The ds5504 form must be printed on individual pages. To download form ds5504, copy this link into your browser or search engine. Application for consular report of birth abroad pdf 104 kb ds11. For travel to the united states on a temporary basis, including tourism, temporary employment, study and exchange. Filling out form ds82 or ds5504 for overseas applications. Passport, name change, data correction and limited passport book replacement. Please do not mail your application to a passport agency in the u. Embassy or consulate for procedures to be followed when applying overseas. Exchange a limitedvalidity passport for a fullvalidity. Embassy in windhoek issues passports to american citizens applying for the first time, renewing an expiredexpiring passport, or applying for a replacement for a lost or stolen. Please fill out form ds5504 online by using the passport wizard, print, and sign. In order to change information on your passport, you must submit a new passport application.
We are aware forms ds11, ds82, ds5504, ds3053, and ds5525 are expired. This replacement of a limitedvalidity passport requires form ds5504. Passport reapplication form ds5504 use to replace a limited validity passport print a pdf version and fill it out by hand. Submit form ds5504, your passport, a passport photo and documentation showing the correct information. If you have a limited emergency passport that is valid for a year or less, you should replace. Department of state regulations do not allow applicants to request passport amendments to make any changes to the biometric page of your passport including name change due to. Formtemplate offers you hundreds of resume templates that you can choose the one that suits your work experience and sense of design. Such applicants should contact the nearest united states embassy or consulate for procedures to be followed when applying overseas. If you fill out the form electronically, at the end of the questionnaire you will need to print the form and bring. Complete and print your passport application or additional visa pages application form before coming to the embassy. Print the ds5504 form and complete by hand pdf 82kb photo one 2 inch x 2 inch 5cm x 5cm square passport photo taken within the last six months. Bring official documentation that underlies your need for the change or correction request for example, if youre changing your name, you must bring proof of marriage divorce, or a court order indicating all the name changes that youve h. If you do not have adobe reader, download the latest version of adobe acrobat reader from here.
Ignore the attached instructions and print only the last two pages, the actual form, on two sheets of paper. Embassy in berlin and consulates in germany have suspended all routine appointments for passports, consular reports of birth abroad, and. Currently, payments for most passport servicesincluding all minor passport applications, firsttime adult passport applications, applications for passport cards, and replacements of lost, stolen, or damaged passportsmust be made in person at the u. One fullface 2 inch by 2 inch identical color photographs taken within the last six months with a white or light background. Ds5504 2016 2019 fillable and printable template in pdf. Filling out form ds82 or ds5504 for overseas applications u. The passport name change application is the same form that is used for corrections to passports that have printing errors. If you fill out the form electronically, at the end of the questionnaire you will need to print the form and bring it at the time of the interview. Statement of consent for issuance of a passport to a minor under age 16 ds5504. If it has been less than one year since you got your passport. Fill out and print online passport form ds5504 in word and pdf. Original marriage certificate, divorce decree or court order or.
According to the information provided you qualify to have your passport renewed using a ds82 or a ds5504 form. The documentation required for the change see page 2 of the form ds5504. In order to better serve you, we provide routine passport services only through our online appointment system. Form ds64 is one of the few forms issued by the us department of state that can be completed online.
Complete the passport application form you need easily and correctly using the passport application wizard. The forms listed below are pdf files, which can be downloaded using adobe reader. Completed form ds5504 pdf 89kb, application for a u. If you need an emergency passport for immediate international travel or for reasons relating to immigration, please contact the embassy or consulate nearest you. All documents will be returned to you with your passport. Appointments are required for all passport services. You may fill out these forms using an online form filler or by downloading a. Change name on passport online passports travel and visa.
The department of state instructions on pages one and two of forms ds11 and ds82 should be disregarded. This form should only be used for making a data change for a previously issued, currently valid u. Download form ds5504 and apply for a passport name change, data correction or limited passport book replacement. This form is used within one year of passport issuance for namechanges and any other descriptive information changes, as well as for the replacement of limited passports and correction of any printing errors.
Embassy gaborone has suspended routine consular services until further notice. You can fill out the ds82 or ds5004 form online or print it out and fill it out by hand. The ds5504 must be submitted with the passport to be replaced, the documentation required for the change, and new photos. Do not mail this form to the united states and do not sign it until before a consular officer. Statement of consent issuing a passport to a minor under age 16. If you are requesting for a name change, extension of validity for limited passports, or correction of a printing error, then apply for a replacement passport. The form filler works best if you are in the united states or renewing by mail from canada. Complete and print your passport application form before coming to the embassy. Passport name change, data correction, and limited passport. One passport sized 2x2inch photograph see photo requirements for information. T he government form you will need to complete when applying for a name change on a passport issued less than one year ago is called the ds5504. For further information on immigrant visas please visit the u. If your passport was issued less than 1 year ago and your name has been legally changed due to marriage or court order.
