Fillable Application For A U.s. Passport printable pdf download

U.S. Department of State

APPLICATION FOR A U.S. PASSPORT

PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS.

I applied:

Place:

Date:

FOR INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at travel.state.gov. In addition,

you can contact the National Passport Information Center (NPIC) toll–free at 1–877–487–2778

(TDD: 1–888–

874–7793) or by e–mail at NPIC@state.gov. Customer Service Representatives are available M–F, 6AM–12 Midnight

Eastern Time (excluding federal holidays). Automated information is available 24/7.

U.S. PASSPORTS, EITHER IN BOOK OR CARD FORMAT, ARE ISSUED ONLY TO U.S. CITIZENS OR NON–CITIZEN NATIONALS. EACH PERSON

MUST OBTAIN HIS OR HER OWN PASSPORT BOOK OR PASSPORT CARD. THE PASSPORT CARD IS A U.S. PASSPORT ISSUED IN CARD FORMAT.

LIKE THE TRADITIONAL PASSPORT BOOK, IT REFLECTS THE BEARER’S ORIGIN, IDENTITY, AND NATIONALITY AND IS SUBJECT TO EXISTING

PASSPORT LAWS AND REGULATIONS. UNLIKE THE PASSPORT BOOK, THE PASSPORT CARD IS VALID ONLY FOR INTERNATIONAL TRAVEL BY

LAND OR SEA BETWEEN THE UNITED STATES, CANADA, MEXICO, THE CARIBBEAN AND BERMUDA. IT IS NOT GLOBALLY INTEROPERABLE AND

IS NOT VALID FOR TRAVEL BY AIR TO OR FROM ANY FOREIGN DESTINATION.

APPLICANTS WHO HAVE HAD A PREVIOUS U.S. PASSPORT BOOK AND/OR U.S. PASSPORT CARD

If your most recent passport book and/or passport card was issued less than 15 years ago and you were over 16 years old at

the time of issuance, you may be eligible to use Form DS–82 (mail–in or electronic application). Please inquire about eligibility

when you apply, visit our website, or contact NPIC. Address any requests for the addition of visa pages to a Passport Agency or

a U.S. consulate or embassy abroad. In advance of your departure, check for any visa requirements with consular officials of the

countries you will be visiting.

SPECIAL REQUIREMENTS FOR CHILDREN

•

AS DIRECTED BY PUBLIC LAW 106–113 AND 22 CFR 51.28:

To submit an application for a child under age 16 both parents or the child’s legal guardian(s) must appear

and present the following:

•

Evidence of the child’s U.S. citizenship,

•

Evidence of the child’s relationship to parents/guardian(s), AND

•

Parental/guardian identification.

IF ONLY ONE PARENT APPEARS YOU MUST ALSO SUBMIT ONE OF THE FOLLOWING:

•

Second parent’s notarized written statement consenting to passport issuance for the child,

Primary evidence of sole authority to apply, OR

•

A written statement (made under penalty of perjury) explaining the second parent’s unavailability.

•

AS DIRECTED BY REGULATION 22 CFR 51.21 and 51.28:

Each minor child applying for a passport book and/or passport card must appear in person.

WHAT TO SUBMIT WITH THIS FORM:

1. PROOF OF U.S. CITIZENSHIP (Evidence of U.S. citizenship that is not damaged, altered, or forged will be returned to

you.)

2. PROOF OF IDENTITY

3. TWO RECENT COLOR PHOTOGRAPHS, AND

4. FEES (Please visit our website at travel.state.gov for current fees.)

WHERE TO SUBMIT THIS FORM:

Please complete and submit this application in person to one of the following acceptance agents: a clerk of a Federal or State court

of record or a judge or clerk of a probate court accepting applications; a designated municipal or county official; a designated postal

employee at an authorized post office; or an agent at a Passport Agency (by appointment only) in Boston, Chicago, Aurora CO,

Honolulu, Houston, Los Angeles, Miami, New Orleans, New York, Norwalk CT, Philadelphia, San Francisco, Seattle, or Washington

DC; or a U.S. consular official at a U.S. embassy or consulate, if abroad. To find your nearest acceptance facility, visit our website or

contact the National Passport Information Center.

See Instruction Page 2 for detailed information on the completion and submission of this form.

DS–11

Instruction Page 1 of 4

02-2008

Application For A U.s. Passport

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