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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 / 
No 
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 
 
Mellon Bank 
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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