You must have been issued a us passport in your name within the past 12 years. If none of these apply to you then you will need to use form ds 11 or form ds 82, depending on your situation. Passport name change, data correction, and limited passport book replacement pdf 955 kb dsp82. No fee is required if the date of issue is within one year.
Name change corrections replacement of limited passport. Please bring completed online and printed out forms for your interview for adult passports first adult passport ds11 pdf 101 kb adult passport renewal ds82 pdf 89 kb replacement for loststolen passport ds11 pdf 101 kb replacement for damagedmutilated passport ds11 pdf 101 kb statement regarding loststolen passport ds64 pdf 47 kb amendmentcorrections within 1 year ds5504. If you meet the specific criteria outlined below, you can use the nofee passport amendment form, form ds5504 pdf 976 kb, to apply for a new passport. Form ds5504, application for a us passport federal register. Keep in mind that you will be asked the following questions when fill out the form. Complete the ds5504 form online, print it out, and sign it. You can fill out the ds 82 or ds 5004 form online or print it out and fill it out by hand. Applicants requesting a change within one year after issuance of a passport will apply for a replacement passport using the form ds5504. If the change is within one year after issuance, please submit a u. Passport applications for children under 16 years of age must comply with the following requirements. Name change, data correction, and limited passport book replacement the original marriage certificate or the governmentissued document evidencing your legal name change as well as a copy of the newspaper where your name change was published. Passport renewal application for eligible individuals by hand pdf 88kb ds5504 name change, data. Embassy in berlin and consulates in germany have suspended all routine appointments for passports, consular reports of birth abroad, and notarial services.
Pdf editor lets you to make modifications to your ds5504 fill. Complete the form online, then print and submit to the consular section of the embassy. If you are thinking about applying for or renewing a u. Multipage forms must be printed as one page per sheet. If you have changed your name any other way, you must apply using form ds11, click here for instructions. Bring official documentation that underlies your need for the change or correction request.
Photos which do not meet the requirements will be rejected. Distribute the ready form by way of email or fax, print it out or download on your device. Dec 31, 2015 embassy of the united states of america passport and citizenship unit boulevard du regentregentlaan 25 b brussels. Download form ds5504 pdf 76kb from the state department website. Below is a checklist to see if form ds 5504 is needed. Application for consular report of birth abroad of a citizen of the united states of america pdf 61kb form ds3053. Please keep in mind that the passport card will arrive 30 days after your regular passport book is delivered to the embassy or consulate. Your original birth certificate or previous expired u.
The instructions are straightforward and easy to understand. Complete ds5504 form online and bring it for the interview. Please make sure you answer every question and provide your social security number. If you meet the specific criteria outlined below, you can use. Passport applicants can either download the ds5504 from the. This form is used within one year of passport issuance for namechanges and any other descriptive information changes, as well as for the replacement of limited passports and. Name change, data correction and limited passport book. Passport form ds5504 fill online, print and download in pdf. Form ds5504 pdf 84kb form ds82 pdf 83kb form ds11 pdf 102kb. Application form a properly completed application for a u. If the name change occurred less than one year since your most recent passport was issued, submit the following. Name change and data correction form ds5504 pdf 74 kb. Follow the instructions below to download the passport application form ds5504.
Pdf editor lets you to make modifications to your ds5504 fill online from any internet linked gadget, personalize it based on your needs, sign it electronically and distribute in several ways. Send all of the following documents with your application. New restrictions on travel to the united states for non u. In order to use the ds82 application form, you must meet all of the following criteria. Incomplete applications will not be processed and will delay your passport renewal. If you have reached this page directly, please make sure you qualify to use the aforementioned forms, you can do so by going to the renewing your u. Citizen services forms the following forms are available online for printing. Ds 5504 passport form correct or change name on passport. Ds64 lost or stolen passport replacement application form. If you experience trouble with the passport application wizard to fill out the online applications click below to download. Unsigned forms will be returned and delay your passport renewal. Changing your name in your passport if you have changed your name by marriage or divorce, you may apply for a new passport to be issued in your new name, using form ds82 or ds5504.
Submit documentation showing that the information in the passport is incorrect e. Also, submit the passport that needs the change, the documentation. This is because though the form allows a passport holder to report a lost or stolen passport and start the process to replace the document, it is not actually enough to replace a passport. Because of public health measures to prevent the spread of covid19, we have extremely limited u.
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