Form DS-5504, Application for a U.S. Passport - Name Change, Data Correction, and Limited Passport Book Replacement

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Form DS-5504, Application for a U.S. Passport - Name Change, Data Correction, and Limited Passport Book Replacement

Form DS-5504 is the U.S. Department of State application to correct a recently issued passport, change a name within one year of issue, or replace a limited-validity passport book. Fill it out online and download the PDF.
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DS-5504 is the U.S. Department of State form that eligible passport holders mail in to fix a passport data or printing error, record a name change made within a year of issue, or replace a passport book limited to two years or less. You use it only if you can answer "Yes" to one of the three eligibility statements in Section A of the form. On FillingPDF you can fill out the form online and download or print the completed PDF; the Department of State receives it only by mail, as described under How to submit.

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What is DS-5504?

Form DS-5504 is the U.S. Department of State application for a U.S. passport book and/or card used by current passport holders who qualify to re-apply for a new one at no cost, to correct an error, record a recent name change, or replace a limited-validity book.

The printed title on the form is "Application for a U.S. Passport for Eligible Individuals: Correction, Name Change to Passport Issued 1 Year Ago or Less, and Limited Passport Replacement." It carries OMB Control No. 1405-0160 and the edition date 04-2025.

The form covers three situations:

  • a name changed by marriage or court order less than one year after your most recent passport was issued, when that passport was issued less than one year ago;
  • identifying information printed incorrectly in your most recent passport book and/or card;
  • a most recent passport book that you obtained at the full passport fee and that was limited to two years or less, for a reason other than multiple losses or serious damage or mutilation of earlier passports.

There is no fee to use the form, unless you ask for expedited service or 1-2 Day Delivery for a name change or a limited passport replacement. The form is not for replacing a lost, stolen, damaged or mutilated passport: when you cannot submit a valid or potentially valid passport book or card, you apply on Form DS-11, Application for a U.S. Passport. The form also points to Form DS-82 and Form DS-11 for people who do not meet its criteria.

Who needs to file DS-5504?

You can use Form DS-5504 if you hold a U.S. passport and can answer "Yes" to at least one of these statements in Section A:

  • You changed your name by marriage or court order less than one year after your most recent passport book and/or card was issued, and that passport was issued less than one year ago.
  • Your identifying information in your most recent passport book and/or card was printed incorrectly.
  • Your most recent passport book was obtained at the full passport fee and limited to two years or less, for a reason other than multiple losses or serious damage or mutilation of previous passports.

If you answer "No" to all three, the form tells you to stop: you cannot use it, and you may be eligible to apply on Form DS-11 or Form DS-82 instead.

Do not use it if your passport book or card has been mutilated, damaged, or reported lost or stolen, or if you cannot present your valid or potentially valid passport; those cases require Form DS-11. Passport books limited because of serious damage or multiple losses cannot be extended. A passport book limited because of gender transition under the prior gender policy can use this form only within two years of its issuance date; otherwise use Form DS-11.

Applicants for no-fee regular, service, official or diplomatic passports may use it if they meet all provisions, but must first ask their sponsoring agency about routing. If the applicant is a minor, the mailing address must include the "In Care Of" name of a parent or adult registered to receive mail there.

When to file DS-5504

The triggering event is one of the three situations in Section A, and two of them carry time limits. A name change qualifies only if it happened less than one year after your most recent passport was issued and that passport was issued less than one year ago. A passport limited because of gender transition under the prior gender policy qualifies only if you submit the form within two years of its issuance date.

For a data or printing error, the form sets no filing deadline, but the date you report it decides the validity of the corrected passport. Reported within one year of the issue date, the new passport is valid for 10 years (adult) or 5 years (minor) from its issue date. Reported after one year, it is valid until the original, incorrect passport would have expired.

The form does not state a processing time. It directs you to travel.state.gov for current processing times and to Passportstatus.state.gov to track your application status.

