Passport Authorization Letter

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PASSPORT AUTHORIZATION LETTER
TRAVEL DOCUMENT EXPRESS
1301 20th Street, NW, Suite 111
Washington, DC 20036
Ph 202-785-3250 Fax 202-785-3256
Washington D.C. Passport Agency
Washington, D.C., USA
To Whom It May Concern:
Travel Document Express and its representative are hereby designated to submit this passport
application and obtain from your office this completed passport.
Please select one of the following:
_____ I authorize the U.S. Passport Agency to discuss the status of this application with a
representative of Travel Document Express.
_____ I want the U.S. Passport Agency to contact me directly should a problem arise with this
passport application which concerns documents other than the release date of this passport.
Name of Applicant:
___________________________
Date of Birth:
___________________________
Departure Date:
___________________________
Country of destination:
___________________________
Applicant’s signature:
____________________________
Note to Passport Agency:

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