Homepage Free DS-82 01-2017 US Passport Renewal Application PDF Template
Outline

Renewing a passport in the United States is a task that many travelers face, requiring them to navigate through the process with careful attention to detail. Among the various forms and documents needed for this purpose, the DS-82 01-2017 US Passport Renewal Application form stands out as a critical component of the renewal process. This form is designed for those eligible applicants who are looking to extend the validity of their passports without having to apply in person. It serves as a streamlined method for U.S. citizens to ensure their travel documents are up to date, accommodating their need for international travel or identification purposes. The DS-82 form, revised in January 2017, encompasses a range of important sections, including personal information, travel plans, and a declaration of the applicant's current passport status. Its comprehensive nature ensures that the government can accurately process renewals, making it easier for applicants to continue their globetrotting adventures or meet their international travel needs.

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U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS

PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS

Mailing Date of Application:__________________________

CAN I USE THIS FORM?

Complete the checklist to determine your eligibility to use this form

I can submit my most recent U.S. passport book and/or U.S. passport card with this application.

I was at least 16 years old when my most recent U.S. passport book and/or passport card was issued.

I was issued my most recent U.S. passport book and/or passport card less than 15 years ago.

The U.S. passport book and/or U.S. passport card that

I am renewing has not been mutilated, damaged, lost, stolen or subsequently found.

My U.S. passport has not been limited from the normal ten year validity period due to passport damage/mutilation, multiple passport thefts/losses, or non-compliance with 22 C.F.R. 51.41. (Please refer to the back pages of your U.S. passport book for endorsement information).

Yes

Yes

Yes

Yes

Yes

No

No

No

No

No

I use the same name as on my most recent U.S. passport book and/or U.S. passport card. --OR--

I have had my name changed by marriage or court order and can submit proper certified documentation to reflect my name change.

Yes

No

If you answered NO to any of the statements above,

STOP - You cannot use this form!

You must apply on application form DS-11 by making a personal appearance before an acceptance agent authorized to accept passport applications. Visit travel.state.gov to find your nearest acceptance facility.

U.S. passports, either in book or card format, are only issued to U.S. Citizens or non-citizen U.S. nationals. Each person must obtain his or her own U.S. passport book or passport card. The passport card is a U.S. passport issued in card format. Like the traditional U.S. passport book, it reflects the bearer's origin, identity, and nationality, and is subject to existing passport laws and regulations. Unlike the U.S. passport book, the U.S. passport card is valid only for entry at land border crossings and sea ports of entry when traveling from Canada, Mexico, the Caribbean, and Bermuda. The U.S. passport card is not valid for international air travel.

PLEASE NOTE: Your new passport will have a different passport number than your previous passport.

FOR INFORMATION AND QUESTIONS

Visit the Department of State website at travel.state.gov or 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 Monday-Friday 8:00a.m.-10:00p.m. and Saturday 10:00a.m.-3:00p.m. Eastern Time (excluding federal holidays). Automated information is available 24 hours a day, 7 days a week.

FAILURE TO PROVIDE INFORMATION REQUESTED ON THIS FORM, INCLUDING YOUR SOCIAL SECURITY NUMBER,

MAY RESULT IN SIGNIFICANT PROCESSING DELAYS AND/OR THE DENIAL OF YOUR APPLICATION

NOTICE TO APPLICANTS RESIDING ABROAD

United States citizens residing outside the U.S. or Canada CANNOT submit this form to domestic addresses listed on the Instruction Page 2. Such applicants should visit www.usembassy.gov to find the nearest U.S. Embassy or Consulate for procedures for applying outside the United States.

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 U.S. law, including the provisions of 18 U.S.C. 1001, 18 U.S.C. 1542, and/or 18 U.S.C. 1621. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under the provisions of 18 U.S.C. 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 U.S.C. 1544. All statements and documents are subject to verification.

See page 2 of the instructions for detailed information on the completion and submission of this form.

DS-82 01-2017

Instruction Page 1 of 4

See below for more detailed information

WHAT DO I SEND WITH THIS APPLICATION FORM?

Your most recent U.S. passport book and/or card;

A certified copy of your marriage certificate or court order if your name has changed; Fees; and

A recent, color photograph.

1. YOUR MOST RECENTLY ISSUED U.S. PASSPORT (BOOK AND/OR CARD FORMAT).

Submit your most recently issued U.S. passport book and/or card. When submitting a U.S. passport book and/or card with this form, please verify that the document was issued at age 16 or older in your current name (or see item #2 below) and issued within the past 15 years. You are also eligible to use this form if you currently have a U.S. passport book and/or card that complies with the previously listed criteria, and would like to obtain a alternative product (U.S. passport book and/or card) for the first time. However, you must submit the product you currently have (U.S. passport book and/or card) with this application. If your U.S. passport book and/or card has been lost, stolen, damaged, or mutilated, you must apply on the DS-11 application form as specified below.

