Form – GovSolutions: Immigration Services

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My passport’s expired or expiring I’ve never had a passport before My passport was lost or stolen My passport is damaged or unusable I need a passport for my child (under 16)

Eligibility Questions

Your most recent U.S. passport book and/or card is in your possession and you can submit it with this application.

Yes No

Were you at least 16 years old when your most recent U.S. passport book and/or card was issued?

Yes No

Have you been issued your most recent U.S. passport book and/or card less than 15 years ago?

Yes No

The U.S. passport book and/or card being renewed has NOT sustained any mutilation, damage, or been reported lost or stolen.

Yes No

Was your U.S. passport valid for the full 10 years and not shortened because of damage, loss, or rule violations?

Yes No

Your name is the same now as it was in your most recent issued passport book/card.
OR
Your name has changed by marriage or court order and you can submit proper certified documentation to reflect your name change (eg. certified copy of a marriage certificate or court order).

Yes No

Personal Information
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Personal Information

Is this the name on your birth or adoption certificate?

Yes No, my name has changed

Please make sure you enter a valid email address. We will use this to contact you about your application

Contact Information
We may contact you if there's a problem with your application.

Primary Contact Number

Phone number type

Home Work Cellphone Other

Is your Mailing Address the same as above?

Yes No

Previous Passport Details
We need this so we can confirm your identity, citizenship, and eligibility, ensuring a secure and accurate application process.

My name is different in the previous passport

Yes No

Have you ever applied for or been issued a Passport Card?

Yes No

Passport card number

Emergency Contact
Add details of the person that needs to be contacted if we cannot reach you.

Relationship to the Applicant

Emergency Contact Email

Your emergency Contact number

Phone number type

Home Work Cellphone Other

Travel Plans
Providing travel details allows for timely processing, so your passport is ready when needed.

What is your Departure Date?

What is your Return Date?

I do not have any travel plans

Verification
We need to make sure you are who you say we are.

Choose Security Question

Social Security Number

Repeat Social Security Number

Agree with Consent and Declaration

Agree with Terms and Conditions