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U.S. Department of State
Application for Passport by Mail (DSP-82)
Bureau of Consular Affairs
UNITED STATES DEPARTMENT OF STATE
APPLICATION FOR PASSPORT BY MAIL
CAN I USE THIS FORM?
Complete this checklist to determine your eligibility to use this form.
1. I can submit my most recent passport. Yes / No
2. I was at least 18 years old when my most recent passport was issued.
Yes / No
3. I was issued my most recent passport less than 12 years ago. Yes /
4. I use the same name as on my most recent passport, OR I have had my
name changed by marriage or court order and can submit proper
documentation to reflect my name changes. Yes / No
If you answered NO to any of the four statements above STOP - You cannot
use this form!!! You must apply on application form DSP-ll by making a
personal appearance before a passport agent, postal clerk or clerk of
court authorized to accept passport applications.
FOLLOW INSTRUCTIONS CAREFULLY - INCOMPLETE OR UNACCEPTABLE APPLICATIONS
WILL DELAY THE ISSUANCE OF YOUR PASSPORT. For detailed Information on
the Items to be Included, see the reverse side of this application.
(NATIONAL PASSPORT CENTER (603) 334-0500)
WHAT DO I NEED TO SEND WITH THE APPLICATION FORM?
1. Your most recent passport.
2. A marriage certificate or court order if your name has changed.
3. Passport fee of $55.
4. Two recent (taken within the last 6 months) identical photographs
with a light, plain background.
For detailed information on the items to be included, see below.
YOUR MOST RECENT PASSPORT. Issued at age 18 or older in your current
name (or see item #2 below) and issued within the past 12 years. If
your passport is mutilated or damaged, you must apply on the DSP-ll
Application form as specified below.
2. A MARRIAGE CERTIFICATE OR COURT ORDER. If the name you are
currently using differs from the name on your most recent passport, you
must submit a marriage certificate or court order showing the change of
name. The name change document MUST bear the official seal of the
issuing authority. Uncertified copies or notarized documents can not be
accepted. All documents will be returned to you with your passport. If
you are unable to document your name change in this manner, you must
apply on the DSP-ll Application form by making a personal appearance at
(l) a passport agency; (2) any Federal or State court of record or any
probate court accepting passport applications; or (3) a Post Office
which has been selected to accept passport applications.
3. THE PASSPORT FEE OF $55. Enclose the $55 passport fee in the form
of a personal check or money order. DO NOT SEND CASH. Passport
services cannot be responsible for cash sent through the mail. If you
desire special postage other than first class (registered, special
delivery, etc.) include the appropriate fee on the check. THE FULL NAME
AND DATE OF BIRTH OF THE APPLICANT MUST BE TYPED OR PRINTED ON THE FRONT
OF THE CHECK. MAKE CHECKS PAYABLE TO PASSPORT SERVICES.
4. TWO RECENT IDENTICAL PHOTOGRAPHS. The photographs must have been
taken within the past six months and be a good likeness of you. The
photographs must be clear with a full front view of your face and taken
on a light (white or off-white) background. Photographs may be in color
or black and white and the image size must correspond to the dimensions
on the diagram on the front of this form. Photographs must be taken in
normal street attire, showing you without headcovering unless a signed
statement is submitted indicating that the headcovering is worn daily
for religious or medical reasons. Dark glasses may not be worn in
passport photographs unless a doctor's statement is submitted supporting
the wearing of dark glasses for medical reasons.
MAIL THIS FORM TO:
National Passport Center
P.O. Box 371971
Pittsburgh, Pa. 15250-7971
DELIVERY - Other Than U.S. Postal Service
Attn: Passport Supervisor, 371971
3 Mellon Bank Center, Rm. 153-2723
Pittsburgh, Pa. 15259-0001
FOR INQUIRIES CONTACT
National Passport Center
31 Rochester Avenue
Portsmouth, NH. 03801-2900
Telephone: (603) 334-0500
NOTICE TO APPLICANTS RESIDING ABROAD
United States citizens residing abroad CANNOT submit this form to the
Passport Facility listed above. Such applicants should contact the
nearest United States Embassy or Consulate for procedures to be followed
when applying overseas.
NOTICE TO APPLICANTS FOR OFFICIAL, DIPLOMATIC, OR NO-FEE PASSPORTS
You may use this application if you meet all of the provisions listed
above. Submit your U.S. Government or military authorization for a no
fee passport with your application in lieu of the passport fee. CONSULT
YOUR SPONSORING AGENCY FOR INSTRUCTIONS ON PROPER ROUTING PROCEDURES
BEFORE FORWARDING THIS APPLICATION. Your completed passport will be
released to your sponsoring agency for forwarding to you.
FEDERAL TAX LAW
Section 6039E of the Internal Revenue Code of 1986 requires a passport
applicant to provide his/her name, mailing address, date of birth and
social security number. If you have not been issued a social security
number, enter zeros in box. Passport Services will provide this
information to the Internal Revenue Service routinely. Any applicant
who fails to provide the required information is subject to a $500
penalty enforced by the IRS. All questions on this matter should be
referred to the nearest IRS office.
PRIVACY ACT STATEMENT
The information solicited on this form is authorized by, but not limited
to, those statutes codified in Titles 8, 18, and 22, United States Code,
and all predecessor statutes whether or not codified, and all
regulations issued pursuant to Executive Order 11295 of August 5, 1966.
The primary purpose for soliciting the information is to establish
citizenship, identity, and entitlement to issuance of a United States
passport or related facility, and to properly administer and enforce the
la-vs pertaining thereto.
The information is made available as a routine use on a need-to-know
basis to personnel of the I)Department of State and of their official
duties; pursuant to a court order; and, as set other government agencies
having statutory or other lawful authority to maintain such information
in the performance of their official duties; pursuant to a court order;
and, as set forth in Part 171, Title 22, Code of Federal Regulations
(see Federal Register; Volume 42 pages 49791 through 49795).
Failure to provide the information requested on this form may result in
the denial of a United States passport, related document, or service to
the individual seeking such passport, document, or service.
Public reporting, burden for this collection of information is estimated
to average 5 minutes per response including time required for searching
existing data sources gathering the necessary data providing the
information required and reviewing the final collection. Send comments
on the accuracy of this of the burden and recommendations for reducing
it to: Department of State (OIS/RA/DR), Washington D.C. 20520-0264,
and to the Office of Information and Regulatory Affairs Office of
Management and Budget Paperwork Reduction Project (1405-0020),
Washington D.C. 20503.
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