Free DS-82 01-2017 US Passport Renewal Application PDF Form Prepare Document Here

Free DS-82 01-2017 US Passport Renewal Application PDF Form

The DS-82 01-2017 US Passport Renewal Application form is a document used by U.S. citizens to renew their passports through mail, without having to appear in person. This facilitates a smoother and faster renewal process for eligible applicants. For detailed instructions and to fill out the form, click the button below.

Prepare Document Here
Content Overview

Travelers seeking to renew their U.S. passport have a vital resource in the DS-82 01-2017 US Passport Renewal Application form. This document is specifically designed for individuals whose passports are either close to expiration or have recently expired but fall within the specific guidelines that allow for mail-in renewal. The form stipulates conditions under which renewal can be pursued without an in-person visit to a passport acceptance facility, such as the passport being in good condition, the applicant was at least 16 years old at the time of the previous passport's issuance, and the current passport was issued within the last 15 years. Completing this form accurately is crucial, as it requires personal information, including the applicant’s current passport number, date of birth, and mailing address, in addition to a recent passport photo that meets the U.S. Department of State's guidelines. The DS-82 form streamlines the renewal process, making it more convenient for U.S. citizens to maintain valid passports for international travel. By understanding and effectively utilizing the DS-82 01-2017 form, passport holders can ensure a smooth renewal process, keeping the door open for overseas adventures, business, or other travel needs without interruption.

Example - DS-82 01-2017 US Passport Renewal Application Form

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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O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

End. #

 

 

 

 

 

 

 

 

 

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Middle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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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M

 

 

 

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Form Data

Fact Name Detail
Form Usage DS-82 01-2017 is used for U.S. Passport Renewal Applications by eligible individuals.
Eligibility Criteria Applicants must have a current passport in good condition, issued within the last 15 years, when the applicant was age 16 or older.
Submission Method The form can be submitted by mail, making the renewal process convenient for most applicants.
Form Validity Period This version of the form was valid starting January 2017. Applicants should check for the most current version.
Required Information Applicants need to provide personal details, passport information, and a recent photo among other requirements.
Governing Law Passport issuance and renewal are governed by U.S. federal law, specifically Title 22 of the Code of Federal Regulations.

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

When it's time to renew a passport, individuals must navigate through the process with care to ensure all details are correctly provided and that the application is complete. This ensures the request is processed without unnecessary delays. The DS-82 01-2017 US Passport Renewal Application form is specifically designed for those who are eligible to renew their passport by mail, sparing them the need to visit an application acceptance facility in person. The following steps aim to guide applicants through the completion of this form with clarity and precision.

  1. Begin by accurately filling in your name, including your last name, first name, and middle name, ensuring it matches the name on your existing passport.
  2. Enter your date and place of birth with the exact month, day, and year, followed by the city, state (if applicable), and country.
  3. Provide your current mailing address. Include the line for the street number and name, apartment or suite number (if applicable), city, state, and the ZIP code. For those residing outside the U.S., ensure the country and corresponding postal code are correctly entered.
  4. List your email address and primary contact number to allow for easy communication. Specify whether the number is a mobile or a landline, and add a secondary contact number if available.
  5. Fill in your Social Security number carefully to avoid errors, as this is crucial for verifying your identity.
  6. For the section on the most recent passport book or passport card, provide the document number, issuance date, and the name exactly as it appears on the document. This is vital for confirming the continuity of your identity and passport records.
  7. Indicate your planned travel date if known, but leave it blank if you have not made specific travel plans.
  8. If applying for a passport card, a passport book, or both, specify your choice clearly. Each option serves different travel needs, so choose according to your anticipated travel method and destinations.
  9. In the section asking for additional information, respond to any queries about name changes, corrections, or other modifications since your last passport was issued. Provide official documentation if your name has changed.
  10. Attach a recent passport photo securely in the designated space without damaging the photo. Glue or tape should be applied lightly to the corners only, to avoid defacing the image.
  11. Review the supplied details thoroughly, ensuring accuracy and completeness. Any discrepancies or missing information can lead to delays in the processing of your application.
  12. Sign and date the form in the designated area, confirming that all the information provided is true and accurate to the best of your knowledge. A parent or guardian should sign for minors.
  13. Lastly, attach the appropriate fee for the passport service you are requesting. Check the latest fee structure on the official website or at a nearby passport acceptance facility, as fees can change.

