The DS-11 U.S. Passport application form is a crucial document for individuals seeking to obtain their first U.S. passport. This form is specifically designed for applicants who are applying in person and do not meet certain criteria for renewal. Understanding the requirements and process associated with the DS-11 form is essential for a smooth application experience.
The DS-11 U.S. Passport application form is a crucial document for individuals seeking to obtain their first passport or replace a lost or stolen one. This form is designed for applicants who are not eligible to renew their passports by mail. It requires personal information, including the applicant's name, date of birth, and Social Security number, alongside details about the applicant's parents. Additionally, the form necessitates the submission of a passport photo that meets specific guidelines, as well as proof of U.S. citizenship, such as a birth certificate or naturalization certificate. Applicants must also provide a valid form of identification, which can include a driver's license or government-issued ID. The completed DS-11 must be submitted in person at an authorized acceptance facility, where applicants will also pay the required fee. Understanding these components is essential for a smooth application process, ensuring that individuals can travel internationally without unnecessary delays.
What is the DS-11 form used for?
The DS-11 form is the application used to apply for a U.S. passport for individuals who are applying for the first time, are under age 16, or are not eligible to renew their passport by mail. It is essential for obtaining a passport that allows for international travel and serves as proof of U.S. citizenship.
Where can I obtain a DS-11 form?
You can obtain the DS-11 form from several sources. It is available online on the U.S. State Department's website, where you can download and print it. Additionally, you can pick up a physical copy at designated passport acceptance facilities, such as post offices or public libraries. Some travel agencies may also provide the form.
What documents do I need to submit with my DS-11 application?
When submitting the DS-11 application, you must provide several key documents. These typically include proof of U.S. citizenship, such as a birth certificate or naturalization certificate, and a government-issued photo ID, like a driver's license. You will also need to include a recent passport photo that meets specific requirements. If you are applying for a child, additional documentation may be required, such as proof of parental relationship.
How do I submit the DS-11 application?
The DS-11 application must be submitted in person. You will need to visit a passport acceptance facility or a passport agency, depending on your circumstances. During your visit, you will present your completed application along with the required documents and payment for the passport fee. It is important to make an appointment if you are going to a passport agency to avoid long wait times.
What is the processing time for a DS-11 application?
The processing time for a DS-11 application can vary. Generally, routine processing takes about 10 to 12 weeks, while expedited processing, which incurs an additional fee, can take about 5 to 7 weeks. However, during peak travel seasons or due to unforeseen circumstances, these times may be longer. It is advisable to apply well in advance of any planned travel to ensure timely receipt of your passport.
Filling out the DS-11 U.S. Passport application form can seem daunting, but understanding the process can make it much easier. Here are some key takeaways to help you navigate this important task:
By keeping these key points in mind, you can simplify the process of applying for your U.S. passport. Good luck!
When applying for a U.S. passport using the DS-11 form, several misconceptions can lead to confusion. Here are four common misunderstandings:
Fact: The DS-11 form must be completed in person at an authorized acceptance facility. While you can fill it out online for convenience, you must print it and bring it to your appointment.
Fact: While a birth certificate is often required, it depends on your situation. If you were born in the U.S., you will need to provide a certified birth certificate. However, other documents may suffice for those born abroad or in special circumstances.
Fact: An expired ID can complicate your application. Generally, you need to present a valid form of identification. If your ID has expired, you may be required to provide additional documentation to verify your identity.
Fact: The DS-11 form is specifically for first-time applicants and minors. If you are applying for someone else, such as a child, you must accompany them and provide the necessary documentation and consent.
Understanding these misconceptions can help ensure a smoother application process. Always check the official guidelines or consult with a knowledgeable source if you have questions.
U.S. PASSPORT APPLICATION
PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS
FOR INFORMATION AND QUESTIONS
Visit the official Department of State website at travel.state.gov or contact the National Passport Information Center (NPIC) via toll-free at 1-877-487-2778 (TDD: 1-888-874-7793) and NPIC@state.gov. Customer Service Representatives are available Monday-Friday 8:00a.m.-10:00p.m. Eastern Time (excluding federal holidays). Automated information is available 24 hours a day, 7 days a week.