2. A CERTIFIED MARRIAGE CERTIFICATE OR COURT ORDER (PHOTOCOPIES ARE NOT ACCEPTED).

If the name you are currently using differs from the name on your most recent U.S. passport, you must submit a certified copy of your marriage certificate or court order showing the change of name. All documents will be returned to you by mail. If you are unable to document your name change in this manner, you must apply on the DS-11 application form by making a personal appearance at (1) a passport agency; (2) U.S. embassy or consulate, if abroad; (3) any federal or state court of record or any probate court accepting passport applications; (4) a designated municipal or county official; or (5) a post office, which has been selected to accept passport applications.

3. THE CURRENT PASSPORT FEE (DO NOT SEND ACCEPTANCE AGENT FEE WITH THIS FORM).

Enclose the fee in the form of a personal check or money order. MAKE CHECKS PAYABLE TO "U.S. 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 non-refundable. Please visit our website at travel.state.gov for detailed information regarding current fees. Newly issued passport cards are delivered via first class mail only.

OVERNIGHT DELIVERY SERVICE is only available for passport book (and not passport card) mailings in the United States. Please include the appropriate fee with your application.

FOR FASTER PROCESSING, you may request expedited service. Please include the expedited fee with your application. Please write "Expedite" on the outer envelope when mailing. Also, 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 newly issued passport book. Expedited service is only available for passports mailed in the United States and Canada. Please visit travel.state.gov for updated information regarding fees, processing times, or to check the status of your passport application online.

4. A RECENT, COLOR PHOTOGRAPH.

Submit a color photograph of you alone, sufficiently recent to be a good likeness of you (taken within the last six months), and 2x2 inches in size. The image size measured from the bottom of your chin to the top of your head (including hair) should not be less than 1 inch, and not more than 1 3/8 inches. The photograph must be in color, clear, with a full front view of your face. The photograph must be taken with a neutral facial expression (preferred) or a natural smile, and with both eyes open and be printed on photo quality paper with a plain light (white or off-white) background. The photograph must be taken in normal street attire, without a hat, or head covering unless a signed statement is submitted by the applicant verifying that the hat or head covering is part of recognized, traditional religious attire that is customarily or required to be worn continuously when in public or a signed doctor's statement is submitted verifying the item is used daily for medical purposes. Headphones, "bluetooth", or similar devices must not be worn in the passport photograph. Glasses or other eyewear are not acceptable unless you provide a signed statement from a doctor explaining why you cannot remove them due to medical reasons (e.g., during the recovery period from eye surgery). Any photograph retouched so that your appearance is changed is unacceptable. A snapshot, most vending machine prints, hand-held self portraits, and magazine or full-length photographs are unacceptable. A digital photo must meet the previously stated qualifications, and will be accepted for use at the discretion of Passport Services. Visit our website at travel.state.gov for details and information.

USE CAUTION WHEN STAPLING YOUR PHOTO: Use 4 staples vertically in the corners as close to the outer edge as possible. Do not bend photo.

WHERE DO I MAIL THIS APPLICATION?

FOR ROUTINE SERVICE (If you live in CA, FL, IL, MN, NY, or TX): National Passport Processing Center P.O. Box 640155

Irving, TX 75064-0155

FOR ROUTINE SERVICE (If you live in any other state or Canada): National Passport Processing Center P.O. Box 90155

Philadelphia, PA 19190-0155

FOR EXPEDITED SERVICE (Additional Fee, any state or Canada):

National Passport Processing Center P.O. Box 90955

Philadelphia, PA 19190-0955

Because of the sensitivity of the enclosed documents, Passport Services recommends using trackable mailing service when submitting your application.

NOTE REGARDING MAILING ADDRESSES: Passport Services does not send mail to a private address outside the United States or Canada. If you do not live at the address listed in the "Mailing Address", then you must put the name of the person and mark it as "In Care Of." If your mailing address changes prior to receipt of your new passport, please contact the National Passport Information Center (NPIC) at 1-877-487-2778 or visit travel.state.gov.

You may receive your newly issued document and your returned citizenship evidence in separate mailings. If you are applying for both a passport book and/or card, you may receive three separate mailings: one with your returned citizenship evidence; one with your newly issued passport book, and one with your newly printed passport card.

If you choose to provide your email address in Item #6 on this application, Passport Services may use that address to contact you in the event there is a problem

with your application or if you need to provide additional information to us.

 

DS-82 01-2017

Instruction Page 2 of 4

FEDERAL TAX LAW

Section 6039E of the Internal Revenue Code (26 USC 6039E) and 22 U.S.C. 2714a(f) require you to provide your Social Security number (SSN), if you have one, when you apply for or renew a U.S. passport. If you have never been issued a SSN, enter zeros in box #5 of this form. If you are residing abroad, you must also provide the name of the foreign country in which you are residing. The U.S. Department of State must provide your SSN and foreign residence information to the U.S. Department of Treasury. If you fail to provide the information, you are subject to a $500 penalty enforced by the IRS. All questions on this matter should be directed to the nearest IRS office.

