Request For File Search And Verification Of U.s. Citizenship

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United States Department of State
Passport Services
REQUEST FOR FILE SEARCH AND VERIFICATION OF U.S. CITIZENSHIP
Last Name:
First and Middle Name(s):
Date and Place of Birth:
Select the Document for Which You are Submitting This Request
 Passport Book
 Passport Card
 Consular Report of Birth Abroad
Name as Listed in Document:
Date of Issue:
Date of Expiration:
Passport Number:
Endorsement(s):
I hereby request Passport Services to initiate a file search to verify that I have been issued a U.S.
Passport or that a Consular Report of Birth Abroad was filed for me. I agree to pay the
applicable fee for this service. I understand that this service is performed solely for issuance of
a passport under urgent circumstances and I will not receive a copy of my previous passport or
Consular Report of Birth Abroad.
Signature:
Date:

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