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CAN I USE THIS FORM?

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.

Send this form with your most recent U.S. passport book and/or card, a new color photograph (taken within the last six months), and any required additional ... with your application or if additional information is required. D5-5504 11-2019 Instruction Page 1 of 4 .

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