Transcription of CAN I USE THIS FORM?
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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. YesNoNoNoMailing Date of Application:_____If you answered NO to ALL of the three statements above, STOP - You cannot use this form!
u.s. department of state application for a u.s. passport for eligible individuals 0mb control no. 1405-0160 expiration date: 11-30-2022 estimated burden: 40 min
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