NOTICE TO CUSTOMERS APPLYING OUTSIDE A DEPARTMENT OF STATE FACILITY

If you send us a check, it will be converted into an electronic funds transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. The debit from your account will usually occur within 24 hours and will be shown on your regular account statement.

You will not receive your original check back. We will destroy your original check, but we will keep the copy of it. If the EFT cannot be processed for technical reasons, you authorize us to process the copy in place of your original check. If the EFT cannot be completed because of insufficient funds, we may try to make the transfer up to two times, and we will charge you a one-time fee of $25, which we will also collect by EFT.

FEE REMITTANCE

Passport service fees are established by law and regulation (see 22 U.S.C. 214, 22 C.F.R. 22.1, and 22 C.F.R. 51.50-56), and are collected at the time you apply for the passport service. If the Department fails to receive full payment of the applicable fees because, for example, your check is returned for any reason or you dispute a passport fee charge to your credit card, the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34, and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900-904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and no repayment arrangements have been made, the Department will refer the debt to the U.S. Department of Treasury for collection. Debt collection procedures used by the U.S. Department of Treasury may include referral of the debt to private collection agencies, reporting of the debt to credit bureaus, garnishment of private wages and administrative offset of the debt by reducing, or withholding eligible federal payments (e.g., tax refunds, social security payments, federal retirement, etc.) by the amount of your debt, including any interest penalties or other costs incurred. In addition, non-payment of passport fees may result in the invalidation of your U.S. passport book and/or card. An invalidated passport book or card cannot be used for travel.

USE OF SOCIAL SECURITY NUMBER

Your Social Security number will be provided to the U.S. Department of Treasury, used in connection with debt collection and checked against lists of persons ineligible or potentially ineligible to receive a U.S. passport book and/or card, among other authorized uses.

NOTICE TO APPLICANTS FOR OFFICIAL, DIPLOMATIC, OR NO-FEE PASSPORTS

You may use this application if you meet all of the provisions listed on Instruction Page 2; however, you must CONSULT YOUR SPONSORING AGENCY FOR INSTRUCTIONS ON PROPER ROUTING PROCEDURES BEFORE FORWARDING THIS APPLICATION. Your completed passport will be released to your sponsoring agency for forwarding to you.

IMPORTANT NOTICE TO APPLICANTS WHO HAVE LOST OR HAD A PREVIOUS U.S. PASSPORT BOOK

AND/OR PASSPORT CARD STOLEN

A United States citizen may not normally bear more than one valid or potentially valid U.S. passport book or more than one valid or potentially valid U.S. passport card at a time. Therefore, when a valid or potentially valid U.S. passport book or U.S passport card cannot be presented with a new application, it is necessary to submit a Form DS-64, Statement Regarding a Lost or Stolen U.S. Passport. Your statement must detail why the previous U.S. passport book or U.S. passport card cannot be presented.

The information you provide regarding your lost or stolen U.S. passport book or passport card will be placed into our Consular Lost or Stolen Passport System. This system is designed to prevent the misuse of your lost or stolen U.S. passport book or passport card. Anyone using the passport book or passport card reported as lost or stolen may be detained upon entry into the United States. Should you locate the U.S. passport book or passport card reported lost or stolen at a later time, report it as found, and submit it for cancellation. It has been invalidated You may not use that passport book or passport card for travel.

PROTECT YOURSELF AGAINST IDENTITY THEFT!

REPORT YOUR LOST OR STOLEN U.S. PASSPORT BOOK OR PASSPORT CARD!

For more information or to report your lost or stolen U.S. passport book or passport card by phone, call NPIC at:

1-877-487-2778 or visit our website at travel.state.gov

NOTICE TO U.S. PASSPORT CARD APPLICANTS ONLY

The maximum number of letters provided for your given name (first and middle) on the U.S. passport card is 24 characters. The 24 characters may be shortened due to printing restrictions. If both your given names are more than 24 characters, you must shorten one of your given names on item 1 of this form.

DS-82 01-2017

Instruction Page 3 of 4

ACTS OR CONDITIONS

(If any of the below-mentioned acts or conditions have been performed by or apply to the applicant, the portion which applies should be lined out, and a supplementary explanatory statement under oath (or affirmation) by the applicant should be attached and made a part of this application.)

I have not, since acquiring United States citizenship/nationality, been naturalized as a citizen of a foreign state; taken an oath or made an affirmation or other formal declaration of allegiance to a foreign state; entered or served in the armed forces of a foreign state; accepted or performed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; made a formal renunciation of nationality either in the United States, or before a diplomatic or consular officer of the United States in a foreign state; or been convicted by a court or court martial of competent jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against the United States, or conspiring to overthrow, put down, or to destroy by force, the government of the United States.

Furthermore, I have not been convicted of a federal or state drug offense or convicted of a "sex tourism" crime, and I am not the subject of an outstanding federal, state, or local warrant of arrest for a felony; a criminal court order forbidding my departure from the United States; or a subpoena received from the United States in a matter involving federal prosecution for, or grand jury investigation of, a felony.

