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DS-5504 2013 free printable template

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1544. All statements and documents are subject to verification. See page 2 of the instructions for detailed information on the completion and submission of this form. If you choose to provide your email address in Item 6 on this application Passport Services may use that information to contact you in the event there is a problem with your application or if additional information is required. DS-5504 11-2013 Instruction Page 1 of 4 WHAT DO I SEND WITH THIS APPLICATION FORM 1. Please submit...
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How to fill out DS-5504

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How to fill out DS-5504

01
Begin by downloading the DS-5504 form from the official U.S. Department of State website.
02
Fill out your personal information in the top section, including your name, date of birth, and Social Security Number.
03
Indicate the reason for applying for a replacement or correction of your passport.
04
Provide details regarding your previous passport, if applicable, including the passport number and the date it was issued.
05
Attach any required supporting documentation, such as a passport photo and any legal documents for name changes.
06
Review the completed form to ensure all information is accurate and complete.
07
Submit the form according to the instructions provided; this may include mailing it to the appropriate address.

Who needs DS-5504?

01
Individuals who need to replace a lost or stolen passport.
02
Anyone who requires a correction to their passport (such as a name change).
03
People whose passport has expired and needs to be updated.

Who needs a DS-5504 form?

An eligible individual who wants to apply for a US passport should complete this form. An eligible individual is a US citizen who has changed their name and the US passport was issued less than one year ago; the information in their previous passport was incorrect; or the previous US passport was limited in validity and issued less than one year ago.

What is the purpose of the DS-5504 form?

This form provides the personal information about the applicant which is required to issue a US passport. The US passport exists in card and book format. The passport in card format is not valid for international air travel.

What documents must accompany the DS-5504 form?

The application for US passport should be accompanied by the most recent US passport; a recent color photograph (the photo requirements are listed on the second page of the form); evidence to support a name change (birth certificate or marriage certificate) or other data change. All the supporting documents (except the photos) will be returned to the applicant.

When is the DS-5504 form due?

This application is completed when there is a need. The estimated time for completing the form is 60 minutes.

What information should be provided in the DS-5504 form?

The application asks for the following details from the applicant:

  • Type of the required document (Passport book, Passport Card, Both)
  • Applicant’s name
  • Applicant’s date and place of birth
  • Applicant’s social security number
  • Mailing address
  • Passport book and/or passport card information
  • Applicant’s appearance (height, hair color, eye color)
  • Occupation
  • Employer or school
  • Emergency contact
  • Travel plans
  • Reason of applying for a new passport

The applicant should also sign and date the form.

What do I do with the application after the completion?

The completed form is forwarded to National Passport Processing Center, Philadelphia, PA.

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People Also Ask about

If you are eligible, you may use form DS-82 and send in your renewal application by mail. If you are not eligible to send in the application by mail, you must use form DS-11 and apply in person. If you are making a change or correction, you may use form DS-5504.
If you are eligible, you may use form DS-82 and send in your renewal application by mail. If you are not eligible to send in the application by mail, you must use form DS-11 and apply in person. If you are making a change or correction, you may use form DS-5504.
You qualify to have your passport replaced using a DS-5504 form; this form can only be used to replace limited validity passports (emergency passports) and passports that had an error when they were printed within a year of its issue date.
How can I correct it? A: At the Passport Seva Kendra (PSK)/Post Office Passport Seva Kendra (POPSK) please ask the Citizen Service Executive (CSE) i.e. at Counter-A to make the required changes in the application form.
Submit the following by mail: Form DS-5504. Your most recent U.S. passport. Your original or certified name change document, such as a marriage certificate, divorce decree, or court order. One color passport photo.
Form DS-82 The DS-82 form or DS82 application for Passport Renewal is used when renewing a United States passport that is expired or near the expired date for no more than five (5) years beyond the expiration date on the passport.
Renewal of regular U.S. passport for an adult (DS-82 form)
You qualify to have your passport replaced using a DS-5504 form; this form can only be used to replace limited validity passports (emergency passports) and passports that had an error when they were printed within a year of its issue date.
DS-5504 04-2022. U.S. Department of State. APPLICATION FOR A U.S. PASSPORT FOR ELIGIBLE INDIVIDUALS. CORRECTION, NAME CHANGE TO PASSPORT ISSUED 1 YEAR AGO OR LESS, AND LIMITED PASSPORT REPLACEMENT. Please read all instructions first and type or print in black ink to complete this form.

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DS-5504 is a form used by U.S. citizens to apply for a U.S. passport or to renew a passport when qualifying for a passport issued under certain circumstances such as being a minor or having undergone a name change.
Individuals who are eligible to renew their passport by mail, such as those whose previous passport was issued when they were under age 16, or those who are applying for a name change, are required to file DS-5504.
To fill out DS-5504, applicants need to provide personal information such as name, date of birth, and contact details, along with their previous passport information. They must also include identification documents and a recent passport photo.
The purpose of DS-5504 is to streamline the process of renewing or changing the name on a U.S. passport for eligible applicants, ensuring accurate and updated personal information is recorded.
The information required on DS-5504 includes the applicant's full name, date of birth, social security number, previous passport details, and any legal documentation supporting a name change, as well as a recent photograph.
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