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DS-5504 2022-2025 free printable template

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Therefore when a valid or potentially valid U.S. passport book or card cannot be presented with a new application you must apply using form DS-11 Application for a U.S. Passport and submit form DS-64 Statement Regarding a Lost or Stolen Valid U.S. Passport. If you answered NO to ALL the statements above STOP. You cannot use this form. You may be eligible to apply on form DS-11 or DS-82 depending on your circumstances. Name Last First Middle Note You must submit evidence documenting your name...
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How to fill out DS-5504

01
Obtain the DS-5504 form from the U.S. Department of State website or a U.S. embassy/consulate.
02
Read the instructions carefully to understand the requirements before filling out the form.
03
Fill in your personal information, including your name, date of birth, and place of birth in the designated fields.
04
Indicate the type of application (replacement or amendment) you are submitting.
05
Provide details of your previous passport, including the passport number and the date of issue.
06
Attach a recent passport-sized photo that meets the specified requirements.
07
Review your application for accuracy and completeness.
08
Sign and date the form where indicated.
09
Submit the form along with any required fees and supporting documents to the appropriate address.

Who needs DS-5504?

01
Individuals who need to replace a lost, stolen, or damaged passport.
02
Persons who have had a name change and need to update their passport.
03
Individuals seeking to correct an error in their passport information.

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 form ds

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 who wish to apply for a U.S. passport or to renew their passport under certain conditions.
Individuals who are applying for a U.S. passport for the first time or are eligible for a renewal using form DS-5504 must file this form when they meet specific criteria, such as having a previous passport issued when they were under the age of 16, among other conditions.
To fill out DS-5504, applicants should provide their personal information including name, date of birth, and previous passport details, as well as any additional documentation required. It is important to follow the instructions provided with the form to ensure all necessary information is included.
The purpose of DS-5504 is to facilitate the process of getting a U.S. passport for individuals who may have special circumstances that make them eligible for a simplified renewal process.
Information that must be reported on DS-5504 includes the applicant's name, date of birth, passport information, and any changes or updates since the previous passport issuance, as well as a recent passport photo.
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