FAST and HASSLE-FREE ONLINE PASSPORT APPLICATION

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




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 explan atory 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.


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Personal Application Review

Review the data below and make edits if needed


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Name Provided:
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Date Of Birth:
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Place Of Birth:
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Social Security Number:
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Sex:
Male
Female
Height:
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Hair Color:
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Eye Color:
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Occupation:
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Employer:
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Mailing Street Address:
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Mailing Street Address 2:
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City:
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State:
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Zip Code:
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Country:
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Permanent Address Same As Mailing Address:
No
Yes
Permanent Street Address:
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Apartment Number:
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City:
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State:
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Zip Code:
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Country:
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Email Address:
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Home Phone:
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Date Of Trip:
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Return Date from Trip:
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Countries To Be Visited:
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Emergency Contact:
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Relationship:
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Street Address :
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Apartment Number:
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City:
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State:
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Zip Code:
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Contact Phone:
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Edit
Have Passport Book:
Yes
No
Name On Previous Passport Book:
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Previous Passport Book Number:
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Book Issuance Date:
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Book Still In Possession:
Yes

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PassportSecure 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. PassportSecure.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 PassportSecure.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. PassportSecure's fee does not include any government application, biometric, or filing fees. Access to and use of PassportSecure.org website is subject to PassportSecure'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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