Passport Application

🔒 SECURE ONLINE PASSPORT APPLICATION

Step 1 of 12

Eligibility

Have you had a U.S. passport before?*

Yes

The date your most recent passport book was issued*

Month

Day

Year

application age calc when book issue for parent section

Do you have it now, or is it lost, stolen, or damaged?*

I Have it

It's Damaged

Lost / Stolen

If lost or stolen: did you report it?*

Yes

Were you also issued a passport card?*

Yes

The date your most recent passport card was issued*

Month

Day

Year

Do you have your passport card, or is it lost, stolen, or damaged?*

I Have it

It's Damaged

Lost / Stolen

If your passport card is lost or stolen: did you report it?*

Yes

Has your name changed since the last passport?*

Yes

Can you document the name change?*

Yes

What is your date of birth?*

Month

Day

Year

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Form Type

About the Applicant

Applicant Gender*

Male

Female

First Name*

Middle Name

Last Name*

Suffix

Country of Birth*

City of Birth*

State / Territory of Birth*

Height - Ft*

Inches*

Eye Color*

Hair Color*

🔒 Social Security*

Enter your Social Security Number if you have one. If you have not been issued an SSN, enter zeros.

USCIS Registration A-Number

If Applicable to you - Enter numbers only

Occupation*

If you are not employed, state so. Children should enter STUDENT or CHILD in the occupation field.

Employer / School

Have you ever applied for a U.S. Passport before?*

Yes

Addresses

Mailing Address*

Street Address Address Line 2 City ENTER TWO LETTER STATE ABBREVIATION ZIP / Postal Code Country

In Care Of

If someone else receives mail on your behalf, enter the recipient's name, otherwise, LEAVE THIS FIELD BLANK

Is This a Permanent Address?*

Yes

Permanent Address

Street Address Address Line 2 City State Zip Code

Permanent Address Country

Communication

Preferred Method of Communication*

Mail

Both

Email Address*

Enter Email Confirm Email

Primary Phone Number*

Type of Phone*

Home

Work

Cell

Add Another Phone Number?

Yes

Phone Number 2*

Type of Phone*

Home

Work

Cell

Add Another Phone Number?

Yes

Phone Number 3*

Type of Phone*

Home

Work

Cell

Travel Plans (Optional)

Date of Your Next International Trip

Month

Day

Year

Date of Your Return

Month

Day

Year

Countries To Be Visited

Emergency Contact (Optional)

First & Last Name

Emergency Contact Address

Street Address Address Line 2 City State Zip Code

Emergency Contact Country

Telephone Number

E mail Address

Relationship to Applicant

Your Most Recent Passport

Your name as printed on your most recent passport book or card

First and Middle Name*

Last Name*

Passport book number*

Card First and Middle Name*

Card Last Name*

Passport card number*

Previous Passport

Name printed on your most recent passport book*

Passport book number

Status of passport book*

Submitting with Application

Expired - in my possession

Status of lost / stolen passport book*

Lost

Stolen

Name printed on your most recent passport card*

Passport card number

Status of passport card*

Submitting with Application

Expired - in my possession

Status of lost / stolen passport card*

Lost

Stolen

Name Change Information

If your name has changed due to marriage or court order, you must submit certified supporting documentation in order to apply for automatic renewal

Reason for the name change*

Marriage

Court Order

Date of the Name Change*

Month

Day

Year

City / State of the Name Change*

Lost or Stolen Passport Information

Did you file a police report?*

Yes

Are you reporting your own lost or stolen passport book?*

Yes

Explain how the book was lost or stolen*

Explain where the book loss or theft occurred. Provide Address if known (City/State)*

On what date was the book lost or stolen?*

If unknown, when was the last time you remember having it in your possession?

Month

Day

Year

Lost or Stolen Passport Card Information

Are you reporting your own lost or stolen passport card?*

Yes

Explain how the card was lost or stolen*

Explain where the card loss or theft occurred. Provide Address if known (City/State)*

On what date was the card lost or stolen?*

If unknown, when was the last time you remember having it in your possession?

