How to Fill Out Form Ds 71

Form DS-71 at a glance

What it is: The Affidavit of Identifying Witness, identification of a passport applicant, of the U.S. Department of State.

Who signs: You, the witness, must complete items 1 through 10 (and, if applicable, 11 through 12) of this form, and sign when requested to do so by the same authorized Passport Agent, Passport Acceptance Agent, or Consular Officer who accepted the passport application.

What to bring and attach to Form DS-71

Present some form of current government-issued photo identification of your own and include a photocopy of the front and back of your government-issued photo identification.

A filled-in Form DS-71 example: a witness identifies a passport applicant

Form DS-71 example filled out, example: a witness identifies a passport applicant
Jane Sample appears before an authorized Passport Acceptance Agent with her neighbor and coworker John Q. Sample, who is unable to establish his identity for his DS-11 passport application. The agent asks Jane to complete items 1 through 10 and to sign, so this example fills page 2. Jane has been issued a U.S. passport, so she checks Yes and fills in questions 11 and 12. She brings a photocopy of the front and back of her government-issued photo identification and her own current government-issued photo identification. Every name, date, address and number in the example is made up, and the signature date is after the form's 10-2022 edition. Open the picture to see it full size.

How to fill out Form DS-71, box by box

Tap a group of boxes to open it, and a picture to see it full size.

The passport applicant
Form DS-71 example filled out, the passport applicant

Write the Passport Applicant's Name (Last, First, Middle).

Fill in How do you (the Witness) know the passport applicant?

Fill in the Years and Months for How long have you (the Witness) known the passport applicant?

Witness
Form DS-71 example filled out, witness

Write the Witness' Name (Last, First, Middle).

Write the Witness' Residential Street Address and the City, State, ZIP Code.

Write the Witness' Place of Birth (City, State) and the Witness' Date of Birth (mm-dd-yyyy).

Write the Witness' Telephone Number and the Witness' Social Security Number.

Check No or Yes for Have you (the Witness) ever been issued a U.S. passport? If yes, continue with questions 11 - 12.

If yes, the witness' passport
Form DS-71 example filled out, if yes, the witness' passport

If yes, continue with questions 11 - 12 and write the Witness' Passport Number; if No, leave the passport lines blank.

Write the Date of Issue (mm-dd-yyyy); if unknown, give approximate date.

Signing
Form DS-71 example filled out, signing

Do not sign unless requested by an authorized Passport Agent, Passport Acceptance Agent, or Consular Officer.

I declare under penalty of perjury that I know or have reason to believe the above-named passport applicant is a citizen or non-citizen national of the United States; and the above statements are true and correct.

Sign on the Signature line and write the Date (mm-dd-yyyy).

More rules for Form DS-71

This form must be completed in the presence of an authorized Passport Agent, Passport Acceptance Agent, or Consular Officer.

Alteration or mutilation of a U.S. passport is punishable by fine and/or imprisonment under the provisions of 18 U.S.C. 1543, and the use of a U.S. passport in violation of the restrictions contained therein or of the passport regulations is punishable by fine and/or imprisonment under 18 U.S.C. 1544.

All statements and documents submitted are subject to verification.

Common questions about Form DS-71

What is form DS-71 for an identifying witness?

The Affidavit of Identifying Witness may be submitted with a passport application when the passport applicant is unable to establish their identity to the satisfaction of the authorized Passport Agent, Passport Acceptance Agent, or Consular Officer.

Does it need a notary?

The Acceptance Agent fills the FOR AUTHORIZED AGENT'S USE ONLY section: Subscribed and sworn to (affirmed) before me.

Is there a penalty?

False statements made knowingly and willfully on this form are punishable by fine and/or imprisonment.

Sources

[1] Form DS-71, Affidavit of Identifying Witness Identification of a Passport Applicant, U.S. Department of State (the Official source link on this page).

DS-71 PDF Details

The passport applicant must still present some identification of their own.

Witness: you, the witness, must complete items 1 through 10 (and, if applicable, 11 through 12) of this form.

Signing: do not sign the affidavit unless requested to do so by an authorized Passport Agent, Passport Acceptance Agent, or Consular Officer.

Photo ID: you must include a photocopy of the front and back of your government-issued photo identification.

Presence: this form must be completed in the presence of an authorized Passport Agent, Passport Acceptance Agent, or Consular Officer.

QuestionAnswer
Form NameDS-71
Form Length2 pages
Fillable?Yes
Fillable fields17
Avg. time to fill out3 min
Edition10-2022
Who signsThe witness
Other namesDS-71, DS71, DS 71, Form DS-71, Affidavit of Identifying Witness
Official sourceDS-71 (Rev 10-2022), U.S. Department of State