What Do I Need To Send With The Application Form?

Your most recent passport.
A marriage certificate or court order if your name has changed.
Passport fee of $55.
Two recent (taken within the last 6 months) identical photographs with a light, plain background.

1. YOUR MOST RECENT PASSPORT. Issued at age 18 or older in your current name (or see item #2 below) and issued within the past 12 years. If your passport is mutilated or damaged, you must apply on the DSP-11 Application form as specified below.

2. A MARRIAGE CERTIFICATE OR COURT ORDER. If the name you are currently using differs from the name on your most recent passport, you must submit a marriage certificate or court order showing the change of name. The name change document MUST bear the official seal of the issuing authority. Uncertified copies or notarized documents can not be accepted. All documents will be returned to you with your passport. If you are unable to document your name change in this manner, you must apply on the DSP-II Application form by making a personal appearance at (1) a passport agency; (2) any Federal or State court of record or any probate court accepting passport applications; or (3) a Post Office which has been selected to accept passport applications.

3. THE PASSPORT FEE OF $55. Enclose the $55 passport fee in the form of a personal check or money order. DO NOT SEND CASH. Passport services cannot be responsible for cash sent through the mail. If you desire special postage other than first class (registered, special deliver, etc.) include the appropriate fee on the check. THE FULL NAME AND DATE OF BIRTH OF THE APPLICANT MUST BE TYPED OR PRINTED ON THE FRONT OF THE CHECK. MAKE CHECKS PAYABLE TO PASSPORT SERVICES.

4. TWO RECENT IDENTICAL PHOTOGRAPHS. The photographs must have been taken within the past six months and be a good likeness ofyou. The photographs must be clear with a full front view of your face and taken on a light (white or off-white) background. Photographs may be in color or black and white and the image size must be 2x2 inches with an image size from bottom of chin to top of head (including hair) of between I and 1 3/8 inches. Photographs must be taken in normal street attire, showing you without head covering unless a signed statement is submitted indicating that the head covering is worn daily for religious or medical reasons. Dark glasses may not be worn in passport photographs unless a doctors statement is submitted supporting the wearing of dark glasses for medical reasons.

For Inquiries Contact:
National Passport Center 31 Rochester Avenue Portsmouth, NH. 03801-2900 Telephone: (603) 334-0500

NOTICE TO APPLICANTS RESIDING ABROAD. United States citizens residing abroad CANNOT submit this form to the Passport Facility listed above. Such applicants should contact the nearest United States Embassy or Consulate for procedures to be followed when applying overseas.

NOTICE TO APPLICANTS FOR OFFICIAL, DIPLOMATIC, OR NO-FEE PASSPORTS. You may use this application if you meet all of the provisions listed above. Submit you U.S. Government or military authorization for a no-fee passport with your application in lieu of the passport fee. CONSULT YOUR SPONSORING AGENCY FOR INSTRUCTION ON PROPER ROUTING PROCEDURES BEFORE FORWARDING THIS APPLICATION. Your completed passport will be released to your sponsoring agency for forwarding to you.

FEDERAL TAX LAW Section 6039E of the Internal Revenue Code of 1986 requires a passport applicant to provide his/her name, mailing address, date of birth and social security number. If you have not been issued a social security number, enter zeros in box. Passport Services will provide this information to the Internal Revenue Service routinely. Any applicant who fails to provide the required information is subject to a $500 penalty enforced by the IRS. All questions on this matter should be referred to the nearest IRS office.

PRIVACY ACT STATEMENT. The information solicited on a passport application form is authorized by, but not limited to, those statutes codified in Titles 8, 18, and 22, United States Code, and all predecessor statutes whether or not codified, and all regulations issued pursuant to Executive Order 1 1295 of August 5, 1966. The primary purpose for soliciting the information is to establish citizenship, identity, and entitlement to issuance of a United States passport or related facility, and to properly administer and enforce the laws pertaining thereto.

The information is made available as a routine use on a need-to-know basis to personnel of the Department of State and of their official duties; pursuant to a court order; and, as set other government agencies having statutory or other lawful authority to maintain such information in the performance of their official duties; pursuant to a court order; and, as set forth in Part 171, Title 22, Code of Federal Regulations (see Federal Register, Volume 42, pages 49791 through 49795).

Failure to provide the information requested on a passport application form may result in the denial of a United States passport, related document, or service to the individual seeking such passport, document, or service.