WHAT TO SUBMIT WITH THIS FORM:
1.PROOF OF U.S. CITIZENSHIP: Evidence of U.S. citizenship AND a photocopy of the front (and back, if there is printed information) must be submitted with your application. The photocopy must be on 8 ½ inch by 11 inch paper, black and white ink, legible, and clear. Evidence that is not damaged, altered, or forged will be returned to you. Note: Lawful permanent resident cards submitted with this application will be forwarded to U.S. Citizenship and Immigration Services, if we determine that you are a U.S. citizen.
2.PROOF OF IDENTITY: You must present your original identification AND submit a photocopy of the front and back with your passport application.
3.RECENT COLOR PHOTOGRAPH: Photograph must meet passport requirements – full front view of the face and 2x2 inches in size.
4.FEES: Please visit our website at travel.state.gov for current fees.
HOW TO SUBMIT THIS FORM:
Complete and submit this application in person to a designated acceptance agent: a clerk of a federal or state court of record or a judge or clerk of a probate court accepting applications; a designated municipal or county official; a designated postal employee at an authorized post office; an agent at a passport agency (by appointment only); or a U.S. consular official at a U.S. Embassy or Consulate, if abroad. To find your nearest acceptance facility, visit travel.state.gov or contact the National Passport Information Center at 1-877-487-2778.
Follow the instructions on Page 2 for detailed information to completion and submission of this form.
REQUIREMENTS FOR CHILDREN
AS DIRECTED BY PUBLIC LAW 106-113 AND 22 CFR 51.28:
To submit an application for a child under age 16 both parents or the child's legal guardian(s) must appear and present the following:
-Evidence of the child's U.S. citizenship;
-Evidence of the child's relationship to parents/guardian(s); AND
-Original parental/guardian government-issued identification AND a photocopy of the front and back side of presented identification.
IF ONLY ONE PARENT APPEARS, YOU MUST ALSO SUBMIT ONE OF THE FOLLOWING:
-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 notarized statement cannot be more than three months old and must be signed and notarized on the same day, and must come with a photocopy of the front and back side of the second parent's government-issued photo identification; OR
-Second parent’s death certificate if second parent is deceased; OR
-Primary evidence of sole authority to apply, such as a court order; OR
-A written statement or DS-5525 (made under penalty of perjury) explaining in detail the second parent's unavailability.
AS DIRECTED BY REGULATION 22 C.F.R. 51.21 AND 51.28:
- Each minor child applying for a U.S. passport book and/or passport card must appear in person.
PASSPORT VALIDITY LENGTH
If you are 16 years of age or older: Your U.S. passport will be valid for 10 years from the date of issue except where limited by the Secretary of State to a shorter period.
If you are under 16 years of age: Your U.S. passport will be valid for five years from the date of issue except where limited by the Secretary of State to a shorter period.
APPLICANTS WHO HAVE HAD A PREVIOUS U.S. PASSPORT BOOK AND/OR PASSPORT CARD
LOST OR STOLEN - If you cannot submit your valid or potentially valid U.S. passport book and/or passport card with this application and you have not previously submitted Form DS-64, Statement Regarding a Lost or Stolen U.S. Passport, you are required to fill out and submit a DS-64 with this application.
IN MY POSSESSION - If your most recent U.S.passport book and/or passport card was issued less than 15 years ago, and you were over the age of 16 at the time of issuance, you may be eligible to use Form DS-82 to renew your passport by mail.
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.
WARNING: 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. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under the provisions of 18 U.S.C. 1543. The use of a passport in violation of the restrictions contained herein or of the passport regulations is punishable by fine and/or imprisonment under 18 U.S.C. 1544. All statements and documents are subject to verification.
DS-11 06-2016
Instruction Page 1 of 4
PROOF OF U.S. CITIZENSHIP
APPLICANTS BORN IN THE UNITED STATES: Submit a previous U.S. passport or certified birth certificate. Passports that are limited in validity will need to be supplemented by other evidence. A birth certificate must include your full name, date and place of birth, sex, date the birth record was filed, the seal or other certification of the official custodian of such records (state, county, or city/town office), and the full names of your parent(s).