PRIVACY ACT STATEMENT

AUTHORITIES: Collection of this information is authorized by 22 U.S.C. 211a et seq.; 8 U.S.C. 1104; 26 U.S.C. 6039E, 22 U.S.C. 2714a(f), Section 236 of the Admiral James W. Nance and Meg Donovan Foreign Relations Authorization Act, Fiscal Years 2000 and 2001; Executive Order 11295 (August 5, 1966); and 22 C.F.R. parts 50 and 51.

PURPOSE: We are requesting this information in order to determine your eligibility to be issued a U.S. passport. Your Social Security number is used to verify your identity.

ROUTINE USES: Your Social Security number will be provided to the Department of the Treasury and may be used in connection with debt collection, among other purposes authorized and generally described in this section. This information may be disclosed to another domestic government agency, a private contractor, a foreign government agency, or to a private person or private employer in accordance with certain approved routine uses. These routine uses include, but are not limited to, law enforcement activities, employment verification, fraud prevention, border security, counterterrorism, litigation activities, and activities that meet the Secretary of State's responsibility to protect U.S. citizens and non-citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State-05, Overseas Citizen Services Records and State-26, Passport Records.

DISCLOSURE: Providing information on this form is voluntary. Be advised, however, that failure to provide the information requested on this form may cause delays in processing your U.S. passport application and/or could also result in the refusal or denial of your application.

Failure to provide your Social Security number may result in the denial of your application (consistent with 22 U.S.C. 2714a(f)) and may subject you to penalty enforced by the Internal Revenue Service, as described in the Federal Tax Law section of the instructions to this form.

ELECTRONIC PASSPORT STATEMENT

The U.S. Department of State now issues a type of passport book containing an embedded electronic chip called an "Electronic Passport". The electronic passport book continues to be proof of the bearer's United States citizenship/nationality and identity, and looks and functions in the same way as a passport without a chip. The addition of an electronic chip in the back cover enables the passport book to carry a duplicate electronic copy of all information from the data page. The electronic passport book is usable at all ports-of-entry, including those that do not yet have electronic chip readers.

Use of the electronic format provides the traveler the additional security protections inherent in chip technology. Moreover, when used at ports-of-entry equipped with electronic chip readers, the electronic passport book provides for faster clearance through some of the port-of-entry processes.

The electronic passport book does not require special handling or treatment, but like previous versions should be protected from extreme heat, bending, and from immersion in water. The electronic chip must be read using specially formatted readers, which protects the data on the chip from unauthorized reading.

The cover of the electronic passport book is printed with a special symbol representing the embedded chip. The symbol

 

will appear in

port-of-entry areas where the electronic passport book can be read.

 

 

 

 

PAPERWORK REDUCTION ACT STATEMENT

Public reporting burden for this collection of information is estimated to average 40 minutes per response, including the time required for searching existing data sources, gathering the necessary data, providing the information and/or documentation required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: Passport Forms Officer, U.S. Department of State, CA/PPT/S/L, 44132 Mercure Cir, P.O. Box 1227 Sterling, Virginia 20166-1227.

DS-82 01-2017

Instruction Page 4 of 4

 

 

 

U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS

OMB CONTROL NO. 1405-0020

 

 

 

OMB EXPIRATION DATE: 10-31-2020

 

 

 

Please Print Legibly Using Black Ink Only

 

 

 

ESTIMATED BURDEN: 40 MIN

 

 

 

Attention: Read WARNING on page 1 of instructions

Please select the document(s) for which you are applying:

U.S. Passport Book

 

U.S. Passport Card

 

Both

 

 

The U.S. passport card is not valid for international air travel. For more information see page 1 of instructions.

 

 

 

 

 

 

 

Regular Book (Standard)

 

 

 

 

 

 

 

 

 

Large Book (Non-Standard)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: The large book option is for those who frequently travel abroad during the passport validity period, and is

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

recommended for applicants who have previously required the addition of visa pages.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Name Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DP DOTS Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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End. #

 

 

 

 

 

 

 

 

 

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2. Date of Birth

(mm/dd/yyyy)

3.

 

Sex

 

 

 

 

 

4. Place of Birth (City & State if in the U.S., or City & Country as it is presently known.)

 

 

 

 

 

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5. Social Security Number

 

 

 

6. Email (Info alerts offered at travel.state.gov)

 

 

 

 

7. Primary Contact Phone Number

 

 

 

 

 

 

 

 

 

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-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.Mailing Address: Line 1: Street/RFD#, P.O. Box, or URB.

Address Line 2: Clearly label Apartment, Company, Suite, Unit, Building, Floor, In Care Of or Attention if applicable. (e.g., In Care Of - Jane Doe, Apt # 100)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

 

 

Zip Code

Country, if outside the United States

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.List all other names you have used. (Examples: Birth Name, Maiden, Previous Marriage, Legal Name Change. Attach additional pages if needed)

A.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B.