Month

Day

Year

Other Passports Lost / Stolen

Have you had other U.S. passport book/card lost or stolen?*

Yes

How many times?*

What were the dates?*

Did you file a police report?*

Yes

Parent and Spouse Information

If completing as a THIRD PARTY or PARENT OF MINOR, complete the form in the context of the applicant NOT yourself.

Mother/Father/Parent Of Applicant

Unknown

First and Middle Names*

Parent's Last Name*

Date of Birth

Month

Day

Year

Place of Birth

Gender*

Male

Female

US Citizen*

Yes

Mother/Father/Parent Of Applicant

Unknown

First and Middle Names*

Parent's Last Name*

Date of Birth

Month

Day

Year

Place of Birth

Gender*

Male

Female

US Citizen*

Yes

Has Applicant Ever Been Married?*

Yes

Spouse's Or Former Spouse's Full Name*

Date of Birth*

Month

Day

Year

Spouse's place of birth*

Is the spouse a US citizen?*

Yes

Date of most recent marriage*

Month

Day

Year

Has applicant ever been widowed or divorced?*

Yes

Widow or divorce date*

Month

Day

Year

List All Other Legal Names You Have Used

All Other Legal Names Used

Add additional names

Yes

Other Names

Add more names

Yes

Other Names

Add more

Yes

Other Names

Add more?

Yes

Other Names

Form to Print

Book Age

Card Age

Age when Book issue

Age when Card Issue

Government Fees Calculation

Please select the type of Passport*

Passport Book ($130)

Passport Card ($30)

Both ($160)

Please select if you want just the book (traditional passport), just a card (a card valid to enter Mexico and Canada only), or both.

What size of Passport Book do you want?*

Regular 28 pages

Large 52 pages

If you travel often, you can request a large passport (52 pages); otherwise, you can request a regular size (28 pages). There is no extra cost for the large format.

Processing Method*

Routine Service

Expedited Service ($60)

Routine Service takes approximately 4 - 6 weeks. Expedited service takes 2 - 3 weeks

Delivery Method*

Standard Delivery

Express Delivery 1 -3 Day ($23.36)

Standard delivery might take up to 2 weeks after the passport is printed and mailed

Total Government Fees

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Government Total

Please bring a check or money order with the total Government Fees payable to US DEPARTMENT OF STATE

Please include a check or money order with your application payable to US DEPARTMENT OF STATE

Passport Application Generation

EASY APPLY FEE*

69.90
One-time fee for Easy Apply's preparation service. Separate from the government fees shown above. Your package will be generated and delivered immediately.

TOTAL AMOUNT DUE TODAY

🔒 Secure Payment 🔒

Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date Month Year
Security Code Cardholder Name

Billing Address
Same as Mailing Address

Enter Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Terms of Use*
By clicking this box I agree with the Terms of Use. I also confirm that I understand that the US Department of State supplies blank forms and instructions free of charge. Nevertheless, I wish to use this PDF assistant with personalized instructions.

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Last 4 Social Security*

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Passport Centers Text

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barcode image
Accepted file types: png, jpg, gif, Max. file size: 50 GB.

Smart Passport Application

Over 1 million applications generated since 2014

We are a private company that provides paid assistance in preparing documents, and we are not affiliated with the US Department of State.

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🔒 SECURE ONLINE PASSPORT APPLICATION

Eligibility

About the Applicant

Addresses

Communication

Travel Plans (Optional)

Emergency Contact (Optional)

Your Most Recent Passport

Previous Passport

Name Change Information

Lost or Stolen Passport Information

Lost or Stolen Passport Card Information

Other Passports Lost / Stolen

Parent and Spouse Information

List All Other Legal Names You Have Used

Passport Application Generation

🔒 Secure Payment 🔒

Smart Passport Application

Over 1 million applications generated since 2014