-If the birth certificate was filed more than 1 year after the birth: It must be supported by evidence described in the next paragraph.
-If no birth record exists: Submit a registrar's notice to that effect. Also, submit a combination of the evidence listed below, which should include your given name and surname, date and/or place of birth, and the seal or other certification of the office (if customary), and the signature of the issuing official.
A hospital birth record;
An early baptismal or circumcision certificate;
Early census, school, medical, or family Bible records;
Insurance files or published birth announcements (such as a newspaper article); and
Notarized affidavits (or DS-10, Birth Affidavit) of older blood relatives having knowledge of your birth may be submitted in addition to some of the records listed above.
APPLICANTS BORN OUTSIDE THE UNITED STATES: Submit a previous U.S. passport, Certificate of Naturalization, Certificate of Citizenship, Consular Report of Birth Abroad, or evidence described below:
-If you claim citizenship through naturalization of parent(s): Submit the Certificate(s) of Naturalization of your parent(s), your foreign birth certificate (and official translation if the document is not in English), proof of your admission to the United States for permanent residence, and your parents' marriage/certificate and/or evidence that you were in the legal and physical custody of your U.S. citizen parent, if applicable.
-If you claim citizenship through birth abroad to at least one U.S. citizen parent: Submit a Consular Report of Birth (Form FS-240), Certification of Birth (Form DS-1350 or FS-545), or your foreign birth certificate (and official translation if the document is not in English), proof of U.S. citizenship of your parent, your parents' marriage certificate, and an affidavit showing all of your U.S. citizen parents' periods and places of residence/physical presence in the United States and abroad before your birth.
-If you claim citizenship through adoption by a U.S. citizen parent(s): Submit evidence of your permanent residence status, full and final adoption, and your U.S. citizen parent(s) evidence of legal and physical custody. (NOTE: Acquisition of U.S. citizenship for persons born abroad and adopted only applies if the applicant was born on or after 02/28/1983.)
ADDITIONAL EVIDENCE: You must establish your citizenship to the satisfaction of the acceptance agent and Passport Services. We may ask you to provide additional evidence to establish your claim to U.S. citizenship. Visit travel.state.gov for details.
PROOF OF IDENTITY
You may submit items such as the following containing your signature AND a photograph that is a good likeness of you: previous or current U.S. passport book; previous or current U.S. passport card; driver's license (not temporary or learner's license); Certificate of Naturalization; Certificate of Citizenship; military identification; or federal, state, or municipal government employee identification card. Temporary or altered documents are not acceptable.
You must establish your identity to the satisfaction of the acceptance agent and Passport Services. We may ask you to provide additional evidence to establish your identity. If you have changed your name, please see travel.state.gov for instructions.
IF YOU CANNOT PROVIDE DOCUMENTARY EVIDENCE OF IDENTITY as stated above, you must appear with an IDENTIFYING WITNESS, who is a U.S. citizen, non-citizen U.S. national, or permanent resident alien that has known you for at least two years. Your witness must prove his or her identity and complete and sign an Affidavit of Identifying Witness (Form DS-71) before the acceptance agent. You must also submit some identification of your own.
COLOR PHOTOGRAPH
Submit a color photograph of you alone, sufficiently recent to be a good likeness of you (taken within the last six months), and 2x2 inches in size. The image size measured from the bottom of your chin to the top of your head (including hair) should not be less than 1 inch, and not more than 1 3/8 inches. The photograph must be in color, clear, with a full front view of your face. The photograph must be taken with a neutral facial expression (preferred) or a natural smile, and with both eyes open and be printed on photo quality paper with a plain light (white or off-white) background. The photograph must be taken in normal street attire, without a hat, or head covering unless a signed statement is submitted by the applicant verifying that the hat or head covering is part of recognized, traditional religious attire that is customarily or required to be worn continuously when in public or a signed doctor's statement is submitted verifying the item is used daily for medical purposes. Headphones, "bluetooth", or similar devices must not be worn in the passport photograph. Glasses or other eyewear are not acceptable unless you provide a signed statement from a doctor explaining why you cannot remove them due to medical reasons (e.g., during the recovery period from eye surgery). Any photograph retouched so that your appearance is changed is unacceptable. A snapshot, most vending machine prints, hand-held self portraits, and magazine or full-length photographs are unacceptable. A digital photo must meet the previously stated qualifications, and will be accepted for use at the discretion of Passport Services. Visit our website at travel.state.gov for details and information.
