Transcription of AP P LI C AT IO N F O R A U. S . P AS S P O RT F O R ELI G ...
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AP P LI C AT IO N F O R A U. S . P AS S P O RT F O R ELI G ...
I have changed my name less than one year since my most recent passport book and/or passport card was issued AND my passport book passport card is less than one year old;ORMy identifying information in my most recent passport book and/or passport card was printed incorrectly;ORMy most recent passport book was limited to two years or less for a reason other than multiple losses or a seriously damaged/mutilated passport. PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDSCAN I USE THIS FORM?Complete this checklist to determine your eligibility to use this formYesYesYou must apply on application form DS-11 or DS-82 depending on your circumstances. Please refer to those forms, visit , or contact the National Passport Information Center for further information. YesNoNoNoMailing Date of Application:_____If you answered NO to ALL of the three statements above, STOP - You cannot use this form!
This form is used by U.S. passport holders who are eligible to re-ap ply for a U.S. passport book and/or card (a trav el document attest ing to one s identity and issued to U.S. citiz ens or non-ci tizen U.S. nationals) at no cost (unless Hxpedited s ervice is requested for a name change or limited pass port replacement).
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