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PASSPORTSUBMISSION.US is an independent company and is not associated with any government agency.

Service Type

WHAT'S INCLUDED

About the Applicant

Please select the document(s) you are applying for:

Do you need a regular or large passport book?

Large passport book is recommended for Frequent Travelers. There is no additional fee.

Gender

First Name

Middle Name (Optional)

Last Name

Your Birthday

MM/DD/YYYY

City of Birth

Height

Occupation

Employer/School (Optional)

Social Security Number

SSN

Please confirm your SSN so that it is accurate. Your SSN is secured by latest SSL technology.

Have you ever used a different name?

Contact Information

Where should the passport be mailed?

Street Address/RFD#, PO Box, or URB

Street Address 2

City

Zip Code

Is this your Permanent Address?

Street Address/RFD#, PO Box, or URB

Street Address 2

City

Zip Code

Preferred Method of Communication

Preferred Method of Communication

Email

Re-Enter Email

Phone Number

Phone type

Do you want to add additional phone numbers?

Phone Number

Phone type

Phone Number

Phone type

Travel Plans (Optional)

Complete this section only if you have known travel plans. If you do not have any travel plans yet, you can skip this section.

Do you have any travel plans yet?

Date Of Your Trip

MM/DD/YYYY

Date Of Your Return

MM/DD/YYYY

Countries To Be Visited?

Emergency Contact (Optional)

Complete this section only if you have an emergency contact. If you do not have one, you can skip this section.

Do you have an emergency contact that you would like to add to this application?

Name of Emergency Contact

Street Address

Street Address 2

City

Zip Code

Email

Phone Number

Relationship to Applicant

Your Most Recent Passport

Have you been issued any of the following?

Do you still have the book in your possession?

Is your lost or stolen passport book expired?

Have you reported your passport book lost or stolen?

Did you file a police report for your lost or stolen passport book or card?

The date your most recent passport book was issued

MM/DD/YYYY

Book Number

First Name

Middle Name (Optional)

Last Name

Do you still have the card in your possession?

Is your lost or stolen passport card expired?

Have you reported your passport card lost or stolen?

Did you file a police report for your lost or stolen passport book or card?

The date your most recent passport card was issued

MM/DD/YYYY

Card Number

First Name

Middle Name (Optional)

Last Name

Do you still have the card in your possession?

Is your lost or stolen passport card expired?

Have you reported your passport card lost or stolen?

Did you file a police report for your lost or stolen passport book or card?

The date your most recent passport card was issued

MM/DD/YYYY

Card Number

First Name

Middle Name (Optional)

Last Name

Do you still have the book in your possession?

Is your lost or stolen passport book expired?

Have you reported your passport book lost or stolen?

Did you file a police report for your lost or stolen passport book or card?

The date your most recent passport book was issued

MM/DD/YYYY

Book Number

First Name

Middle Name (Optional)

Last Name

Has your name changed since your most recent passport was issued?

Reason for the name change?

Do you have an official document to verify your name change?

Date of Name Change

MM/DD/YYYY

Place of name change (City/State)

Do you want to order a new U.S. passport book and/or card?

If yes, we'll provide your DS-11 form for no extra cost.

Have you had another U.S. passport book/card lost or stolen?

Applicant's Parent Information

First & Middle Name (at Parent's Birth)

Last Name (at Parent's Birth)

Date of birth (Optional)

MM/DD/YYYY

Place of Birth (Optional)

Gender

U.S. Citizen

First & Middle Name (at Parent's Birth)

Last Name (at Parent's Birth)

Date of birth (Optional)

MM/DD/YYYY

Place of Birth (Optional)

Gender

U.S. Citizen

Spouse Of Applicant

Has Applicant Ever Been Married?

Applicant's Spouse's Or Former Spouse's Full Name

Date of birth

MM/DD/YYYY

Place of Birth

U.S. Citizen

Date Of Most Recent Marriage

MM/DD/YYYY

Has applicant ever been widowed or divorced?

Date

MM/DD/YYYY

Agreement