FEES
FEES ARE LISTED ON OUR WEBSITE AT TRAVEL.STATE.GOV. BY LAW, THE PASSPORT FEES ARE NON-REFUNDABLE.
The passport application fee, security surcharge, and expedite fee may be paid in any of the following forms: Checks (personal, certified, or traveler's) with the applicant's full name and date of birth printed on the front; major credit card (Visa, Master Card, American Express, and Discover); bank draft or cashier's check; money order (U.S. Postal, international, currency exchange), or if abroad, the foreign currency equivalent, or a check drawn on a U.S. bank. All fees should be payable to the "U.S. Department of State" or if abroad, the appropriate U.S. Embassy or U.S. Consulate. When applying at a designated acceptance facility, the execution fee will be paid separately and should be made payable to the acceptance facility. NOTE: Some designated acceptance facilities do not accept credit cards as a form of payment.
For faster processing, you may request expedited service. Please include the expedite fee in your payment. Our website contains updated information regarding fees and processing times for expedited service. Expedited service is only available for passports mailed in the United States and Canada.
OVERNIGHT DELIVERY SERVICE is only available for passport book mailings in the United States. Please include the appropriate fee with your payment.
An additional fee will be charged when, upon your request, the U.S. Department of State verifies issuance of a previous U.S. passport or Consular Report of Birth Abroad because you are unable to submit evidence of U.S. citizenship.
For applicants with U.S. government or military authorization for no-fee passports, no fees are charged except the execution fee when applying at a designated acceptance facility.
Instruction Page 2 of 4
NOTE REGARDING MAILING OF YOUR PASSPORT(S)
Passport Services will not mail a U.S. passport to a private address outside the United States or Canada. If you do not live at the address listed in the "mailing address", then you must put the name of the person and mark it as "In Care Of" in item # 8. If your mailing address changes prior to receipt of your new passport, please contact the National Passport Information Center.
If you choose to provide your email address in Item #6 on this application, Passport Services may use that information to contact you in the event there is a problem with your application or if you need to provide information to us.
You may receive your newly issued passport book and/or card and your returned citizenship evidence in two separate mailings. If you are applying for both a U.S. passport book and passport card, you may receive three separate mailings; one with your returned citizenship evidence, one with your newly issued passport book, and one with your newly issued passport card.
FEDERAL TAX LAW
Section 6039E of the Internal Revenue Code (26 U.S.C. 6039E) and 22 U.S.C 2714a(f) require you to provide your Social Security number (SSN), if you have one, when you apply for or renew a U.S. passport. If you have never been issued a SSN, you must enter zeros in box #5 of this form. If you are residing abroad, you must also provide the name of the foreign country in which you are residing. The U.S. Department of State must provide your SSN and foreign residence information to the U.S. Department of the Treasury. If you fail to provide the information, your application may be denied and you are subject to a $500 penalty enforced by the IRS. All questions on this matter should be referred to the nearest IRS office.
NOTICE TO CUSTOMERS APPLYING OUTSIDE A DEPARTMENT OF STATE FACILITY
If you send us a check, it will be converted into an electronic funds transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. The debit from your account will usually occur within 24 hours and will be shown on your regular account statement.
You will not receive your original check back. We will destroy your original check, but we will keep the copy of it. If the EFT cannot be processed for technical reasons, you authorize us to process the copy in place of your original check. If the EFT cannot be completed because of insufficient funds, we may try to make the transfer up to two times, and we will charge you a one-time fee of $25, which we will also collect by EFT.