STAPLE

 

STAPLE

2" x 2"

 

2" x 2"

STAPLE

Attach a color photograph taken

STAPLE

 

 

 

within the last six months

 

 

 

 

10. Passport Book and/or Passport Card Information

Your name as printed on your most recent U.S. passport book and/or passport card

Most recent passport book number

 

Issue date (mm/dd/yyyy)

 

 

 

 

 

 

Most recent passport card number

 

Issue date (mm/dd/yyyy)

 

 

 

 

 

 

11.Name Change Information Complete if name is different than last U.S. passport book or passport card

Changed by Marriage

Place of Name Change (City/State)

Date (mm/dd/yyyy)

Changed by Court Order

Please submit a certified copy. (Photocopies are not accepted!)

CONTINUE TO PAGE 2

YOU MUST SIGN AND DATE THE APPLICATION IN THE DESIGNATED AREA BELOW

I declare under penalty of perjury all of the following: 1) I am a citizen or non-citizen national of the United States and have not, since acquiring U.S. citizenship or nationality, performed any of the acts listed under "Acts or Conditions" on page four of the instructions of this application (unless explanatory statement is attached); 2) the statements made on the application are true and correct; 3) I have not knowingly and willfully made false statements or included false documents in support of this application; 4) the photograph submitted with this application is a genuine, current photograph of me; and 5) I have read and understood the warning on page one of the instructions to the application form.

x

Applicant's Legal Signature

Date

FOR ISSUING OFFICE ONLY

 

PPT BK C/R

 

 

 

Marriage Certificate

Date of Marriage/Place Issued:

 

 

 

 

Court Order

Date Filed/Court:

 

 

 

 

 

From

To:

Other:

Attached:

PPT BK S/R

PPT CD C/R

PPT CD S/R

For Issuing Office Only

 

Bk Fee

 

Cd Fee

 

EF

 

Postage

 

Other

 

 

 

 

 

 

 

* DS 82 C 08 2013 1 *

DS-82 01-2017

Page 1 of 2

 

Name of Applicant (Last, First & Middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Height

 

 

13. Hair Color

 

 

14. Eye Color

 

 

 

 

 

15. Occupation

 

16. Employer or School (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

Additional Contact Phone Numbers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home

 

 

Cell

 

 

 

 

 

 

 

Home

 

 

Cell

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.Permanent Address: If P.O. Box is listed under Mailing Address or if residence is different from Mailing Address.

Street/RFD # or URB (No P.O. Box)

 

 

 

 

Apartment/Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip Code

 

 

 

 

 

 

 

19.Emergency Contact - Provide the information of a person not traveling with you to be contacted in the event of an emergency.

 

Name

 

 

 

 

 

Address: Street/RFD # or P.O. Box

 

 

 

 

Apartment/Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

State

 

 

 

Zip Code

 

Phone Number

 

Relationship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20. Travel Plans

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Countries to be visited

 

 

 

 

 

 

 

 

 

 

Departure Date (mm/dd/yyyy)

Return Date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STOP! YOU HAVE COMPLETED YOUR APPLICATION

BE SURE TO SIGN AND DATE PAGE ONE

WHERE DO I MAIL THIS APPLICATION?

If applying in the United States or Canada:

FOR ROUTINE SERVICE (If you live in CA, FL, IL, MN, NY, or TX):

National Passport Processing Center P.O. Box 640155

Irving, TX 75064-0155

FOR ROUTINE SERVICE (If you live in FOR EXPEDITED SERVICE (Additional Fee, any

any other state or Canada):

state or Canada):

National Passport Processing Center

National Passport Processing Center

P.O. Box 90155

P.O. Box 90955

Philadelphia, PA 19190-0155

Philadelphia, PA 19190-0955

Because of the sensitivity of the enclosed documents, Passport Services recommends using trackable mailing service when submitting your application.

If applying outside the United States or Canada:

United States citizens residing outside the U.S. or Canada CANNOT submit this form to domestic addresses listed above. Such applicants should visit www.usembassy.gov to find the nearest U.S. Embassy or Consulate for procedures for applying outside the United States.

* DS 82 C 08 2013 2 *

DS-82 01-2017

Page 2 of 2

Document Attributes

Fact Name Description
Applicability The DS-82 form is used exclusively for U.S. passport renewals for eligible individuals.
Eligibility Criteria To use this form, the applicant's most recent passport must be undamaged, issued when the applicant was 16 years or older, issued within the last 15 years, and issued in the applicant's current name (or they can document the name change).
Filing Method The form can be submitted by mail, making it convenient for applicants to renew their passport without an in-person visit to a passport acceptance facility, under most circumstances.
Processing Time Standard processing times for passport renewals using the DS-82 form can vary but generally range from 4 to 6 weeks. Expedited services are available for an additional fee.
Governing Laws The DS-82 form is governed by federal law, as passports are issued by the U.S. Department of State under the authority of the Passport Act of 1926, among other federal statutes.

