DS-11 US Passport Application

The U.S. Passport Card is not valid for international air travel.

The book is valid for international travel by air, land, and sea.

The large book is for frequent international travelers who need more visa pages.

Enter the name to appear in the passport. The name to appear in the passport should be consistent with your proof of citizenship and identification. If you have changed your name and are not eligible to use DS-82 or DS-5504, you must use this form.

Date of Birth: Use the following format: Month, Date, and Year (MM/DD/YYYY).

Sex: You must select sex marker option “M” (male) or “F” (female) that corresponds with your biological sex at birth.

Place of Birth: Enter the name of the city and state if in the U.S. or city and country as presently known.

Social Security Number: You must provide a Social Security number (SSN), if you have been issued one.

If you do not have a Social Security number, you must enter zeros in this field and submit a statement, signed, and dated, that includes the phrase, “I declare under penalty of perjury under the laws of the United States of America that the following is true and correct: I have never been issued a Social Security Number by the Social Security Administration.”

If you reside abroad, you must also provide the name of the foreign country where you reside.

USCIS Registration A-Number (A-Number): Enter your nine-digit number (if applicable). If you do not have an A-Number, leave this field blank.

Email Address: By providing your email address, you give the U.S. Department of State approval to send you email messages about the status of your passport and important travel information.

For line 1 enter applicant's Street/RFD #, or P.O. Box or URB or Apt/Suite #. For line 2, if you do not live at the address listed in the mailing address, put the name of the person who lives at the address and mark it "In Care Of". If the applicant is a minor child, you must include the "In Care Of" name of the parent or adult registered to receive mail at the address.

By providing your primary phone number, you give the U.S. Department of State approval to send you (text and/or SMS) messages about the status of your passport and important travel information.

List all other names you have used. (Examples: Birth Name, Maiden, Previous Marriage, Legal Name Change). Enter all legal names previously used to include maiden name, name changes, and previous married names. You can enter up to two names one in section A and one in section B. If you need more space to write additional names, please use a separate sheet of paper and attach it to this form.

Name printed on your most recent book and name printed on your most recent card: mark Submitting with application, Stolen, Lost or In my possession (if expired) for the Status of Book and for the Status of Card.

If your most recent passport book/card was lost or stolen, you must explain in detail. Please provide your previous book/card number and include the date and location (address/city/state/ country) of the loss/theft, if known.

Applicants under age 16: You must appear in person to apply for a U.S. passport with your parent(s) or legal guardian(s).

Parents/guardians must appear in person with the child and submit the following: Evidence of the child's relationship to parents/guardian(s) (Example: a birth certificate or Consular Report of Birth Abroad listing the names of the parent(s)/guardian(s) and child); Original parental/guardian government-issued photo identification and a photocopy of the front and back (to satisfy proof of identity).

If only one parent/guardian can appear in person with the child, you must also submit one of the following: The second parent's notarized written statement or DS-3053 (including the child's full name and date of birth) consenting to the passport issuance for the child. The second parent's death certificate (if second parent is deceased). Evidence of sole authority to apply (Example: a court order granting sole legal custody or a birth certificate listing only one parent). A written statement (made under penalty of perjury) or DS-5525 explaining, in detail, why the second parent cannot be reached.

The notarized statement cannot be more than three months old, must be signed and notarized on the same day, and must come with a front and back photocopy of the second parent's government-issued photo identification.

Applicants ages 16 and 17: At least one of your parent(s) or legal guardian(s) must know that you are applying for a U.S. passport.

Complete this form; do not sign until requested by an authorized agent.

Please print legibly using black ink only. If you make an error, complete a new form. Do not correct or white out.

Failure to provide information requested on this form, including your Social Security number, may result in significant processing delays and/or the denial of your application.

Do not sign this form until requested to do so by the authorized agent who will administer the oath to you, who will witness you signing your form.

Arrive for appointment and present completed form and attachments to the authorized agent who will administer the oath, witness you signing your form, and collect your passport fee. Applicant Located Outside the United States: In most countries, you must apply in person at a U.S. embassy or consulate for all passport services.

By law, the passport fees are non-refundable. Visit travel.state.gov/passportfees for current fees, payment methods, and how fees are used and processed. The execution fee must be paid separately and made payable to the acceptance facility in the payment method they accept.

False statements made knowingly and willfully in passport applications, including affidavits or other documents submitted to support this application, are punishable by fine and/or imprisonment under U.S. law including the provisions of 18 U.S.C. 1001, 18 U.S.C. 1542, and/or 18 U.S.C. 1621.

The applicant agrees with the following statement: I am not currently required to register under the sex offender registration program of any jurisdiction for a sex offense against a minor. I have not been convicted of a federal or state drug offense or convicted of a statutory "sex tourism" crime, and I am not the subject of an outstanding federal, state, or local warrant of arrest for a felony; a criminal court order forbidding my departure from the United States; or a subpoena received from the United States in a matter involving federal prosecution for, or grand jury investigation of, a felony. If any of the acts or conditions in the statement have been performed by or apply to the applicant, a supplementary explanatory statement under oath (or affirmation) by the applicant is required to be attached and made part of this application.