Document Editing & Management Service Tailored for Passport Forms

About the Applicant



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. *



Note: (City & State if in the U.S., or City & Country as it is presently known.)



Feet: Inches:

Are you known by other names?


Next

Contact Information


Where should the passport be mailed?

Note: Please complete this section with a mailing address even if you are picking up your new passport directly from a passport agency.




Please Enter your Permanent Address below:



Preferred Method of Communication




Your Email Address



Your Phone Number



Additional Phone Number




Travel Plans

Please complete this section with known or anticipated travel plans.


Note: If you are traveling within two weeks, do not mail in your passport application. If you do, your application may not be completed before your travel date. Please call the National Passport Information Center at 1-877-487-2778 (TDD: 1-888-874-7793) to make an appointment to appear in person at a Passport Agency and receive expedited processing. The automated appointment system is available twenty-four hours a day, seven days a week

Who should we contact in case of an emergency?


Your Most Recent Passport





Passport Book



The date your most recent passport book was issued


Your name as printed on your most recent book:


Passport Card



The date your most recent passport book was issued


Your name as printed on your most recent card:



Applicant's Parent & Spouse Information


Note: Please fill in as much information as you know. If completing as a third party or parent of minor, complete the form in the context of the applicant not yourself.

Mother/Father/Parent Of Applicant      Unknown




Mother/Father/Parent Of Applicant      Unknown




Spouse Of Applicant




Personal Application Review

Review the data below and make edits if needed


Edit
Name Provided:
{{form.form['fullname']}}
Date Of Birth:
{{form.form['date_birth']}}
Place Of Birth:
{{form.form['city_birth_state']}}
Social Security Number:
{{form.form['ssn']}}
Sex:
Male
Female
Height:
{{form.form['height']}}
Hair Color:
{{form.form['hair_color']}}
Eye Color:
{{form.form['eye_color']}}
Occupation:
{{form.form['occupation']}}
Employer:
{{form.form['employer']}}

Edit
Mailing Street Address:
{{form.form['st_addr_1']}}
Mailing Street Address 2:
{{form.form['st_addr_2']}}
City:
{{form.form['addr_city']}}
State:
{{form.form['addr_state']}}
Zip Code:
{{form.form['addr_zip']}}
Country:
{{form.form['addr_country']}}

Edit
Permanent Address Same As Mailing Address:
No
Yes
Permanent Street Address:
{{form.form['p_addr_1']}}
Apartment Number:
{{form.form['p_apt']}}
City:
{{form.form['p_addr_city']}}
State:
{{form.form['p_addr_state']}}
Zip Code:
{{form.form['p_addr_zip']}}
Country:
{{form.form['p_addr_country']}}

Edit
Email Address:
{{form.form['email']}}
Home Phone:
{{form.form['phone']}}

Edit
Date Of Trip:
{{form.form['trip_date']}}
Return Date from Trip:
{{form.form['date_return']}}
Countries To Be Visited:
{{form.form['country_visit']}}

Edit
Emergency Contact:
{{form.form['emergency_name']}}
Relationship:
{{form.form['emergency_relationship']}}
Street Address :
{{form.form['emergency_street']}}
Apartment Number:
{{form.form['emergency_apt']}}
City:
{{form.form['emergency_city']}}
State:
{{form.form['emergency_state']}}
Zip Code:
{{form.form['emergency_zipcode']}}
Contact Phone:
{{form.form['emergency_tel']}}

Edit
Have Passport Book:
Yes
No
Name On Previous Passport Book:
{{form.form['book_fname']}}
Previous Passport Book Number:
{{form.form['book_number']}}
Book Issuance Date:
{{form.form['book_issued']}}
Book Still In Possession:
Yes
No

Edit
Have Passport Card:
Yes
No
Name On Previous Passport Card:
{{form.form['card_fname']}}
Previous Passport Card Number:
{{form.form['card_number']}}
Card Issuance Date:
{{form.form['card_issued']}}
Card Still In Possession:
Yes
No

Data Printed Incorrectly:
Yes, it was printed correctly
No, it was printed incorrectly on my passport book
Name Changed Since Document Issued:
Yes, it has changed since I got my passport book
No, it has not changed since I was issued a document
Passport Book Limited For One Year Or Less:
Yes
No
First Name Printed Incorrectly:
Yes
No
Middle Name Printed Incorrectly:
Yes
No
Last Name Printed Incorrectly:
Yes
No
Place Of Birth Printed Incorrectly:
Yes
No
Date Of Birth Printed Incorrectly:
Yes
No
Sex Printed Incorrectly:
Yes
No

Reason For Name Change:
Marriage
Court
Date Of Name Change:
{{form.form['date_change']}}
Place Of Name Change:
{{form.form['place_change']}}

Edit
Name Of Mother/Father/Parent:
Unknown
{{form.form['parent_1_fname']}} {{form.form['parent_1_lname']}}
Mother/Father/Parent Date Of Birth:
{{form.form['parent_1_date_birth']}}
Mother/Father/Parent Place Of Birth:
{{form.form['parent_1_place_birth']}}
Mother/Father/Parent Sex:
Male
Female
Mother/Father/Parent U.S. Citizen:
Yes
No


Name Of Mother/Father/Parent:
Unknown
{{form.form['parent_2_fname']}} {{form.form['parent_2_lname']}}
Mother/Father/Parent Date Of Birth:
{{form.form['parent_2_date_birth']}}
Mother/Father/Parent Place Of Birth:
{{form.form['parent_2_place_birth']}}
Mother/Father/Parent Sex:
Male
Female
Mother/Father/Parent U.S. Citizen:
Yes
No
Married:
Yes
No
Name Of Spouse:
{{form.form['spouse_name']}}
Spouse Date Of Birth:
{{form.form['spouse_dob']}}
Spouse Place Of Birth:
{{form.form['spouse_place_birth']}}
Spouse U.S. Citizen:
Yes
Date Of Most Recent Marriage:
{{form.form['spouse_date_marriage']}}
Widowed or Divorced:
Yes
No
Widowed or Divorced Date:
{{form.form['divorced_date']}}
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Passport-USA is a private company that assists its clients in the preparation and completion of passport application forms prior to submission to an official U.S. Passport Agency. Passport-usa.org is not affiliated with the U.S. Department of State or any government agency. Blank Passport forms and instructions can be provided for free from travel.state.gov. However, this will not benefit from the simplified PDF editor and error checking services provided by Passport-usa.org. We do not review the information you submit on a legal stance or any other professional standpoint. We are not a government approved agency. We do not provide legal advice, and are not a substitute for an attorney. If legal services are required in this regard, clients are advised to seek out a qualified and practicing legal advice. All forms that can be completed online using our service are available as blank forms with written instructions for free from the U.S. State Department. Passport-USA's fee does not include any government application, biometric, or filing fees. Access to and use of Passport-usa.org website is subject to Passport-USA's Terms of Service and Privacy Policy. If your prepared application is not accepted for any reason, we will refund all our fees. You may visit the U.S. Department of State and download free forms by clicking here.
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