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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.

from 1” to 1 3/8” 0mb control no. 1405-0160 expiration date: 11-30-2022 estimated burden: 40 min

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