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Form DS-5504

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Form DS-5504 Page 2
Form DS-5504
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 (normally 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 color, clear, with a full front view of your face, and printed on thin paper with plain light (white or off-white) background. The photograph
must be taken in normal street attire, without a hat, head covering, or dark glasses unless a signed statement is submitted by the applicant verifying the item is
worn daily for religious purposes 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 passport photographs. Any photographs retouched so that your appearance is changed are unacceptable. Snapshots, most
vending machine prints, and magazine or full-length photographs are unacceptable. Digitized photos 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.)
3. Evidence to support a name change or other change in descriptive data.
If your name has changed, the name change document you must submit may be 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 change or an error in the descriptive data in your recently issued passport, you must submit the appropriate evidence showing the correct
information (e.g. certified birth certificate or certified marriage certificate as described above).
All documentary evidence that is not damaged, altered, or forged will be returned to you.
PLEASE NOTE: If you are re-applying because your U.S. passport book was limited in validity due to a lack of citizenship evidence or identity,
please submit the necessary document as specified by Passport Services. Passports limited in validity due to multiple losses cannot be extended.
Please contact the National Passport Information Center for detailed information and instructions.
HOW DO I APPLY USING THIS FORM
MAIL FORM TO:
FOR ROUTINE SERVICE:
National Passport Processing Center
Post Office Box 90107
Philadelphia, PA 19190-0107
FOR EXPEDITED SERVICE (Additional Fee):
National Passport Processing Center
Post Office Box 90907
Philadelphia, PA 19190-0907
IS THERE A FEE ASSOCIATED WITH THIS FORM AND HOW WILL MY NEW
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 passport book and card
you may receive three separate mailings; one with your returned citizenship evidence; one with your newly issued passport book, and one with your newly
printed passport card.
OVERNIGHT DELIVERY SERVICE
: If you desire overnight delivery service for the return of your passport, include the appropriate fee with your payment.
FASTER PROCESSING
: For an additional fee, you may request expedited service. Please include this fee in your payment and submit the application to the
appropriate address. Please write "Expedite" on the outer envelope when mailing. ALSO, TO ENSURE MINIMAL PROCESSING TIME
for expedited
applications, Passport Services recommends using overnight delivery when submitting the application AND including the appropriate postage fee
for return overnight delivery for the completed passport. Expedited service is only available in the United States. Please visit travel.state.gov
for
updated information regarding fees and processing times.
Enclose the expedite and/or overnight delivery fee in the form of a personal check or money order. MAKE CHECKS PAYABLE TO "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. By law, the fees are non-refundable. Please visit our website at
travel.state.gov
for detailed information regarding current fees.
NOTE REGARDING MAILING ADDRESSES: Passport Services will not mail a passport to a private address outside the United States. If you do not live at
the address listed in the "mailing address" then you must put the name of the person and mark it as "In Care Of." If your mailing address changes prior to
receipt of your new passport, please contact the National Passport Information Center.
Instruction Page 2 of 4
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.
DS-5504 12-2010
Because of the sensitivity of the enclosed documents, Passport Services recommends using trackable mailing service when submitting your application.
Form DS-5504