Following these steps with attention to detail will prepare your application for submission. The process, while seemingly meticulous, helps ensure that your passport renewal is handled efficiently. Once your application is submitted, accompanied by your most recent passport, photos, and any required fees or additional documentation, it will be reviewed for completeness and accuracy. The anticipation of your new passport marks the beginning of your next journey, with the assurance that you have taken the correct steps towards its renewal.

FAQ

Who is eligible to use the DS-82 01-2017 US Passport Renewal Application form?

To use the DS-82 form for passport renewal, individuals must meet certain criteria. They need to have their current passport in their possession, and it must be in good condition, undamaged other than normal wear and tear. The applicant must have been 16 years or older when their current passport was issued, and the passport itself must be no more than 15 years old. Furthermore, the passport must have been issued in the applicant’s current name or they must be able to legally document their name change.

Can I renew my passport with the DS-82 form if my name has changed since my last passport was issued?

Yes, applicants can renew their passport using the DS-82 form even if their name has changed since their last passport was issued. However, they must provide a legal document to support the name change, such as a marriage certificate, divorce decree, or court order. This document must be submitted along with their DS-82 application.

What documents are needed to renew a U.S. passport using the DS-82 form?

To renew a U.S. passport with the DS-82 form, applicants must submit their most recent passport, one color passport photo that meets the official requirements, the renewal fee, and if applicable, documents supporting a name change. Certain additional documents may be required under specific circumstances, so it's recommended to review the latest instructions provided by the U.S. Department of State.

How can I submit the DS-82 U.S. Passport Renewal Application?

The DS-82 form can be submitted through the mail. Applicants should follow the mailing instructions provided on the form carefully, ensuring that they send the form along with their most recent passport, a new passport photo, the renewal fee, and any required documents for a name change. Some applicants might be eligible to renew their passport online, and should check the U.S. Department of State's website for eligibility requirements.

Is it possible to expedite the renewal process of a U.S. passport using the DS-82 form?

Yes, an expedited service is available for U.S. passport renewals using the DS-82 form. Applicants opting for expedited service are required to include the additional fee for expedited processing with their application. It's also recommended to use an overnight delivery service for sending the application and including a prepaid overnight return envelope. Applicants should clearly mark "Expedite" on the outside of the envelope.

How long does it take to receive a new passport after submitting the DS-82 form?

The processing time for a U.S. passport renewal can vary, typically ranging from 4 to 6 weeks for standard service. For those who opt for expedited service, the processing time is generally reduced to about 2-3 weeks. However, processing times can change based on current demand and circumstances, so applicants are encouraged to check the latest processing times on the U.S. Department of State's website.

Common mistakes

When renewing a passport in the United States using the DS-82 form, applicants often make mistakes that can lead to processing delays or even the denial of their application. While the form itself might seem straightforward, it's crucial to pay close attention to detail and follow instructions meticulously. Below are nine common errors people commit when filling out the DS-82 (01-2017) U.S. Passport Renewal Application form:
  1. Not signing the form. Your application cannot be processed without your signature, signaling a common oversight that can render the entire submission invalid.

  2. Filling out the form in ineligible ink colors. The State Department requires all applications to be completed in black ink. Using other ink colors can result in the rejection of the application.

  3. Providing incorrect fee amounts. The applicable fee for renewing a passport can vary depending on factors like expedited service, booklet size, or additional pages. Ensuring the correct fee is attached to the application is crucial to avoid processing delays.

  4. Using an outdated form version. The U.S. State Department periodically updates the DS-82 form. Failing to use the most current version can mean an automatic rejection of the application.

  5. Not including the most recent passport. Applicants must send their most recent passport with their application. Sometimes, individuals forget to include it or accidentally include an older, invalidated passport.

  6. Errors in personal data. Mistakes in critical information such as date of birth, social security number, or the spelling of the applicant’s name can not only delay processing but also impact the validity of the issued passport.

  7. Attaching a photo that does not meet requirements. Passport photos have specific requirements regarding size, background color, and the applicant’s appearance. Photos that do not comply with these standards will be rejected.

