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Form DS-82

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You can fill in this form by hand or complete it online at http://travel.state.gov/passport/forms/ds82/ds82_843.asp.

Form DS-82
Form DS-82
U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS
PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS
CAN I USE THIS FORM
Complete the checklist to determine your eligibility to use this form
Yes
If you answered NO to any of the statements above,
STOP - You cannot use this form!
You must apply on application form DS-11 by making a personal appearance before an acceptance agent
authorized to accept passport applications. Visit travel.state.gov
to find your nearest acceptance facility.
Yes
Yes
Yes
No
No
No
No
Yes No
--OR--
Date of Application:_____________________
U.S. PASSPORTS, EITHER IN BOOK OR CARD FORMAT, ARE ISSUED ONLY TO U.S. CITIZENS OR NON-CITIZEN NATIONALS. EACH PERSON
MUST OBTAIN HIS OR HER OWN PASSPORT BOOK OR PASSPORT CARD. THE PASSPORT CARD IS A U.S. PASSPORT ISSUED IN CARD
FORMAT. LIKE THE TRADITIONAL PASSPORT BOOK, IT REFLECTS THE BEARER'S ORIGIN, IDENTITY, AND NATIONALITY AND IS SUBJECT
TO EXISTING PASSPORT LAWS AND REGULATIONS. UNLIKE THE PASSPORT BOOK, THE PASSPORT CARD IS VALID ONLY FOR ENTRY TO
THE UNITED STATES AT LAND BORDER CROSSINGS AND SEA PORTS OF ENTRY WHEN TRAVELING FROM CANADA, MEXICO, THE
CARIBBEAN, AND BERMUDA. THE U.S. PASSPORT CARD IS NOT VALID FOR INTERNATIONAL AIR TRAVEL.
Please visit our website at travel.state.gov. In addition, you may contact the National Passport Information
Center (NPIC) toll-free at 1-877-487-2778 (TDD: 1-888-874-7793) or by email at [email protected]
. Customer
Service Representatives are available Monday-Friday 8:00a.m.-10:00p.m. Eastern Time (excluding federal
holidays.) Automated information is available 24/7.
FAILURE TO PROVIDE INFORMATION REQUESTED ON THIS FORM, INCLUDING YOUR SOCIAL SECURITY NUMBER,
MAY RESULT IN SIGNIFICANT PROCESSING DELAYS AND/OR THE DENIAL OF YOUR APPLICATION.
NOTICE TO APPLICANTS RESIDING ABROAD
United States citizens residing abroad CANNOT submit this form to the domestic address listed on the Instruction Page 2. Such applicants should contact the
nearest U.S. embassy or consulate for procedures to be followed when applying overseas.
DS-82 12-2010
Instruction Page 1 of 4
WARNING: False statements made knowingly and willfully in passport applications, including affidavits or other documents submitted to support
this application, are punishable by fine and/or imprisonment under U.S. law, including the provisions of 18 USC 1001, 18 USC 1542, and/or 18 USC
1621. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under the provisions of
18 USC 1543. The use of a passport in violation of the restrictions contained therein or of the passport regulations is punishable by fine and/or
imprisonment under 18 USC 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.
I can submit my most recent U.S. passport book and/or U.S. passport
card with this application.
I was at least 16 years old when my most recent U.S. passport book
and/or passport card was issued.
I was issued my most recent U.S. passport book and/or passport
card less than 15 years ago.
My most recent U.S. passport book and/or U.S. passport card for which
I am renewing has not been lost, stolen, mutilated, or damaged.
I use the same name as on my recent U.S. passport book and/or
U.S. passport card.
I have had my name changed by marriage or court order and can
submit proper documentation to reflect my name change.
FOR INFORMATION, QUESTIONS, AND INQUIRIES:
Form DS-82
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