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.
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.
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 ($15 fee for one set).
Print two original copies of the authorization letters. This form allows us to act as an agent on your behalf. One original goes to the Acceptance Agent and one original goes on the outside of the sealed envelope.
This form is used for Rushpassport.com to keep track of your application. It does not go to the Acceptance Agent. Include it on the outside of the sealed envelope together with a copy of all the other documents and the original Letter of Release and Authorization Letter.
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: