Requirements To Expedite Replacement Of Lost U.s. Passport Form printable pdf download

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REQUIREMENTS TO EXPEDITE REPLACEMENT OF LOST U.S. PASSPORT

One original completed application form DS-11 and one photocopy of the completed form

(Your signature on the original MUST be witnessed by an authorized acceptance agent discussed in item #7 below.

The photocopy should be signed but need not be executed by the authorized acceptance agent. )

One original completed application form DS-64 Affidavit regarding the loss of passport.

(Your signature on the original MUST be witnessed by an authorized acceptance agent discussed in item #7 below.)

Two professional passport photographs, taken within the past 3 months.

Proof of U.S. Citizenship

(one of the following)

A) Certified copy of birth certificate

, issued by state

(usually bears a raised or holographic seal)

or county health department or vital statistics bureau

(hospital birth certificates are not acceptable)

B) Naturalization certificate

C) Certificate of citizenship

D) Consular report of birth abroad

E) Previous expired U.S. passport

(if applicable)

Two (2) copies of a Letter of Authorization stating "I authorize the company stated below

(Pinnacle Travel Document Systems) to submit my passport application to a passport agency

and pick up the passport from a US passport agency on my behalf.

This letter

(see attached)

requires the original signature of the applicant in

BLUE

INK.

Two (2) copies of proof of the departure date from the USA. (Copy of itinerary or air tickets

indicating eminent international travel).

Take all the required items above to your local acceptance agent for passport applications.

This is usually a post office official or a county clerk. (Search

for

locations and hours.) Pay the clerk the total U.S. Government fees; including expediting fees,

execution and security fees ($195 for adults, $165 for children under 16 years). Be prepared

to write two checks for the total amount, as the clerk will retain a $25.00 execution fee.

Please write your name and date of birth on the

check. Ask the clerk to execute the

documents and place them along with your check for $170.00

(Your check must be made

out to US Department of State)

into a sealed envelope addressed to "U.S. Passport

Agency".

(You must not open this envelope again before shipping it and the sealed

application must be submitted to a US Passport Agency within 5 days of execution so

you must overnight it to us

immediately).

Please attach the photocopy of your completed

form DS-11 along with one of the two Letters of Authorization, and one copy of Proof of

Departure to the outside of the sealed envelope.

Fees:

PTDS First Time Passport Service Fee:

$ 89.00

U.S. Government Renewal & Expediting Fee: $170.00

Total

$259.00

Please include your separate personal check payable to Pinnacle Travel Document Systems or provide

the details of your credit card with authorization for the $89.00 in service and return shipping fees.

Please note that application requirements and fees are subject to change without notice.

Check or credit card payment accepted. Credit card payment subject to 3.5% surcharge.

Requirements To Expedite Replacement Of Lost U.s. Passport Form

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