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DS-5504 2005 free printable template

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U.S. Department of State U.S. PASSPORT RE-APPLICATION FORM PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS. Date of Application: CAN I USE THIS FORM? Complete this checklist to determine
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How to fill out ds 5504 fillable form

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How to fill out ds 5504 online:

01
Visit the official website of the U.S. Department of State.
02
Find the section for passport services and locate the ds 5504 form.
03
Download the electronic version of the ds 5504 form.
04
Open the form using a PDF reader or editing software.
05
Carefully read the instructions provided on the form.
06
Start filling out the required information, such as your name, date of birth, and passport details.
07
Provide the reason for your passport amendment or replacement.
08
Review each section of the form to ensure accuracy and completeness.
09
Sign and date the form electronically or print it out and sign it manually.
10
Submit the completed ds 5504 form online by following the instructions on the website.

Who needs ds 5504 online:

01
Individuals who have recently changed their name or gender and need to update their passport.
02
Passport holders who have experienced damage to their passport and require a replacement.
03
Individuals who need to correct a printing or data error on their current passport.
04
Passport holders who have legally changed their name and want to reflect the change on their passport.
05
Individuals who want to add additional visa pages to their passport.

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

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 Online is a secure online application system for submitting and tracking passport applications. It is administered by the U.S. Department of State and allows applicants to apply for a U.S. passport online. The application can be completed and submitted online, and applicants can track the progress of their application from start to finish.
There is no specific penalty for late filing of Form DS-5504 online. However, if you do not submit your application for a new passport within a reasonable amount of time, you may be refused the passport.
The DS-5504 form is used to file for a change or correction to a previously issued passport. It can be filed online by individuals who meet the following criteria: 1. They currently have a valid U.S. passport. 2. They can submit their most recently issued U.S. passport book and/or U.S. passport card with the application. 3. They have legally changed their name since the issuance of their most recent passport or they want to correct a printing error in their passport information. 4. They can provide documentary evidence to support the requested change or correction (such as a marriage certificate, divorce decree, or court order). It's important to note that there may be other specific requirements and restrictions for filing the DS-5504 online, so it's recommended to consult the official guidelines provided by the U.S. Department of State or seek assistance from a passport acceptance facility or agency.
The purpose of the DS-5504 online form is to allow U.S. passport holders to update certain information on their passport, such as a change in name or correcting printing errors, without having to apply for a completely new passport. This online form is primarily used for passport renewals within one year of the original issuance date.
When filling out Form DS-5504 online, the following information must be reported: 1. Your full name as it appears on your most recent passport. 2. Your passport book number. 3. Your date of birth. 4. Your contact information, including mailing address, email address, and phone number. 5. The reason for your application, such as a name change, data correction, or limited passport replacement. 6. The details of the requested changes, including any new name to be added, corrected, or removed. 7. Any supporting documents required for the request, such as a marriage certificate or court order for a name change. 8. Information on your previous passport, including the date of issue, passport agency, and passport expiration date. 9. A recent passport-style photograph meeting the specified requirements. 10. Any additional information or remarks relevant to your application. Please note that this is a general outline of the information required and may vary depending on your specific circumstances or the purpose of your application. It is always advisable to review the official instructions provided by the U.S. Department of State, as they may be subject to change.
To fill out DS-5504 online, follow these steps: 1. Go to the U.S. Department of State's official website for passport services. 2. Find and click on the "Passport Forms" or "Application Forms" section. 3. Look for the DS-5504 form and click on it to open the form. 4. Read the instructions carefully to understand the requirements and eligibility for using this form. 5. Fill out the form online by entering the required information in the appropriate fields. You may need to provide details such as your name, passport number, reason for the name change or data correction, and any other necessary personal information. 6. Ensure that all the information you enter is accurate and up to date. Double-check for any errors or typos. 7. Review the form thoroughly to make sure you have completed all the required sections. 8. Save a copy of the completed form on your computer or device for your records. 9. After completing the form, look for the "Submit" or "Print" button to finalize the process. If there is a submission option, follow the prompts to submit the form electronically. 10. If there is a printing option, print out the completed form. Make sure to use a printer with good quality to ensure that all the information is clear and legible. 11. Sign the printed form in the designated area. A signed form is required for processing. 12. Gather any additional required documentation or supporting materials as indicated on the form. 13. Mail the printed form along with the supporting documents to the address listed on the form. Make sure to use a secure and trackable mailing service. 14. You may also be required to include the appropriate fees with your application. Check the form instructions for the current fee amount and acceptable payment methods. 15. Keep track of your application status and follow any additional instructions provided to complete the process. It is important to note that the specific steps for filling out DS-5504 online may vary depending on any updates or changes made to the online application process. Always refer to the official U.S. Department of State website for the most accurate and up-to-date instructions.
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