How to Fill Out DS-82 01-2017 US Passport Renewal Application

When it's time to renew your US passport, the process is streamlined through the DS-82 Form, which is designed for those who meet certain criteria such as having a passport that is not damaged, was issued when the applicant was age 16 or older, and was issued within the last 15 years. This form allows you to renew your passport via mail, avoiding the hassle of in-person appointments for eligible individuals. Understanding how to accurately complete this form is crucial to ensure a smooth renewal process. Here is a step-by-step guide to fill out the DS-82 US Passport Renewal Application form.

  1. Start by providing your name as it appears on your most recent passport, your date of birth, and your place of birth on the form's first section.
  2. Fill in your Social Security number. This is a mandatory field to help in the verification of your identity.
  3. Provide your email address and primary contact number in the contact information section. This ensures you can be reached easily for any further information or notifications regarding your application.
  4. Enter your mailing address where you wish to receive your new passport. Ensure the address is accurate to prevent any delays in receiving your renewed passport.
  5. If your name has changed since your last passport was issued, provide the name change information in the designated section. You'll need to submit proper documentation that legally substantiates the name change, such as a marriage certificate or a court order.
  6. Select your gender and answer the question regarding your current passport book and/or passport card. This includes providing details like the issuance date and the passport number.
  7. Specify if you're applying for a passport book, card, or both by checking the appropriate box and select the book size if applicable. The options available are the standard 28-page book or the larger 52-page book for frequent travelers.
  8. Attach a recent color photograph of yourself to the designated area on the form. The photo must meet all specified requirements, such as size, background color, and no headgear unless for religious purposes.
  9. Review the form to ensure all information provided is accurate and there are no errors. Any incorrect information can delay the processing of your passport renewal.
  10. Sign and date the form in the designated area. Your signature is required to validate the form and affirm that all information provided is correct and true.
  11. Finally, mail the completed form along with your most recent passport, name change documentation (if applicable), and the renewal fee to the address specified in the form's instructions.

After completing these steps, your application will be processed, and you should receive your new passport within the timeframe specified by the U.S. Department of State. Remember to keep a copy of your completed DS-82 form and any other documents submitted for your records. This ensures you have the necessary information at hand should any questions arise during the processing period.

More About DS-82 01-2017 US Passport Renewal Application

  1. Who is eligible to use the DS-82 01-2017 Application Form for U.S. Passport Renewal?

    People can use the DS-82 form if they meet certain conditions: They must already have a U.S. passport that is not damaged, was issued when they were age 16 or older, was issued within the last 15 years, and is either still valid or has expired less than 5 years ago. Additionally, they must be using the same name as their current passport or can legally document their name change.

  2. What documents are needed to renew my passport using the DS-82 form?

    Required documents include your most recent U.S. passport, a color passport photo taken within the last 6 months, and any legal documents if you’ve had a name change, such as a marriage certificate or a court order. Ensure your photo meets the official passport photo requirements.

  3. How can I submit my DS-82 Application Form?

    You can submit your DS-82 form and accompanying documents either by mail or, in certain cases, by using the State Department's online passport renewal service. You cannot submit this form at a passport acceptance facility if you meet the criteria for using the DS-82.

  4. How much does it cost to renew a passport using the DS-82 form?

    • For a passport book, the fee is specified by the State Department and is subject to change. As of the last update, the renewal fee for adults is typically around $130.

    • A separate fee is required for a passport card, and additional fees may apply if you request expedited service or delivery.

  5. How long will it take to receive my renewed passport?

    Processing times can vary, but it typically takes about 6-8 weeks to receive your renewed passport after your application has been submitted. If you need your passport sooner, expedited services are available for an additional fee, reducing the processing time to about 2-3 weeks.

  6. What should I do if my passport has been lost or stolen?

    If your passport has been lost or stolen, you cannot renew it using the DS-82 form. You’ll need to report the loss or theft immediately to the State Department and complete form DS-11 to apply for a new passport. Additional documentation and in-person submission at a passport acceptance facility or a U.S. embassy or consulate abroad may be required.

  7. Can I renew my passport online using the DS-82 form?

    As of the last update, the U.S. Department of State offers an online renewal option for certain applicants. To determine your eligibility for online passport renewal and to complete the process, you should visit the official State Department website for the most current information and guidelines.

  8. What should I do if I need my passport urgently?

    If you need your passport urgently, for example, for international travel within the next two weeks, you cannot use the DS-82 form. Instead, you should make an appointment at a passport agency or center. Proof of imminent travel, such as a flight itinerary, and additional fees for expedited processing will be required.

  9. Is it possible to renew a passport if it has been expired for more than 5 years?

    If your passport expired more than 5 years ago, you are not eligible to renew using the DS-82 form. Instead, you'll need to apply in person using form DS-11 as if you were applying for the first time. This will include submitting evidence of U.S. citizenship, identification documents, and taking a new passport photo.

  10. How can I check the status of my passport renewal application?

    After submitting your application, you can check the status of your passport renewal by visiting the official U.S. Department of State passport website. You'll need to provide your last name, date of birth, and the last four digits of your Social Security number to access your application status.

