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 e-mail 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 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 notarized written statement consenting to passport issuance for the child,
A written statement (made under penalty of perjury) explaining the second parent's unavailability.
See Instruction Page 2 for detailed information on the completion and submission of this Form.
I applied: Place:
WHAT TO SUBMIT WITH THIS FORM:
To submit an application for a child under age 14 both parents or the child's legal guardian(s) must appear and
present all of the following:
Evidence of the child's U.S. citizenship,
Evidence of the child's relationship to parents/guardian(s), AND
Each minor child applying for a passport shall appear in person.
AS DIRECTED BY PUBLIC LAW 106-119 AND 22 CFR 51.27 EFFECTIVE JULY 2,2001:
Instruction Page 1 of 4
AS DIRECTED BY REGULATION 22 CFR 51 Effective February 1, 2004:
APPLICATION FOR A U.S. PASSPORT