  8. Failure to provide required documentation for name changes. If the applicant’s name has changed since the issuance of the current passport, legal documentation confirming the name change must be submitted with the application.

  9. Incorrectly filling out the mailing and permanent address fields. This might seem trivial, but mistakes or inconsistencies in addresses can lead to significant delays in receiving the renewed passport.

To maximize the chances of a smooth and swift renewal process, applicants are encouraged to review their completed DS-82 form carefully, ensuring that all information is accurate, complete, and in compliance with the specified requirements. Additionally, consulting the latest instructions provided by the U.S. State Department can provide valuable guidance and help avoid common pitfalls.

Documents used along the form

When renewing an American passport using the DS-82 form, an individual might need to compile additional documents to ensure their application is processed smoothly. These documents vary based on the applicant's situation including if their name has changed, if they need to expedite their application, or prove their travel history. Understanding these documents helps streamline the renewal process.

  • Proof of U.S. Citizenship: This may include the old passport, a birth certificate, or a certificate of citizenship to confirm the applicant's U.S. citizenship.
  • Passport Photo: A recent color photo that meets the U.S. Department of State's strict guidelines for size, background, and appearance is required.
  • Marriage Certificate or Court Order: Used to prove a change of name due to marriage or a legal name change since the issuance of the previous passport.
  • Form DS-64: This form reports a lost or stolen passport, necessary if replacing a passport that cannot be submitted with the renewal application.
  • Form DS-3053: Statement of Consent, used when one parent is applying for a passport for a child under the age of 16 and the other parent is not present.
  • Travel Itinerary: If requesting expedited service, providing proof of imminent travel such as airline tickets or a travel itinerary can be helpful.
  • Form DS-5504: Application for a U.S. Passport (Name Change, Data Correction, and Limited Passport Replacement), if needing to update information or replace a limited-validity passport within one year of issuance.
  • Fee Payment: Payment methods include checks or money orders made payable to the Department of State for the required fees.
  • Book Size Request Form: For applicants opting between the standard 28-page passport book or the 52-page book for frequent travelers.
  • Authorization Letter: For applicants using a courier service for expedited applications, an authorization letter granting permission to the courier to submit and collect documents may be necessary.

Combining the DS-82 form with the right supporting documents is essential for a trouble-free US passport renewal. Applicants should review their specific circumstances to determine which additional forms and documents are necessary, ensuring all requirements are met before submission. This approach minimizes delays and streamlines the process of maintaining valid travel documentation.

Similar forms

  • The Form N-400, Application for Naturalization, closely resembles the DS-82 form in its functionality. Both serve as formal requests for a significant change in status—citizenship in the case of the N-400 and passport renewal with the DS-82. Applicants must provide personal information, history, and supporting documents to verify their eligibility.

  • Form I-90, Application to Replace Permanent Resident Card, shares similarities with the DS-82 application. They are both designed to update or renew existing documentation that verifies one's status, whether it’s a passport or a Green Card. Each requires the individual to confirm their current personal details and status.

  • The Form I-765, Application for Employment Authorization, also parallels the DS-82 form. It entails a request for a new document based on previous status—in this case, the right to work in the U.S. Similar to passport renewal, applicants must supply adequate proof of their eligibility and identity.

  • Form DS-11, Application for a U.S. Passport, though used for first-time applicants, is structurally similar to the DS-82 form. Both forms are integral to the process of obtaining a passport, requiring detailed personal information, evidence of citizenship, and photographs to establish identity.

  • Form DS-5504, Application for a U.S. Passport (Name Change, Data Correction, and Limited Passport Replacement), is closely related to the DS-82. Both address the need to update or correct information on official documents. The DS-5504 is specific to changes after passport issuance, necessitating proof of the change, akin to how the DS-82 mandates current personal details and passport status verification.

Dos and Don'ts

Renewing your passport is an important task that you should approach carefully to ensure the process goes smoothly. Below, you'll find a list of do's and don'ts specifically tailored for filling out the DS-82 US Passport Renewal Application form.

Do:

  1. Use black ink when filling out the form. This ensures your information is readable and the form is processed without delay.
  2. Make sure your photo is recent and meets the strict requirements outlined by the U.S. Department of State. This includes size, background color, and more.
  3. Double-check your personal information for accuracy, including your full name, date of birth, and Social Security number. Any mismatch or mistake can lead to delays.
  4. Sign the form as indicated. A missing signature is one of the most common reasons for application delays.