FEE REMITTANCE
Passport service fees are established by law and regulation (see 22 U.S.C. 214, 22 C.F.R. 22.1, and 22 C.F.R. 51.50-56), and are collected at the time you apply for the passport service. If the Department fails to receive full payment of the applicable fees because, for example, your check is returned for any reason or you dispute a passport fee charge to your credit card, the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34, and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900-904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and no repayment arrangements have been made, the Department will refer the debt to the U.S. Department of Treasury for collection. Debt collection procedures used by U.S. Department of Treasury may include referral of the debt to private collection agencies, reporting of the debt to credit bureaus, garnishment of private wages and administrative offset of the debt by reducing, or withholding eligible federal payments (e.g., tax refunds, social security payments, federal retirement, etc.) by the amount of your debt, including any interest penalties or other costs incurred. In addition, non-payment of passport fees may result in the invalidation of your passport. An invalidated passport cannot be used for travel.
USE OF SOCIAL SECURITY NUMBER
Your Social Security number will be provided to U.S. Department of Treasury, used in connection with debt collection and checked against lists of persons ineligible or potentially ineligible to receive a U.S. passport, among other authorized uses.
NOTICE TO APPLICANTS FOR OFFICIAL, DIPLOMATIC, OR NO-FEE PASSPORTS
You may use this application if you meet all of the provisions listed on Instruction Page 2; however, you must CONSULT YOUR SPONSORING AGENCY FOR INSTRUCTIONS ON PROPER ROUTING PROCEDURES BEFORE FORWARDING THIS APPLICATION. Your completed passport will be released to your sponsoring agency for forwarding to you.
PROTECT YOURSELF AGAINST IDENTITY THEFT!
REPORT YOUR LOST OR STOLEN PASSPORT BOOK OR PASSPORT CARD!
For more information regarding reporting a lost or stolen U.S. passport book or passport card (Form DS-64), or to determine your eligibility for a passport renewal (Form DS-82), call NPIC at 1-877-487-2778 or visit travel.state.gov.
NOTICE TO U.S. PASSPORT CARD APPLICANTS
The maximum number of letters provided for your given name (first and middle) on the U.S. passport card is 24 characters. The 24 characters may be shortened due to printing restrictions. If both your given names are more than 24 characters, you must shorten one of your given names you list on item 1 of this form.
U.S. passports, either in book or card format, are only issued to U.S. citizens or non-citizen U.S. nationals. Each person must obtain his or her own U.S. passport book or U.S. passport card. The passport card is a U.S. passport issued in card format. Like the traditional U.S. passport book, it reflects the bearer's origin, identity, and nationality, and is subject to existing passport laws and regulations. Unlike the U.S. passport book, the U.S. passport card is valid only for entry at land border crossings and sea ports of entry when traveling from Canada, Mexico, the Caribbean, and Bermuda. The U.S. passport card is not valid for international air travel.
Instruction Page 3 of 4
ELECTRONIC PASSPORT STATEMENT
The U.S. Department of State now issues an "Electronic Passport" book, which contains an embedded electronic chip. The electronic passport book continues to be proof of the bearer's U.S. citizenship/nationality and identity, and looks and functions in the same way as a passport without a chip. The addition of an electronic chip in the back cover enables the passport book to carry a duplicate electronic copy of all information from the data page. The electronic passport book is usable at all ports-of-entry, including those that do not yet have electronic chip readers.
Use of the electronic format provides the traveler the additional security protections inherent in chip technology. Moreover, when used at ports-of-entry equipped with electronic chip readers, the electronic passport book provides for faster clearance through some of the port-of-entry processes.
The electronic passport book does not require special handling or treatment, but like previous versions should be protected from extreme heat, bending, and from immersion in water. The electronic chip must be read using specially formatted readers, which protects the data on the chip from unauthorized reading.
The cover of the electronic passport book is printed with a special symbol representing the embedded chip. The symbol port-of-entry areas where the electronic passport book can be read.
will appear in
ACTS OR CONDITIONS
If any of the below-mentioned acts or conditions have been performed by or apply to the applicant, the portion which applies should be lined out, and a supplementary explanatory statement under oath (or affirmation) by the applicant should be attached and made a part of this application.
