Form 5001a - Fsm Passport Application Form printable pdf download

INSTRUCTIONS FOR FSM PASSPORT APPLICATION

Revised July 2007

Only FSM citizens may apply for an FSM passport. FSM passports are issued ONLY by the

FSM Department of Justice; Division of Immigration & Labor as listed below:

Chief, Division of Immigration

FSM Department of Justice

P.O. Box PS-157

Palikir, Pohnpei FM 96941

PLEASE PROVIDE THE FOLLOWING REQUIRED DOCUMENTS

WHEN APPLYING:

FOR NEW PASSPORT:

1.) Court Registered Birth Certificate;

2.) If record of Birth Certificate is unavailable, a Court registered Baptismal Certificate is

acceptable;

3.) 2 identical passport photos (standard passport photo size);

4.) If applicable, provide a Court Registered Marriage Certificate for maiden name change;

and

5.) For Naturalized FSM Citizen, provide copy of Naturalization Certificate;

6.) Payment for new passport fee of $50.00 to be in Money Order or Cashier’s Check

payable to FSM National Treasury.

FOR PASSPORT RENEWAL:

1.) Submit your EXPIRED PASSPORT with your Application Form(Note: Please remove

your I-94 from expired passport BEFORE mailing. Attach I-94 to new passport);

2.) 2 identical passport photos (standard passport photo size);

3.) Payment for passport renewal fee of $50.00 to be in Money Order or Cashier’s Check

payable to FSM National Treasury.

FOR PASSPORT REPLACEMENT (for LOST, STOLEN, DAMAGED, or MUTILATED

Passports):

1.) Submit Application Form;

2.) 2 identical passport photos ( standard passport photo size);

3.) Sworn Affidavit;

4.) Payment for passport replacement fee of $75.00 to be in Money Order or Cashier’s

Check payable to FSM National Treasury.

Note: A passport without blank visa pages may be replaced before Expiration Date. Submit

Application Form, Passport, 2 identical passport photos, a payment for passport replacement

fee of $50.00 in Money Order or Cashier’s Check payable to FSM National Treasury.

POSTAGE FEES: FSM Citizens applying for a passport from the USA must include a money

order (no cash or personal checks), payable to FSM Postmaster General, to cover cost of postage

for mailing the PASSPORT from FSM to your mailing address in US. The FSM Government is

Form 5001a - Fsm Passport Application Form