Common mistakes

When filling out the DS-82 01-2017 US Passport Renewal Application form, many individuals overlook crucial details that can delay the process. Avoiding these common mistakes ensures a smoother application process for your passport renewal.

  1. Not using the most current form - The State Department updates application forms periodically. Using an outdated version can result in the rejection of your application.

  2. Incorrect fee payment - It’s important to verify the current passport renewal fee and provide the correct amount. Underpaying or overpaying can delay processing.

  3. Failing to sign the form - One of the most common oversights is not signing the form before submission. An unsigned form will be returned.

  4. Using the wrong type of photo - Passport photos have specific requirements concerning size, background color, and the applicant’s appearance. Photos that don’t meet these standards will be rejected.

  5. Incorrectly filled personal information - Mistakes in personal details like your name, date of birth, or Social Security Number can lead to significant delays in processing your application.

Keeping these points in mind while filling out your renewal application will help ensure a more efficient and effective processing of your passport request.

Documents used along the form

When it's time to renew a U.S. passport, most people are familiar with the DS-82 form, the official passport renewal application. However, renewing a passport typically requires more than just this single form. Depending on individual circumstances, several other documents and forms may also need to be gathered and submitted to ensure a smooth renewal process. Here's a helpful rundown of other commonly used documents and forms that often accompany the DS-82 application.

  • Proof of U.S. Citizenship: This can be an expired U.S. passport, a birth certificate, a Certificate of Citizenship, or a Naturalization Certificate. It serves to reconfirm the applicant's citizenship status.
  • Identification Document (ID): Often a driver's license or another government-issued photo ID, this document confirms the identity of the person applying for the passport renewal.
  • Photocopy of ID: A photocopy of the front and back of the ID document is required to be submitted along with the passport renewal application.
  • Passport Photo: Two recent color photographs in the specified size and format are needed. These photos must meet certain requirements regarding size, background color, and applicant's attire and appearance.
  • Marriage Certificate or Divorce Decree: If the applicant's name has changed since the issuance of their previous passport due to marriage, divorce, or other legal means, a certified copy of the marriage certificate, divorce decree, or court order proving the name change is necessary.
  • DS-64 Statement Regarding a Lost or Stolen Passport: If the renewal is due to a passport that was lost or stolen, this form must be filled out detailing the circumstances around the loss or theft.
  • Travel Itinerary: In cases where expedited service is requested because of upcoming travel, documents proving the travel plans, such as airline tickets or a travel itinerary, may need to be provided.
  • Fee Payment: Proof of payment for the passport renewal fee is typically required at the time of application. This can vary depending on the processing speed and delivery options chosen.
  • Expedite Fee Payment (if applicable): For those needing their passport in a hurry, proof of payment for the expedite fee will also be necessary.

Collecting and preparing the correct documents can be a bit of a task, but it's an essential step in ensuring that your passport renewal goes as smoothly as possible. Filing the DS-82 form along with the appropriate supporting documents can help avoid delays in processing and ensure that your passport is ready in time for your next adventure abroad.

Similar forms

  • Form DS-11: Application for a U.S. Passport - This form is used for first-time applicants, minors, and others not eligible to use the DS-82 form. Both forms collect similar personal information, including name, date of birth, address, and parental information, but the DS-11 requires an in-person submission, often with additional documentation.

  • Form N-400: Application for Naturalization - This form is for legal permanent residents (green card holders) applying for U.S. citizenship. Similar to the DS-82, it gathers detailed personal information, has sections on moral character, and requires a fee. However, it is part of the citizenship process, not passport renewal.

  • Form I-90: Application to Replace Permanent Resident Card - Used by permanent residents to renew or replace their Green Card. Like the DS-82, it deals with the renewal of an important identification document, involves updating personal details and photos, and requires a fee.

  • Form DS-5504: Application for a U.S. Passport (Name Change, Data Correction, and Limited Passport Replacement) - Similar to the DS-82 in that it updates existing passport information. However, it is specifically for changes after a passport has been issued, such as name changes, corrections, or replacing a limited-validity passport.

  • Form DS-3053: Statement of Consent - Needed when one parent or guardian is applying for a minor's passport without the other parent's or guardian's presence. It shows the similarities in ensuring all legal guardians agree to the passport issuance, reflecting the DS-82's concern for proper authorization and documentation.

  • Form I-131: Application for Travel Document - Used by immigrants to apply for a reentry permit, refugee travel document, or advance parole. Similar to the DS-82 in its function of facilitating travel, though it serves different populations and circumstances.

  • Form DS-160: Online Nonimmigrant Visa Application - Used for applying for nonimmigrant visas to the U.S. Like the DS-82, it collects personal and travel information, but for the purpose of entering, not leaving, the United States.

  • Form DS-3035: J-1 Visa Waiver Recommendation Application - Required for J-1 visa holders seeking a waiver of the two-year foreign residence requirement. While its purpose differs significantly, it similarly involves complex guidelines and the necessity for accurate personal information.

