New Travel Document

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Legalization
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New Passport Application

This application is for first time applicant or if you are applying for child under 16 years old.
Passport Holder Information
Passport Holder Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Passport holder's date of birth
Gender*

MaleFemaleUnspecified
State of Birth*
If he/she was born outside the United States, please input his/her Country of Birth here.
City of Birth*
Social Security Number*
Your social security number is only used to generate your DS-11 form. Your personal information will not be shared with any third party.
Height*
Hair Color*
Eye Color*
Applicant Information
E-mail (used for passport confirmation and tracking)*

Confirmation EmailMake sure to enter a correct email. We will send your passport information at this email address
Primary Contact Phone Number*
Used to send your appointment confirmation
Additional Phone Number
Optional
Phone Type*

CellHome
Are you applying for your self?*

YesNo
Applicant's Name*

First NameMiddle NameLast Name
Applicant's Relationship*
Relationship with the passport holder
Applicant's Date of Birth*

MonthDayYear
Hidden comma
Applicant's Self
Relationship with the passport holder

Passport Holder's Matrimonial Status and Parent's Information
Has the Passport Holder ever changed his/her name?*

YesNo
Former names A.*
Examples: Birth Name, Maiden, Previous Marriage, Legal Name Change
Former names B.
Optional
Has the Passport Holder ever been married?*

YesNo
Spouse Name*

First NameMiddle NameLast Name
U.S. Citizen*

YesNo
Spouse Place of Birth*
City & State or City & Country if outside USA
Spouse Date of Birth*

MonthDayYear
Date
Date of Marriage*

MonthDayYear
Has the Passport Holder ever been widowed or divorced?*

YesNo
Widow or Divorce Date*

MonthDayYear
Do you know the Mother's birth information and citizenship?*

YesNo
Do you know the Father's birth information and citizenship?*

YesNo
Mother's Status
Mother's information is not required by the U.S. Department but it will be specified as "Unknown" in your application.
Father's Status
Father's information is not required by the U.S. Department but it will be specified as "Unknown" in your application.
Mother's Name At Birth*

First NameMiddle NameMeiden Name
Mother's State of Birth*
If he was born outside the United States, please enter his Country of Birth here.
Mother's City of Birth*
Mother's Date of Birth*

MonthDayYear
Date
U.S. Citizen*

YesNo
Father's Name At Birth*

First NameMiddle NameLast Name
Father's State of Birth*
If he was born outside the United States, please enter his Country of Birth here.
Father's City of Birth*
Father's Date of Birth*

MonthDayYear
Date
U.S. Citizen*

YesNo
Unknown FirstName

FNLN

Passport Holder's Occupation and Travel Plans
Occupation*
Specific case: Unemployed, Student
Employer Name
Optional
Do you have any travel plans?*

YesNo
Note: Travel plans are not required to request a new passport.
Departure Date*

MonthDayYear
Date
Return Date*

MonthDayYear
Date
Countries to be visited*
Emergency Contact Information

Provide information of a person not traveling with you in case of an emergency. If no emergency contact is available, please skip to the next step
Would you like to add an emergency contact?

YesNo
Emergency Contact Name*
Phone Number*
Please enter a valid phone number.
Emergency Contact Relationship*
Ex: Spouse, Father, Mother, Bother, Sister, Friend, Legal Guardian, ...
Address Line 1*
Street, P.O. Box or URB
Address Line 2
Apt, Unit, Suite only
City
Zip Code
State

Previous Passports

This section is for people who has an expired passport for more than 15 years or a damaged passport in their possession.
Have the Passport Holder ever been issued a U.S. Passport Book or Passport Card?*

YesNo
Select what type of Passport*

Passport BookPassport CardBoth
Name on Most Recent Passport Book*

First NameMiddle NameLast Name
Most Recent Book Number*
Most Recent Book Issue Date*

MonthDayYear
If you don't remember exactly, use an approximated date
Where is the Passport Book?*

In my possessionI lost itIt has been stolen
Name on Most Recent Passport Card*

First NameMiddle NameLast Name
Most Recent Card Number*
Most Recent Card Issue Date*

MonthDayYear
If you don't remember exactly, use an approximated date
Where is the Passport Card?*

In my possessionI lost itIt has been stolen

Address where the new passport will be mailed to
Address Line 1*
Street, P.O. Box or URB
Address Line 2
Apt, Unit, Suite, etc ... If applicant is a child, write "In Care Of" of the parent.
City*
State
Zip Code*
Country*
Do you have different Permanent Address?*

YesNo
Permanent Address Line 1*
Street, P.O. Box or URB
Permanent Address Line 2
Apt, Unit, Suite only
City*
State*
Zip Code*
Form ID
Should be Empty:

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We are a private company that helps our clients fill out and complete their passport applications before they submit them to a passport acceptance facility. We are not part of the nor are we affiliated with any , and thus cannot provide legal advice. If you need legal assistance in this matter, we recommend that you seek out a qualified lawyer or advocate instead.

The optional Online Passport Form PDF editor and customer support service offered by statedocument.com is designed to simplify and speed up the process of applying for a to citizens of the United States, but it comes at an extra cost. If you're looking to save some money though, the documents required to apply for a are available free of charge on the website – though this option doesn't include our user-friendly PDF editing, error checking features, and unlimited customer support.