Form Ds-4085 - Application For Additional Visa Pages
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4APPLICATION FOR ADDITIONAL VISA PAGES
OR MISCELLANEOUS PASSPORT SERVICES
PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS.
Date of Application:
FOR INFORMATION, QUESTIONS, AND INQUIRIES:
Please visit our website at travel.state.gov. In addition, you may contact the National Passport
Information Center (NPIC) toll–free at 1–877–487–2778 (TDD: 1–888–874–7793) or by email at
NPIC@state.gov. Customer Service Representatives are available M–F 6AM–12 Midnight Eastern
Time (excluding federal holidays). Automated information is available 24/7.
HOW DO I APPLY FOR ADDITIONAL VISA PAGES?
1.
C
,
.
omplete
sign and date this form
2.
s
t
u.s.
end
his form with your valid
passport book
ROUTINE SERVICE
EXPEDITED SERVICE (Additional Fee)
MAIL THIS FORM TO:
MAIL THIS FORM TO:
National Passport Processing Center
National Passport Processing Center
Post Office Box 90106
Post Office Box 90906
Philadelphia, PA 19190-0106
Philadelphia, PA 19190-0906
IS THERE A FEE ASSOCIATED WITH THIS FORM AND
HOW WILL MY NEW PASSPORT BOOK BE MAILED BACK TO ME?
•
THE CURRENT PASSPORT FEE: Please visit our website at travel.state.gov for current fees. MAKE CHECKS OR MONEY ORDERS PAYABLE
TO “DEPARTMENT OF STATE.” THE FULL NAME AND DATE OF BIRTH OF THE APPLICANT MUST BE TYPED OR PRINTED ON THE
FRONT OF THE CHECK. DO NOT SEND CASH. Passport Services cannot be responsible for cash sent through the mail. By law, the fees are
not refundable. Your U.S. passport book will be returned to you by priority mail.
•
OVERNIGHT DELIVERY SERVICE: If you desire overnight delivery for the return of your passport, please include the appropriate fee with your
application.
FASTER PROCESSING: For an additional fee, you may request expedited service. Please include this fee with your application and mail to the
•
appropriate address. Please write “Expedite” on the outer envelope when mailing. TO ENSURE MINIMAL PROCESSING TIME for
expedited applications, Passport Services recommends using overnight delivery when submitting the application AND including
the appropriate postage fee for return overnight delivery for the completed passport book. Expedited service is available only in the
United States. Please consult our website for updated fee information and processing times.
NOTE: The Passport Center will not mail a passport book to a private address outside the United States.
NOTE: If you choose to provide your e-mail address in Item #8 on this application, Passport Services will only use that information to contact
you in the event there is a problem with your application or if you need to provide additional information to us.
NOTICE TO APPLICANTS RESIDING ABROAD
United States citizens residing abroad CANNOT submit the form to the domestic addresses listed above. Such
applicants should contact the nearest U.S. embassy or consulate for procedures to be followed when applying
overseas.
WARNING: False statements made knowingly and willfully in passport applications, including affidavits or other documents submitted
to support this application, are punishable by fine and/or imprisonment under the provisions of 18 USC 1001, 18 USC 1542, and/or 18
USC 1621. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under
the provisions of 18 USC 1543. The use of a passport in violation of the restrictions contained therein or of the passport regulations is
punishable by fine and/or imprisonment under 18 USC 1544. All statements and documents are subject to verification.
DS–4085
Instruction Page 1 of 3
02-2010
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