I have not, since acquiring United States citizenship/nationality, been naturalized as a citizen of a foreign state; taken an oath or made an affirmation or other formal declaration of allegiance to a foreign state; entered or served in the armed forces of a foreign state; accepted or performed the duties of any office, post, or employment under the government of a foreign state or political subdivision thereof; made a formal renunciation of nationality either in the United States, or before a diplomatic or consular officer of the United States in a foreign state; or been convicted by a court or court martial of competent jurisdiction of committing any act of treason against, or attempting by force to overthrow, or bearing arms against, the United States, or conspiring to overthrow, put down, or to destroy by force, the government of the United States.
Furthermore, I have not been convicted of a federal or state drug offense or convicted of a "sex tourism" crimes statute, 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; a subpoena received from the United States in a matter involving federal prosecution for, or grand jury investigation of, a felony.
PRIVACY ACT STATEMENT
AUTHORITIES: Collection of this information is authorized by 22 U.S.C. 211a et seq.; 8 U.S.C. 1104; 26 U.S.C. 6039E, 22 U.S.C. 2714a(f), Section 236 of the Admiral James W. Nance and Meg Donovan Foreign Relations Authorization Act, Fiscal Years 2000 and 2001; Executive Order 11295 (August 5, 1966); and 22 C.F.R. parts 50 and 51.
PURPOSE: We are requesting this information in order to determine your eligibility to be issued a U.S. passport. Your Social Security number is used to verify your identity.
ROUTINE USES: This information may be disclosed to another domestic government agency, a private contractor, a foreign government agency, or to a private person or private employer in accordance with certain approved routine uses. These routine uses include, but are not limited to, law enforcement activities, employment verification, fraud prevention, border security, counterterrorism, litigation activities, and activities that meet the Secretary of State's responsibility to protect U.S. citizens and non-citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State-05, Overseas Citizen Services Records and State-26, Passport Records.
DISCLOSURE: Providing information on this form is voluntary. Be advised, however, that failure to provide the information requested on this form may cause delays in processing your U.S. passport application and/or could result in the refusal or denial of your application.
Failure to provide your Social Security number may result in the denial of your application (consistent with 22 U.S.C. 2714a(f)) and may subject you to a penalty enforced by the Internal Revenue Service, as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the Treasury and may be used in connection with debt collection, among other purposes authorized and generally described in this section.
PAPERWORK REDUCTION ACT STATEMENT
Public reporting burden for this collection of information is estimated to average 85 minutes per response, including the time required for searching existing data sources, gathering the necessary data, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: U.S. Department of State, Bureau of Consular Affairs, Passport Services, Office of Legal Affairs and Law Enforcement Liaison, 44132 Mercure Cir, P.O. Box 1227, Sterling, Virginia 20166-1227
Instruction Page 4 of 4
APPLICATION FOR A U.S. PASSPORT
OMB CONTROL NO.: 1405-0004
Please Print Legibly Using Black Ink Only
OMB EXPIRATION DATE: 11-30-2020
ESTIMATED BURDEN: 85 MIN
Attention: Read WARNING on page 1 of instructions
Please select the document(s) for which you are applying:
U.S. Passport Book
U.S. Passport Card
Both
The U.S. passport card is not valid for international air travel. For more information see page 1 of instructions.
Regular Book (Standard)
Large Book (Non-Standard)
Note: The large book option is for those who frequently travel abroad during the passport validity period, and is
recommended for applicants who have previously required the addition of visa pages.
1. Name Last
D
DOTS
O
Dep
End. #
Exp.
First
Middle
2. Date of Birth
(mm/dd/yyyy)
3.
Sex
4. Place of Birth (City & State if in the U.S., or City & Country as it is presently known.)
-
M
F
5. Social Security Number
6. Email (Info alerts offered at travel.state.gov)
7. Primary Contact Phone Number
@
8.Mailing Address: Line 1: Street/RFD#, P.O. Box, or URB.
