Form DS-82. US Passport Renewal Application

Name (Last, First, Middle): Enter the name to appear in the passport. The name to appear in the passport should be consistent with your previous U.S. passport.

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

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.

You must provide a Social Security number (SSN), if you have been issued one, in accordance with Section 6039E of the Internal Revenue Code (26 U.S.C. 6039E) and 22 U.S.C 2714a(f).

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.

Mailing Address Line 1 and 2 "In Care Of": For line 1 enter applicant's Street/RFD #, or P.O. Box or URB. For line 2, if you do not live at the address listed in this field, put the name of the person who lives at the address and mark it "In Care Of".

List all other names you have used: 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 item A and one in item B. If only your last name has changed just enter the last name.

If the name you are currently using is different from the name on your most recent U.S. passport, you must submit a copy of your certified marriage certificate, divorce decree, or original court order showing the change of name.

If you are unable to document your name change in this manner, you must apply on form DS-11, Application for a U.S. Passport.

Attach one photo, 2x2 inches in size.

Taken less than six months ago.

Use a plain white or off-white background. Head coverings are not acceptable unless you submit a signed statement verifying that it is part of recognized, traditional religious attire that is customarily or required to be worn continuously in public or a signed doctor's statement verifying its daily use for medical purposes.

Use 4 staples vertically in the corners as close to the outer edges as possible. Do not bend the photo.

By law, the passport fees are non-refundable. There is no execution fee to use this form.

Do not send cash. The Department cannot be responsible for cash sent through the mail.

Expedited service is only available for passports mailed in the United States and Canada. Please write "Expedite" on the outer envelope when mailing.

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

Form DS-82 is the U.S. Passport Renewal Application for Eligible Individuals. The information is requested in order to determine your eligibility to be issued a U.S. passport.

You must sign and date the application in the designated area. Remember to sign this page then complete Application Page 2.

Mail this form and attachments to one of the addresses below: FOR ROUTINE SERVICE (If you live in CA, FL, IL, MN, NY, or TX): National Passport Processing Center PO Box 640155 Irving, TX 75064-0155 FOR ROUTINE SERVICE (If you live in any other state or Canada): National Passport Processing Center PO Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee, from any state or Canada): National Passport Processing Center PO Box 90955 Philadelphia, PA 19190-0955 Notice to Applicants Located Outside the United States: U.S. citizens residing outside the United States and Canada cannot submit this form to the domestic addresses listed above.

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.

By signing you declare under penalty of perjury all of the following: 1) you are a citizen or non-citizen national of the United States and have not performed any of the acts listed under "Acts or Conditions" on page 4 of the instructions of this application (unless an explanatory statement is attached); 2) the statements made on the application are true and correct; 3) you have not knowingly and willfully made false statements or included false statements in support of this application; 4) the photograph submitted with this application is a genuine, current photograph of you; and 5) you have read and understood the warning on page 4 of the instructions to the application form.

A United States citizen or non-citizen national may not normally have more than one valid or potentially valid U.S. passport book or more than one valid or potentially valid U.S. passport card at a time. Therefore, when a valid or potentially valid U.S. passport book or card cannot be presented with a new application, you must apply using form DS-11, Application for a U.S. Passport.