Form Ds-11 - Application For A Us Passport
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6US Department of State
APPLICATION FOR A US PASSPORT
PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS.
I applied:
Place:
Date:
FOR INFORMATION, QUESTIONS, AND INQUIRIES: Please visit our website at travel.state.gov. In
addition, contact the National Passport Information Center (NPIC) toll-free at 1-877-487-2778
(TDD: 1-888-
874-7793) or by e-mail at NPIC@state.gov. Customer Service Representatives are available M-F, 8AM-
8PM EST (excluding Federal holidays). Automated information is available 24/7.
US PASSPORTS ARE ISSUED ONLY TO US CITIZENS OR NATIONALS. EACH PERSON MUST OBTAIN HIS OR HER OWN PASSPORT.
APPLICANTS WHO HAVE HAD A PREVIOUS US PASSPORT
If your most recent passport was issued less than 15 years ago and you were over 16 years old at the time of
issuance, you may be eligible to use Form DS-82 (mail-in application). Please inquire about eligibility when you
apply or visit our website or contact NPIC. Address any requests for the addition of visa pages to a Passport Agency
or a US consulate or embassy abroad. In advance of your departure, check visa requirements with consular officials
of the countries you will be visiting.
SPECIAL REQUIREMENTS FOR CHILDREN
•
AS DIRECTED BY PUBLIC LAW 106-119 AND 22 CFR 51.27 EFFECTIVE JULY 2, 2001:
To submit an application for a child under age 14 both parents or the child’s legal guardian(s) must appear
and present the following:
Evidence of the child’s US citizenship,
Evidence of the child’s relationship to parents/guardian(s), AND
Parental identification.
IF ONLY ONE PARENT APPEARS YOU MUST ALSO SUBMIT ONE OF THE FOLLOWING:
Second parent’s notarized written statement consenting to passport issuance for the child,
Primary evidence of sole authority to apply, OR
A written statement (made under penalty of perjury) explaining the second parent’s unavailability.
•
AS DIRECTED BY REGULATION 22 CFR 51 EFFECTIVE FEBRUARY 1, 2004:
Each minor child applying for a passport must appear in person.
WHAT TO SUBMIT WITH THIS FORM:
1. PROOF OF US CITIZENSHIP
2. PROOF OF IDENTITY
3. TWO RECENT COLOR PHOTOGRAPHS, AND
FEES
4.
(As explained on reverse of form.)
WHERE TO SUBMIT THIS FORM:
Please complete and submit this application in person to one of the following acceptance agents: a clerk of a Federal or State court
of record or a judge or clerk of a probate court accepting applications; a designated municipal or county official; a designated postal
employee at an authorized post office; or an agent at a Passport Agency in Boston, Chicago, Honolulu, Houston, Los Angeles,
Miami, New Orleans, New York, Norwalk CT, Philadelphia, San Francisco, Seattle, or Washington DC; or a US consular official at a
US embassy or consulate, if abroad. To find your nearest acceptance facility, visit our website or contact the National Passport
Information Center.
See Instruction Page 2 for detailed information on the completion and submission of this form.
DS-11
Instruction Page 1 of 4
11-2004
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