  • Form ESTA: Electronic System for Travel Authorization - An automated system used by visitors to the U.S. under the Visa Waiver Program. It shares the DS-82's goal of facilitating travel but focuses on entry to the United States rather than passport renewal.

Dos and Don'ts

Filling out the DS-82 01-2017 US Passport Renewal Application form correctly is essential to ensure a smooth process. Below are key dos and don'ts to keep in mind:

  • Do carefully read all instructions before beginning to fill out the form. Accurate comprehension of guidelines helps prevent mistakes that could delay the processing of your application.
  • Do use black ink if filling out the form by hand. This ensures legibility and conforms to the standards expected by the issuing authorities.
  • Do verify all personal information for accuracy, including your full name, date of birth, and Social Security number. Inaccuracies in these details can cause significant delays or even the denial of your application.
  • Do sign and date the form in the designated area, as an unsigned application is not valid and will be returned.
  • Don't leave any required fields blank. If a section does not apply to you, filling in "N/A" (not applicable) is preferable to leaving it empty.
  • Don't use correction fluid or tape. Mistakes should be neatly crossed out and corrected. Excessive corrections might necessitate starting over with a new form.
  • Don't staple or otherwise attach your photo to the form. There are specific instructions for submitting your photo that must be followed.
  • Don't disregard the photo requirements. Ensure that the photo you attach meets the stated size, background, and quality criteria as non-compliant photos can result in application delays.

Misconceptions

When it comes to renewing a U.S. passport, the process is streamlined with the use of the DS-82 01-2017 US Passport Renewal Application form. However, a number of misconceptions surround its use. Clearing up these misunderstandings can make the renewal process smoother and more efficient for applicants.

  • Myth 1: Anyone can use the DS-82 form for passport renewal.

    Not quite accurate. To use the DS-82 form, applicants must meet specific criteria. They need to have a passport that is not damaged, was issued when the applicant was 16 years of age or older, is no more than 15 years old, and is in the applicant's current name (or documentation for a name change is available).

  • Myth 2: You need to renew your passport in person.

    This statement doesn’t hold up if you’re eligible to use the DS-82 form. Qualified applicants can submit their renewal application by mail, avoiding an in-person appointment. This option is specifically designed to facilitate the renewal process for eligible U.S. passport holders.

  • Myth 3: The process is the same regardless of where you live.

    The general process for renewing a U.S. passport using the DS-82 form is standardized. However, processing times can vary significantly depending on your location and the current demand. Furthermore, residents outside the United States need to check with the nearest U.S. embassy or consulate for specific instructions, as the process may differ.

  • Myth 4: Your old passport is returned to you after renewal.

    This one is true but often misunderstood. When you submit your old passport with your renewal application, it is indeed returned to you, but it will be invalidated if your renewal is approved. This means you can keep it as a memento or for record-keeping, but it can no longer be used for travel.

  • Myth 5: Expedited service is available to everyone.

    While expedited service is an option, it's not available under all circumstances. Expedited service requires an additional fee and proof of urgent travel plans or a life-or-death emergency. Simply wanting your passport renewal processed faster does not qualify for expedited service.

Understanding these nuances about the DS-82 01-2017 US Passport Renewal Application form can ease the renewal process, ensuring that applicants are better prepared and informed. Always refer to the latest guidance from the U.S. Department of State’s website to get the most current information.

Key takeaways

The DS-82 01-2017 form is designed for U.S. Passport Renewal Applications for eligible individuals. When navigating through this process, there are critical points to remember:

  1. Eligibility: Before filling out the form, ensure you meet the requirements for using the DS-82. These include your current passport being undamaged, issued when you were age 16 or older, issued within the last 15 years, and issued in your current name (or you can legally document your name change).
  2. Accuracy is key: Provide accurate and truthful information. Any error or omission may delay processing or result in denial of the application.
  3. Required Documents: Attach your current passport, a recent passport photo that meets the official requirements, and any necessary legal documents if your name has changed since your last passport was issued.
  4. Fee Payment: Verify the correct fee for the renewal and make your payment according to the guidelines. Be aware that fees are subject to change, so check the most current information.
  5. Mail in Your Application: The DS-82 form is intended for mail-in applications. Ensure your package includes the DS-82 form, your current passport, photo, payment, and any applicable name change documents.
  6. Passport Photo: Follow the strict photo requirements closely. The photo must be 2x2 inches, in color, and taken within the last six months to reflect your current appearance.
  7. Processing Time: Understand that processing times can vary, especially during high-volume periods. Plan accordingly and apply well in advance of any planned travel.
  8. Data Security: Given the personal nature of the information on the DS-82 form, take measures to protect your data. Use a secure method when sending your application and documents.

Filling out the DS-82 form with attentiveness and care is the initial step towards a successful U.S. passport renewal. It's crucial to review the most up-to-date guidance and requirements provided by the U.S. Department of State's Bureau of Consular Affairs to ensure a smooth process.

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