You can ONLY use this form if you changed your name within one year of the date of issuance of your passport, if it was issued more than a year from your date of issuance GO back & click on Renew Passport and include everything on that checklist plus your ORIGINAL Name Change Document (ex: marriage certificate, divorce decree, court order name change, amended birth certificate etc). Please make sure that you sign all the documents in your new name & if you have any identification/documentation (ex: state ID, drivers license, learners permit, social security card) in your new name please provide a copy and sign the same way as on your ID or document.
DS-5504 Name Change Application
Complete the DS-5504. Form must be completely filled out do not leave anything blank.
Passport must be in good condition. It will not be accepted if damaged or mutilated. Lamination must not be peeling off of the photo page of the passport.
Original Court Documentation
Please provide the original court document that changes your name. For example, marriage certificate, divorce or legal name change document.
If available, provide an International ticket, e-ticket, itinerary or hotel confirmation for those driving. If traveling on business and no itinerary is available, a letter, signed by someone at the company, on company letterhead, which indicates the dates, location, name of person traveling and purpose of travel will suffice.
Include two recent identical passport photos. These must meet the government requirements of being sized 2X2 with a white background, no glasses or head gear taken within 6 months. Photos taken at premises ($10 fee for 2)
This form is used for Rushpassport.com to keep track of your application.
Print two authorization letters. This allows us to act as an agent on your behalf.
Must be signed by applicant ages 16 and over. The parent coming in must sign for child 15 years of age and under.
A check or money order made payable to the "U.S. Department of State" in the amount of $60.00. Temporary / starter checks or checks without name and address will NOT be accepted.
Choose a method from the following choices:
· Either include your own return FedEx prepaid airbill
· Pay $30.00 for overnight delivery Mon-Fri (for morning delivery bet. 10-11am)
· Pay $65.00 for first A.M. (usually by 8:30am) and Saturday delivery.
· Or just simply pick up at our location.
Call us before coming in personally or sending via Fedex for updated fees. Note: Cash or Credit Card (Visa, Master Card, Amex) Accepted.
Credit Card Holder's Authorization Form