Documents you need

  • Your most recently issued U.S. passport book and/or card, including the one with the data or printing error; it must be submitted with the application.
  • One color photograph, 2x2 inches, taken less than six months ago, on matte or glossy photo-quality paper with a plain white or off-white background.
  • For a name change: an official certified name change document with a seal and the officiate's or judge's signature, such as a certified marriage certificate, divorce decree or certified court order.
  • For a data or printing error: a document showing the correct information, such as a certified birth certificate or certified marriage certificate.
  • For a limited passport replacement, if the book was limited for insufficient evidence of citizenship: evidence of U.S. citizenship, such as a government-issued birth certificate or U.S. Certificate of Naturalization.
  • For a limited passport replacement, if the book was limited for insufficient evidence of identity: evidence of identity, such as a driver's license or state-issued identification card.
  • Head covering: a signed statement that it is recognized, traditional religious attire worn continuously in public, or a signed doctor's statement of daily medical use, only if you wear one in the photo.
  • Eyewear: a signed doctor's statement explaining why you cannot remove glasses, only if you wear them in the photo.
  • If you have never been issued a Social Security number: a signed and dated statement that includes the perjury phrase quoted in the instructions for item 5.
  • A supplementary explanatory statement under oath or affirmation, only if any of the "Acts or Conditions" listed on the form applies to you.
  • The expedite fee or 1-2 Day Delivery fee payment, only if you request that service for a name change or limited passport replacement.

How to fill out DS-5504

  1. Confirm you are eligible

    Read Section A and answer the three statements about your passport. You may use the form only if you can answer "Yes" to at least one.

  2. Enter your name as it should appear

    Item 1: enter Last, First, Middle for the name to appear in the new passport. If it differs from your previous passport, attach proof such as a marriage certificate, divorce decree or court order.

  3. Enter birth details and sex marker

    Item 2: date of birth as MM/DD/YYYY. Item 3: select M or F, the marker matching your biological sex at birth. Item 4: city and state, or city and country as presently known.

  4. Provide your Social Security number

    Item 5: enter your SSN. If you have never been issued one, enter zeros and attach the signed, dated statement from the instructions; if you live abroad, also give the foreign country of residence.

  5. Add email and phone contact

    Item 6: email, which lets the Department send status messages and travel information. Item 7: primary contact phone number, which lets it send text or SMS messages.

  6. Complete the mailing address

    Item 8, line 1: street/RFD number, P.O. Box or URB. Line 2: if you do not live at the address, enter the name of the person who does and mark it "In Care Of"; this is required for a minor child.

  7. List other names you have used

    Item 9: enter up to two names, one in item A and one in item B, including maiden and previous married names. If only your last name changed, enter just the last name; attach a separate sheet for more names.

  8. Sign and date page 1

    Sign and date the declaration in the designated area of Application Page 1 before you complete Page 2. Attach the photo following the template on Page 1.

  9. Complete the name change items

    Item 20: answer Yes or No on whether your name changed by marriage or court order within a year of issue. Item 21: if Yes, and the passport is less than a year old, enter the new name (Last, First, Middle).

  10. Complete the data correction item

    Item 22: answer whether your identifying information was printed incorrectly. If Yes, check only the boxes for date of birth, sex or place of birth that need correcting, and enter the information as it should appear.

  11. Complete the limited passport item

    Item 23: answer Yes if your most recent passport book was limited for two years or less. Enclose the unexpired book and your evidence of citizenship and/or identity.

  12. Review, sign and download the PDF

    Check every item against your supporting documents, then download or print the completed PDF from FillingPDF. Assemble the package described under How to submit.

How to submit DS-5504

Form DS-5504 is submitted by mail to the National Passport Processing Center in Philadelphia; the form names no other channel. The Department of State recommends a trackable mailing service.

  • Routine service (no fee required): National Passport Processing Center, Post Office Box 90107, Philadelphia, PA 19190-0107.
  • Expedited service (fee required): National Passport Processing Center, Post Office Box 90907, Philadelphia, PA 19190-0907. Write "Expedite" on the outer envelope and include the appropriate fee with your payment. Expedited service is optional, only for a name change or a limited passport replacement, and only for passports mailed in the United States and Canada.

