Fill out Form DS-5504 online

Who uses Form DS-5504

• People whose name changed by marriage or court order less than one year after their passport was issued, when that passport is less than one year old
• Passport holders whose identifying information, such as name, sex marker or place of birth, was printed incorrectly, or whose passport has a printing error such as missing data or crooked printing
• Holders of a passport book issued at the full passport fee and limited to two years or less, for a reason other than multiple losses or serious damage
• Parents or legal guardians, for a child whose passport meets one of these conditions
• Holders of no-fee regular, service, official or diplomatic passports, who must first ask their sponsoring agency how to route the application

Before you start

• Your most recent U.S. passport book and/or card. You must send it with the form.
• One color photo, 2x2 inches, taken in the last six months, on a plain white or off-white background, without eyeglasses
• For a name change: a certified name change document, such as a certified marriage certificate, divorce decree or court order, showing a seal and the official's or judge's signature
• For a correction: a document that shows the correct information, such as a certified birth certificate
• For a limited passport: evidence of U.S. citizenship (such as a birth certificate or naturalization certificate) and/or identity (such as a driver's license or state ID)
• Your Social Security number. If you were never issued one, enter zeros and attach the signed and dated statement described in the item 5 instructions.

How to fill out Form DS-5504

1. 1

   Check that you can use this form (Section A)

   Instruction Page 1 lists three yes/no statements: a recent name change on a passport issued less than a year ago, information printed incorrectly, or a book limited to two years or less. If you answer no to all three, you cannot use this form. If your passport was lost, stolen, damaged or mutilated, the instructions say to apply on Form DS-11.

2. 2

   Choose the document and fill in items 1 to 9

   At the top of Application Page 1, pick a passport book, a passport card or both, and a regular or large book. Item 1 is the name to appear in the passport, item 2 your date of birth (MM/DD/YYYY), item 3 your sex marker (M or F, following the item 3 instructions), item 4 your place of birth, item 5 your Social Security number, item 6 your email, item 7 your primary phone number, item 8 your mailing address, and item 9 up to two other names you have used (attach a sheet for more). A passport card holds at most 24 characters for your first and middle names; if yours are longer, shorten one in item 1.

3. 3

   Item 10: your most recent passport, and the photo

   Enter your name exactly as printed in your most recent passport, then the book number and issue date and/or the card number and issue date. Staple your photo in the photo box with four staples placed vertically in the corners, as close to the edges as possible, without bending the photo.

4. 4

   Sign and date Application Page 1

   Read the declaration, then sign and date in the designated area. An applicant age 16 or older signs the applicant line. The parent or legal guardian line is marked for use when identifying a minor. Leave the boxes marked for the issuing office blank.

5. 5

   Items 11 to 19 on Application Page 2

   Repeat your name and date of birth at the top. Then give your height (11), hair color (12), eye color (13), occupation if you are 16 or older (14), employer or school if any (15), other phone numbers (16), a permanent address only if your mailing address is a P.O. box or you live somewhere else, with no P.O. box (17), an emergency contact who is not traveling with you (18), and your travel plans, or "none" (19).

6. 6

   Items 20 to 23: the reason you are applying

   Items 20 and 21 cover a name change: answer yes or no, and if yes, write your new name. Item 22 covers a misprint: answer yes or no, check only the boxes for the fields that need correcting, and write them as they should appear. Item 23 asks whether your most recent book was limited to two years or less; the book you send must not be expired.

After you fill it out

Print Application Page 1 and Application Page 2 on separate sheets of paper. Mail them with your current passport, your photo and your supporting documents to the National Passport Processing Center at the address on Instruction Page 3; routine and expedited service use different addresses, and expedited mail should say "Expedite" on the outer envelope. Check current fees on the State Department's website, and use a trackable mailing service, as the Department recommends. If you live outside the United States and Canada, you cannot use the domestic addresses; follow your U.S. embassy or consulate's procedures.

Signing: The form says to use black ink only and that you must sign and date the application in the designated area. Print the form, then sign and date Application Page 1 by hand in black ink.

Questions about Form DS-5504

Official information

• State Department passport forms, including DS-5504
• Form DS-5504 with instructions (PDF)
• State Department Passport Form Filler

Page text last reviewed November 7, 2026.

Related forms

• Form DS-11Application for a U.S. Passport
• Form SS-5Application for a Social Security Card