Address Line 2: Clearly label Apartment, Company, Suite, Unit, Building, Floor, In Care Of or Attention if applicable. (e.g., In Care Of - Jane Doe, Apt # 100)
City
State
Zip Code
Country, if outside the United States
9.List all other names you have used. (Examples: Birth Name, Maiden, Previous Marriage, Legal Name Change. Attach additional pages if needed)
A.
B.
STAPLE 2" x 2" STAPLE
Attach a color photograph
taken within the last six months
STOP! CONTINUE TO PAGE 2
DO NOT SIGN APPLICATION UNTIL REQUESTED TO DO SO BY AUTHORIZED AGENT
Identifying Documents - Applicant or Mother/Father/Parent on Second Signature Line (if identifying minor)
Driver's License
State Issued ID Card
Passport
Military
Other
Name
Issue Date
Exp. Date
State of
Issuance
ID No
Country of
Identifying Documents - Applicant or Mother/Father/Parent on Third Signature Line (if identifying minor)
Acceptance Agent
(Vice) Consul USA
Passport Staff Agent
I declare under penalty of perjury all of the following: 1) I am a citizen or non-citizen national of the United States and have not, since acquiring U.S. citizenship or nationality, performed any of the acts listed under "Acts or Conditions" on
(Seal)page four of the instructions of this application (unless explanatory statement is attached); 2) the statements made on the application are true and correct; 3) I have not knowingly and willfully made false statements or included false documents in support of this application; 4) the photograph attached to this application is a genuine, current photograph of me; and 5) I have read and understood the warning on page one of the instructions to the application form.
Name of courier company (if applicable)
Facility Name/Location
Facility ID Number
Agent ID Number
x
Applicant's Legal Signature - age 16 and older
Mother/Father/Parent/Legal Guardian's Signature (if identifying minor)
Signature of person authorized to accept applications
Date
For Issuing Office Only
Bk
Card
EF
Postage
Execution
* DS 11 C 09 2013 1 *
Page 1 of 2
Name of Applicant (Last, First, & Middle)
10.Parental Information Mother/Father/Parent - First & Middle Name
Date of Birth (mm/dd/yyyy)
Place of Birth
Mother/Father/Parent - First & Middle Name
11. Have
you ever been married?
Yes
No
Full Name of Current Spouse or Most Recent Spouse
Last Name (at Parent's Birth)
U.S. Citizen?
Male
Female
If yes, complete the remaining items in #11.
U.S. Citizen? Date of Marriage
Yes No (mm/dd/yyyy)
12.Additional Contact Phone Number
- -
15. Height 16. Hair Color 17. Eye Color
Have you ever been widowed or divorced? Widow/Divorce Date
13.Occupation (if age 16 or older) 14. Employer or School (if applicable)
Home
Cell
Work
18. Travel Plans
Countries to be Visited
Departure Date (mm/dd/yyyy) Return Date (mm/dd/yyyy)
19.Permanent Address - If P.O. Box is listed under Mailing Address or if residence is different from Mailing Address.
Street/RFD # or URB (No P.O. Box)
Apartment/Unit
20.Emergency Contact - Provide the information of a person not traveling with you to be contacted in the event of an emergency.
Address: Street/RFD # or P.O. Box
State Zip Code
Phone Number
Relationship
21. Have you ever applied for or been issued a U.S. Passport Book or Passport Card?
No If yes, complete the remaining items in #21.
Name as printed on your most recent passport book
Most recent passport book number
Most recent passport book issue date (mm/dd/yyyy)
Status of your most recent passport book:
Submitting with application
Stolen
Lost
In my possession (if expired)
Most recent passport card number
Most recent passport card issue date (mm/dd/yyyy)
Name as printed on your most recent passport card
Status of your most recent passport card:
PLEASE DO NOT WRITE BELOW THIS LINE - FOR ISSUING OFFICE ONLY
Name as it appears on citizenship evidence
Birth Certificate
SR
CR
Filed:
Issued:
Nat. / Citz. Cert.
