Form preview

DS-5504 2005 free printable template

Get Form
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
pdfFiller is not affiliated with any government organization

Get, Create, Make and Sign DS-5504

Edit
Edit your DS-5504 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your DS-5504 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing DS-5504 online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log into your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit DS-5504. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
pdfFiller makes dealing with documents a breeze. Create an account to find out!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

DS-5504 Form Versions

Version
Form Popularity
Fillable & printabley
4.8 Satisfied (156 Votes)
4.2 Satisfied (43 Votes)
4.4 Satisfied (70 Votes)
4.3 Satisfied (59 Votes)
4.0 Satisfied (21 Votes)
4.3 Satisfied (44 Votes)

How to fill out DS-5504

Illustration

How to fill out DS-5504

01
Download the DS-5504 form from the official website.
02
Provide your personal information such as name, date of birth, and contact details.
03
Indicate the reason for requesting a replacement of your lost, stolen, or damaged passport.
04
Attach a recent passport-sized photo that meets the specified requirements.
05
Include your current passport number and any previous passport numbers if applicable.
06
Sign and date the form in the appropriate field.
07
Review the completed form for accuracy and completeness.
08
Submit the form along with the required fees and documents to the appropriate address.

Who needs DS-5504?

01
Individuals who have lost, stolen, or damaged their U.S. passport.
02
People whose passport has expired and requires a renewal.
03
Travelers needing a new passport due to a name change.

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.

Fill form : Try Risk Free
Rate the form
4.3
Satisfied
44 Votes

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.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

With pdfFiller, you may not only alter the content but also rearrange the pages. Upload your DS-5504 and modify it with a few clicks. The editor lets you add photos, sticky notes, text boxes, and more to PDFs.
Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your DS-5504 in minutes.
You can make any changes to PDF files, such as DS-5504, with the help of the pdfFiller mobile app for Android. Edit, sign, and send documents right from your mobile device. Install the app and streamline your document management wherever you are.
DS-5504 is a form used by U.S. citizens to apply for a U.S. passport renewal or amendment, particularly for children under 16 or for individuals whose passport has been issued when they were under 16 years old.
Individuals who are renewing or amending their U.S. passport issued when they were under the age of 16, or those who need a passport that reflects their current name due to marriage or other legal name changes are required to file DS-5504.
To fill out DS-5504, applicants should provide personal information such as their full name, date of birth, and passport details. They need to complete the form online or print it out, sign it, and submit it along with the required supporting documents and payment.
The purpose of DS-5504 is to provide a streamlined process for renewing or updating the passport for individuals who were issued a passport as minors or need updates due to name changes.
The information that must be reported on DS-5504 includes the applicant's full name, date of birth, place of birth, previous passport number, the date it was issued, the name change documents (if applicable), and contact information.
Fill out your DS-5504 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview