Transcription of CAN I USE THIS FORM?
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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.
CORRECTION, NAME CHANGE TO PASSPORT ISSUED 1 YEAR AGO OR LESS, AND LIMITED PASSPORT REPLACEMENT For information or questions, visit the official Department of State website at travel.state.gov or contact the National Passport Information Center (NPIC) at 1-877-487-2778 (TDD/TTY: 1-888-874-7793) or NPIC@state.gov.
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