Don't:

  1. Fill out the form in pencil or any other color ink besides black. This could result in your application being rejected.
  2. Use a photo that does not comply with the State Department's guidelines. Outdated or non-compliant photos are a leading cause of application hold-ups.
  3. Forget to check for typos or inaccuracies in your personal information. Even small mistakes can lead to significant delays in processing your application.
  4. Ignore the fee payment instructions. Incorrect payment amounts or methods can halt the renewal process.

Treating the DS-82 form with care and attention can make your passport renewal process seamless and straightforward. Remember, it's all about ensuring your documentation is clear, accurate, and follows the guidelines set forth by the State Department.

Misconceptions

Applying for a passport renewal with the DS-82 01-2017 US Passport Renewal Application form might seem straightforward, but there are several common misconceptions that can lead to confusion. It's important to understand these to ensure the process goes as smoothly as possible.

  • Misconception 1: You can renew your passport at any time.

    Reality: You can only use the DS-82 form if your most recent passport is less than 15 years old, you were 16 or older when it was issued, it is not damaged, and it is in your current name (or you can legally document your name change).

  • Misconception 2: Renewal by mail isn't secure.

    Reality: Mailing your renewal application is safe. The U.S. Department of State recommends using a trackable mailing service and offers guidance on securely packaging your application.

  • Misconception 3: You need to renew your passport as soon as it expires.

    Reality: While having a valid passport is necessary for international travel, there's no penalty for letting your passport expire before renewing it. However, some countries require that your passport be valid for at least six months beyond your travel dates.

  • Misconception 4: You must visit a passport agency or acceptance facility to renew your passport.

    Reality: If you meet certain conditions, you can renew your passport by mail using the DS-82 form without needing to visit a passport acceptance facility or agency in person.

  • Misconception 5: Your old passport will be returned to you after renewal.

    Reality: In most cases, your old passport will be returned to you. However, it will usually be canceled unless it needs to be retained by the Department of State for some reason. It's common to receive your old passport and your new one in separate mailings.

  • Misconception 6: The processing times are the same throughout the year.

    Reality: Processing times for passport renewals can vary significantly throughout the year. Times are typically longer during peak travel seasons. It's recommended to check the current processing times on the U.S. Department of State website and apply well in advance of any planned travel.

Key takeaways

The DS-82 01-2017 US Passport Renewal Application form is a critical document for U.S. citizens seeking to renew their passports. Understanding how to properly fill out and use this form is essential for a smooth passport renewal process. Below are several key takeaways to guide applicants through this process.

  • Eligibility Criteria: Ensure you meet the eligibility criteria for using the DS-82 form before beginning the application process. This includes having a passport that is not significantly damaged, was issued when you were 16 or older, within the last 15 years, and in your current name (or you can legally document your name change).
  • Personal Information: Accurately filling out your personal information is crucial. Any discrepancies between the information provided and official documents could cause delays.
  • Photo Requirements: Adhere strictly to the photo requirements outlined by the Department of State. Non-compliant photos are a common reason for application delays.
  • Fee Payment: Understand the required fees for passport renewal and acceptable methods of payment. Incorrect fees or payment methods can result in processing delays.
  • Documentation: Submit all required documentation, including your current passport, a passport photo, and any legal documents for name changes. Missing documents can lead to application rejection.
  • Mailing Instructions: Follow the mailing instructions carefully. The DS-82 form should be mailed to the address provided by the Department of State, not taken to a passport acceptance facility.
  • Processing Time: Be aware of current processing times, which can vary depending on a number of factors. Plan your application submission accordingly to avoid travel disruptions.
  • Travel Plans: If you have urgent travel plans, consider expediting your renewal application or contacting a passport agency for guidance.
  • Accuracy: Double-check all information for accuracy before submission. Errors on the form can lead to significant delays in the renewal process.

By adhering to these guidelines, applicants can ensure a seamless process for renewing their U.S. passports using the DS-82 01-2017 form. It’s always recommended to review the most current information and instructions provided by the U.S. Department of State to stay up to date on any changes to the renewal process.

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