Print application page 1 and page 2 on separate pieces of paper. Send the form with your most recent passport, one 2x2-inch color photo and your supporting documents. 1-2 Day Delivery is available for an additional fee for passport books only, mailed in the United States. Fees are set by law; see travel.state.gov/passportfees for current amounts and payment methods.

U.S. citizens residing outside the United States and Canada cannot use these addresses and must check their U.S. embassy or consulate webpage. Questions go to the National Passport Information Center at 1-877-487-2778 (TDD/TTY: 1-888-874-7793) or [email protected]. FillingPDF lets you fill out and download the PDF; submission follows the channels above.

Common mistakes to avoid

  • Using DS-5504 when you answer "No" to all three eligibility statements in Section A; the form says to stop and consider Form DS-11 or Form DS-82.
  • Applying with this form for a lost, stolen, damaged or mutilated passport, or without submitting your valid passport; those cases require Form DS-11.
  • Leaving out the Social Security number. If you have none, enter zeros and attach the signed, dated statement with the required perjury phrase; omission can delay or deny the application.
  • Correcting an error with white-out or by writing over it; the form says to complete a new form instead, in black ink only.
  • Printing both application pages on one sheet; the instructions say to print page one and page two on separate pieces of paper.
  • Sending an expedited request to the routine-service P.O. Box 90107, or not writing "Expedite" on the outer envelope.
  • Requesting expedited service for a data or printing error; expedite is optional for name change or limited passport replacement only.
  • Mailing the application to the domestic addresses from outside the United States and Canada; applicants in other countries must follow their embassy or consulate procedures.
  • Sending photocopies of evidence and expecting them back; only undamaged, unaltered, genuine documents are returned, and photocopies are not.
  • Submitting an expired passport book for a limited passport replacement; the form says the submitted book must not be expired.

Frequently asked questions

What is Form DS-5504 used for?

Form DS-5504 lets eligible passport holders re-apply for a passport book and/or card to correct a data or printing error, record a name change made less than a year after issue, or replace a limited passport book. There is no fee unless you request expedited or 1-2 Day Delivery service for a name change or limited replacement.

Who can use the DS-5504 form?

You can use it if you answer "Yes" to any Section A statement: a name change by marriage or court order under one year after your passport was issued (and the passport is under a year old), a printing error in your latest passport, or a book limited to two years or less obtained at the full fee. Otherwise you may need Form DS-11 or Form DS-82.

Is there a fee to use Form DS-5504?

No fee applies to the form itself. A fee applies only if you ask for expedited service or 1-2 Day Delivery for a name change or limited passport replacement. A data or printing error is corrected at no cost if the passport is still valid. See travel.state.gov/passportfees for current amounts.

Where do I mail Form DS-5504?

For routine service, mail it to National Passport Processing Center, Post Office Box 90107, Philadelphia, PA 19190-0107. For expedited service, use Post Office Box 90907, Philadelphia, PA 19190-0907 and write "Expedite" on the envelope. Applicants outside the United States and Canada must follow their embassy or consulate instructions.

What do I send with DS-5504?

Send your most recently issued passport, one 2x2-inch color photo taken within six months, and supporting documents: a certified name change document, a certified document showing the correct data, or evidence of citizenship and/or identity for a limited book replacement. Add any required statements.

Can I use DS-5504 if my passport was lost or stolen?

No. A person may not normally hold more than one valid or potentially valid passport book or card, so when you cannot submit your valid or potentially valid passport, you must apply on Form DS-11, Application for a U.S. Passport. The same applies to a mutilated or damaged passport.

How long is the new passport valid after a correction?

If you report the error within one year of the issue date, the new passport is valid for 10 years (adult) or 5 years (minor) from its issue date. If you report it after one year, the new passport is valid until the original, incorrect passport would have expired.

How can I track my DS-5504 application?

Track your application status online at Passportstatus.state.gov. For current processing times, visit travel.state.gov, or contact the National Passport Information Center at 1-877-487-2778 or [email protected] if you have questions or your mailing address changes before you receive the passport.

Can I fill out DS-5504 online on FillingPDF?

Yes. You can fill out the fillable PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit the form to the Department of State; you mail the printed application, with attachments, to the National Passport Processing Center.

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