USCIS USDC
Date/Place Acquired:
A#
Report of Birth
Filed/Place:
Passport C/R
S/R
Per PIERS #/DOI:
Other:
Attached:
P/C of Citz P/C of ID DS-71 DS-3053 DS-64 DS-5520 DS-5525 PAW NPIC IRL Citz W/S
* DS 11 C 09 2013 2 *
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Not using black ink. The application must be filled out in black ink to ensure clarity and readability.
Failing to sign the application. Remember, your signature is required on the form. Without it, the application will be considered incomplete.
Providing incorrect personal information. Double-check your name, date of birth, and other details to avoid delays.
Not including a recent passport photo. Ensure the photo meets the official requirements, such as size and background color.
Forgetting to include payment. The application fee must be submitted with the form, so be sure to include the correct amount.
Using an old version of the form. Always download the latest version of the DS-11 application to avoid any issues.
Not providing proof of citizenship. Include a certified copy of your birth certificate or other acceptable documents.
Ignoring the instructions for minors. If applying for a child, additional signatures and documentation are often required.
Submitting the application by mail instead of in person. The DS-11 form must be submitted in person for first-time applicants.
Overlooking the processing times. Be aware of how long it takes to process your application, especially if you need it by a specific date.
When filling out the DS-11 U.S. Passport application form, it is important to follow specific guidelines to ensure a smooth process. Below is a list of things you should and shouldn't do.
The DS-11 U.S. Passport application form is similar to the Form I-130, Petition for Alien Relative. Both documents require detailed personal information about the applicant, including names, addresses, and relationships. They serve as essential tools for U.S. citizens to establish legal connections with foreign relatives, just as the DS-11 is used to secure travel documentation. Each form must be filled out accurately to avoid delays, and both may necessitate supporting documents to verify claims made within the application.
Another document that mirrors the DS-11 is the Form N-400, Application for Naturalization. Like the DS-11, the N-400 is a critical form for individuals seeking a significant legal status change—U.S. citizenship in this case. Applicants must provide personal history, including residency and employment details. Both forms also require applicants to submit identification and may involve interviews to confirm the information provided.
The Form DS-260, Immigrant Visa Electronic Application, shares similarities with the DS-11 in that it is used for international travel purposes. While the DS-11 is for U.S. citizens, the DS-260 is for foreign nationals seeking to immigrate to the United States. Both applications demand comprehensive personal information and may require supporting documents, such as birth certificates and photographs, to ensure proper identification and eligibility.
The Form I-864, Affidavit of Support, also resembles the DS-11 in that it is often submitted alongside other immigration-related forms. This document is crucial for proving financial support for immigrants. While the DS-11 focuses on travel documentation, the I-864 ensures that the applicant will not become a public charge. Both forms require careful completion and often demand proof of identity and financial stability.
Another document that aligns with the DS-11 is the Form DS-3053, Statement of Consent. This form is specifically for minors applying for a passport and requires parental consent. Similar to the DS-11, it must be filled out accurately and submitted with supporting documentation, such as proof of the parent’s identity. Both forms are designed to protect the interests of minors and ensure that all legal requirements are met for travel.
In addition to the previously mentioned forms, it's also important to consider financial documentation in various transactions, particularly in New Jersey. A well-drafted financial agreement provides clarity and security, ensuring that the rights and responsibilities of both borrowers and lenders are protected. For instance, a Promissory Note is essential for outlining the specifics of repayment terms, thereby serving as a safeguard in lending situations.
The Form I-765, Application for Employment Authorization, is also comparable to the DS-11 in that it facilitates a significant aspect of an individual’s legal status. While the DS-11 grants the ability to travel internationally, the I-765 allows individuals to work legally in the U.S. Both forms require personal information and may need supporting documents to validate the applicant's identity and eligibility for the requested status.
Finally, the Form DS-5504, Application for a U.S. Passport Name Change, is similar to the DS-11 because it is used in conjunction with passport services. Individuals who have legally changed their names can use this form to update their passport information. Like the DS-11, the DS-5504 requires personal details and supporting documentation, such as a marriage certificate or court order, to validate the name change.