is provided
On line #9, all other names used since birth (typically a maiden name or previous married
name) are listed regardless of whether they have appeared on previous passports
A 2”x2” photo is included that was taken within the last 6 months and has not been used
in another U.S. passport. You must not be wearing glasses.
The application is signed and dated.
Third Party Authorization: I, ____________________________, bearer of U.S. passport
# ______________________, authorize ______________________________, bearer of
Singapore IC # or passport # __________________________ to drop off my passport
and pay for my new passport application on my behalf.
I understand that my passport will remain with the Embassy for approximately 7-10 working
days and that any errors or omissions in my application may delay the processing of my new
passport.
______________________
______________
Today’s Date
Applicant Signature

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