U.S. Department of State
FOR INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at travel.state.gov. In addition,
contact the National Passport Information Center (NPIC) toll-free at 1-877-487-2778 (TDD: 1-888-874-7793) or
by email at NPIC@state.gov. Customer Service Representatives are available M-F 8AM-8PM EST (excluding
federal holidays). Automated information is available 24/7.
PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS.
U.S. PASSPORTS ARE ISSUED ONLY TO U.S. CITIZENS OR NATIONALS. EACH PERSON MUST OBTAIN HIS OR HER OWN PASSPORT.
If your most recent passport was issued less than 15 years ago and you were over 16 years old at the time of
issuance, you may be eligible to use Form DS-82 (mail-in application). Please inquire about eligibility when you
apply or visit our website or contact NPIC. Address any requests for a passport amendment, extension of
validity, or the addition of visa pages to a Passport Agency or a U.S. consulate or embassy abroad. In advance of
your departure, check visa requirements with consular officials of the countries you will be visiting.
SPECIAL REQUIREMENTS FOR CHILDREN
IF ONLY ONE PARENT APPEARS YOU MUST ALSO SUBMIT ONE OF THE FOLLOWING:
Second parent's written statement consenting to passport issuance for the child,
Primary evidence of sole authority to apply, OR
A written statement (made under penalty of perjury) explaining the second parent's unavailability.
See Reverse Side for Detailed Information.
PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS
OMB APPROVAL NO. 1405-0004
EXPIRATION DATE: 03/31/2005
ESTIMATED BURDEN: 20 MINUTES
(See Page 4)
FIRST TIME APPLICANTS:
Please complete and submit this application in person. Each application must be accompanied by:
1. PROOF OF U.S. CITIZENSHIP
2. PROOF OF IDENTITY
3. TWO RECENT, IDENTICAL, COLOR PHOTOGRAPHS, AND
4. FEES (as explained on reverse of form) to one of the following acceptance agents: a clerk of a Federal or State