Complete Guide to Filling the DS-11 Form

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U.S. Department of State
APPLICATION FOR A U.S. PASSPORT

 
 
  


    

 
 
  




 



 







 




 








 



 
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  
  
  

 

DS-11 form filled using MagicScribe
Separate mailings: You may receive your newly-issued U.S. passport book and/or card and your 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 evidence, one
with your newly-issued passport book, and one with your newly-issued passport card.
Passport numbers: Each newly issued passport book or card will have a different passport number than your previous one.
"In care of": If you do not live at the address listed in the "mailing address" section of this application, put the name of the person who does and mark
it "In Care Of" in item # 8 on page 1 of 2. If the applicant is a minor child, please include the "in care of" name of the adult registered to receive
mail at this address.
Moved? If your mailing address changes prior to receipt of your new passport, please contact the National Passport Information Center at 1-877-
487-2778 (TDD/TTY: 1-888-874-7793) or NPIC@state.gov.
NOTE: The U.S. Department of State will not mail a U.S. passport to a private address outside the United States or Canada.
The U.S. passport card is not valid for international air travel. 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 maximum number of letters provided for your given name (first and middle) on the U.S. passport card is 24 characters. If both your given names
are more than 24 characters, you must shorten one of your given names you list on item #1 on page 1 of 2.
Both the passport book and card are U.S. passports. They reflect the bearer's identity and nationality, and they are subject to existing passport laws
and regulations. U.S. passports are only issued to U.S. citizens or non-citizen U.S. nationals.
The information you provide regarding your lost or stolen U.S. passport book or card will be placed into our Consular Lost or Stolen Passport
System. This system is designed to prevent the misuse of your lost or stolen U.S. passport book or card. Anyone using the passport book or card
that was reported lost or stolen may be detained upon entry into the United States. If you find the U.S. passport book or card that was reported
lost or stolen, report it as found, and submit it for cancellation. It has been invalidated. You cannot use that passport book or card for travel.
A United States citizen or non-citizen national may not normally have more than one valid or potentially valid U.S. passport book or more than one
valid or potentially valid U.S. passport card at a time. Therefore, when a valid or potentially valid U.S. passport book or card cannot be presented
with a new application, you must submit a Form DS-64, Statement Regarding a Lost or Stolen U.S. Passport. Your statement must detail why the
previous U.S. passport book or card cannot be presented.
DS-11 form filled using MagicScribe
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 Other Overseas 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.
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: Passport Forms Officer, U.S. Department of State, Bureau of Consular
Affairs, Passport Services, Office of Program Management and Operational Support, 44132 Mercure Cir, PO Box 1199, Sterling, Virginia 20166-1199.
DS-11 form filled using MagicScribe
FROM 1” TO
1 3/8”
DS-11 form filled using MagicScribe
(If no travel plans, please write “none”)
DS-11 form filled using MagicScribe

Test Passport Photo Compliance

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