Application For A U.s. Passport Corrections, Name Change Within 1 Year Of Passport Issuance, And Limited Passport Holders (Page 2 of 6) in pdf

WHAT DO I SEND WITH THIS APPLICATION FORM?

1. Your most recent U.S. passport book and/or passport card.

2. A recent color photograph.

 Submit a color photograph of you alone, sufficiently recent to be a good likeness of you (taken within the last six months), and 2x2 inches in size. The image

size measured from the bottom of your chin to the top of your head (including hair) should not be less than 1 inch, and not more than 1 3/8 inches. The

photograph must be in color, clear, with a full front view of your face. The photograph must be taken with a neutral facial expression (preferred) or a natural

smile, and with both eyes open and be printed on photo quality paper with a plain light (white or off-white) background. The photograph must be taken in normal

street attire, without a hat or head covering unless a signed statement is submitted by the applicant verifying that the hat or head covering is part of recognized,

traditional religious attire that is customarily or required to be worn continuously when in public or a signed doctor's statement is submitted verifying the item is

used daily for medical purposes. Headphones, "bluetooth", or similar devices must not be worn in the passport photograph. Glasses or other eyewear are not

acceptable unless you provide a signed statement from a doctor explaining why you cannot remove them due to medical reasons (e.g., during the recovery

period from eye surgery). Any photograph retouched so that your appearance is changed is unacceptable. A snapshot, most vending machine prints, hand-held

self portraits, and magazine or full-length photographs are unacceptable. A digital photo must meet the previously stated qualifications, and will be accepted for

use at the discretion of Passport Services. Visit our website at travel.state.gov for details and information.

USE CAUTION WHEN STAPLING YOUR PHOTO: Use 4 staples vertically in the corners as close to the outer edges as possible. Do not bend the photo.

3. Evidence to submit with this form (all documentary evidence that is not damaged, altered, or forged will be returned to you):

 If your name has changed less than one year after your U.S. passport was issued AND your U.S. passport is less than one year old, you may use this

form. You must submit a certified name change document such as a certified copy of your marriage certificate or a certified copy of a court order showing a seal

and officiate/judge signature. If you are unable to document your name change in this manner, you must apply on the DS-11 application form by making a

personal appearance at (1) a passport agency; (2) U.S. Embassy or Consulate, if abroad; (3) any federal or state court of record or any probate court accepting

passport applications; (4) a designated municipal or county official; or (5) a post office, which has been selected to accept passport applications.

 If there is a name change or an error in the descriptive data in your recently issued, unexpired passport, you must submit the appropriate evidence showing

the correct information (e.g. certified birth certificate or certified marriage certificate as described above).

 If you are re-applying because your U.S. passport book was limited in validity due to a lack of citizenship evidence or identity, you must submit evidence of

your U.S. citizenship (such as a government-issued birth certificate or a U.S. Certificate of Naturalization) and/or evidence of your identity (such as a driver's

license or a state issued identification card). You must establish your citizenship and identity to the satisfaction of Passport Services. We may ask you to

provide additional evidence to corroborate your claim to U.S. citizenship and/or your identity. Passports limited in validity due to serious damage or

multiple losses cannot be extended. Please contact the National Passport Information Center or visit travel.state.gov for more information and instructions.

 If your passport was limited due to gender transition, please visit for

information on what documentation you will need to submit with this application form.

HOW DO I APPLY USING THIS FORM?

1. Complete, sign, and date this form.

2. Send this form with your most recent U.S. passport book and/or passport card, any required additional evidence, and a recent color photograph.

MAIL FORM TO:

FOR ROUTINE SERVICE:

FOR EXPEDITED SERVICE (Requires a Fee):

National Passport Processing Center

Post Office Box 90107

Post Office Box 90907

Philadelphia, PA 19190-0107

Philadelphia, PA 19190-0907

Because of the sensitivity of the enclosed documents, Passport Services recommends using trackable mailing service when submitting your application.

IS THERE A FEE ASSOCIATED WITH THIS FORM AND HOW WILL MY NEW

U.S. PASSPORT BOOK AND/OR PASSPORT CARD BE MAILED BACK TO ME?

There is no fee associated with the use of this form unless expedited service is requested (see below). Your re-issued passport book and/or passport card and

any documentary evidence submitted to Passport Services will be returned to you by priority or first class mail, unless overnight delivery is requested. You may

receive your newly issued document and your returned citizenship evidence in separate mailings. If you are applying for both a U.S. passport book and card,

you may receive three separate mailings: one with your returned citizenship evidence; one with your newly issued U.S. passport book, and one with your newly

printed U.S. passport card.

OVERNIGHT DELIVERY SERVICE is only available for passport book (and not passport card) mailings in the United States. Please include the appropriate fee

with your application.

For faster processing, you may request expedited service. Please include the expedite fee with your application. Expedited service is only available for passports

mailed in the United States and Canada.

All fees must be submitted in the form of a personal check or money order. MAKE CHECKS PAYABLE TO "U.S. DEPARTMENT OF STATE." THE FULL

NAME AND DATE OF BIRTH OF THE APPLICANT MUST BE TYPED OR PRINTED ON THE FRONT OF THE CHECK. DO NOT SEND CASH. Passport

Services cannot be responsible for cash sent through the mail. Visit travel.state.gov for updated information on fees, processing times, or to check the status of

your passport application online.

NOTE REGARDING MAILING ADDRESSES: Passport Services does not send mail to a private addresses outside the United States or Canada. If you do not

live at the address listed in the "mailing address," then you must put the name of the person residing in that address and mark it as "In Care Of." If your mailing

address changes prior to receipt of your new U.S. passport, please call the National Passport Information Center at 1-877-487-2778 or visit travel.state.gov.

DS-5504 06-2016

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