APPLICATION FOR A U.S. PASSPORT - Corrections, Name Change Within 1 Year of Passport Issuance, and Limited Passport Holders - Instruction Page 1 of 4

Sep 19, 2026

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Instruction sheet for eligibility and completion requirements for a U.S. passport application focused on corrections, name changes within one year of issuance, and limited passport holders. Includes a checklist to confirm whether DS-5504 is usable or whether applicants must use DS-11 or DS-82. Provides passport book/card distinctions, notes processing delays from missing information, warns about false statements and penalties, and lists required items such as proof documents and a compliant 2x2 color photograph.

LanguageEnglish

CategoryForms

FormatPDF

Pages6

Reading Time2 min

AccessFree to download

Eligibility checklist

Passport book vs. passport card

Applicant notices and warnings

Failure to provide information

Applicants residing abroad

False statements penalties

What to send with the application

Required photograph specifications

APPLICATION FOR A U.S. PASSPORT CORRECTIONS, NAME CHANGE WITHIN 1 YEAR OF PASSPORT ISSUANCE, AND LIMITED PASSPORT HOLDERS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Mailing Date of Application: | CAN I USE THIS FORM? Complete this checklist to determine your eligibility to use this form | | | | | | --- | --- | --- | --- | --- | | I have changed my name less than one year since my most recent U.S. passport book and/or U.S. passport card was issued AND my U.S. passport book and/or U.S. passport card is less than one year old;
OR
My identifying information in my most recent U.S. passport book and/or U.S. passport card was printed incorrectly;
OR
My most recent U.S. passport book was limited to two years or less for areason other than multiple losses or a seriously damaged/mutilated passport. | | Yes
Yes
Yes | | No
No
No | | If you answered NO to ALL of the three statements above, STOP-You cannot use this form!
You must apply on application form DS-11 or DS-82 depending on your circumstances. Please refer to those forms, visit [travel.state.gov](travel.state.gov), or contact the National Passport Information Center for further information. | | | | | | U.S. PASSPORTS, EITHER IN BOOK OR CARD FORMAT, ARE ISSUED ONLY TO U.S. CITIZENS OR NON-CITIZEN NATIONALS. EACH PERSON MUST OBTAIN HIS OR HER OWN PASSPORT BOOK OR PASSPORT CARD. THE PASSPORT CARD IS A U.S. PASSPORT ISSUED IN CARD FORMAT. LIKE THE TRADITIONAL PASSPORT BOOK, IT REFLECTS THE BEARER'S ORIGIN, IDENTITY, AND NATIONALITY AND IS SUBJECT TO EXISTING PASSPORT LAWS AND REGULATIONS. UNLIKE THE PASSPORT BOOK, THE PASSPORT CARD IS VALID ONLY FOR ENTRY TO THE UNITED STATES 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. | | | | | |
INFORMATION, QUESTIONS, AND INQUIRIES

Please visit our website at [travel.state.gov](travel.state.gov. In)[. In](travel.state.gov. In) addition, you may contact the National Passport Information Center (NPIC) toll-free at 1-877-487-2778 (TDD: 1-888-874-7793) or by email at [NPIC@state.gov](NPIC@state.gov. Customer)[. Customer](NPIC@state.gov. Customer)[ ](NPIC@state.gov. Customer)[Service Representatives are available Monday-Friday 8:00a.m.-10:00p.m. Eastern Time](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. | | | | | 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. NOTICE TO APPLICANTS RESIDING ABROAD United States citizens residing outside the U.S. or Canada CANNOT submit this form to the domestic address listed on the Instruction Page 2. Such applicants should contact the nearest U.S. Embassy or Consulate for procedures to be followed when applying overseas. 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](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 therein 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. See page 2 of the instructions for detailed information on the completion and submission of this form. If you choose to provide your email address in Item \#6 on this application, Passport Services may us

FAQs

Who can use the DS-5504 form for a U.S. passport?

Use DS-5504 if your name changed within one year since your most recent passport was issued, or your identifying information was printed incorrectly, or your most recent passport was limited to two years or less for reasons other than multiple losses or serious damage. If you answered “No” to all items, you cannot use this form.

What are the key differences between a U.S. passport book and a U.S. passport card?

A passport book and passport card reflect the bearer’s origin, identity, and nationality and are subject to passport laws. The passport card is valid only for entry to the United States at land border crossings and sea ports of entry when traveling from Canada, Mexico, the Caribbean, and Bermuda, and it is not valid for international air travel.

What happens if I fail to provide requested information on this form?

Failure to provide requested information, including a social security number, may result in significant processing delays and/or denial of the application. The document also states that all statements and submitted documents are subject to verification.

Sep 19, 2026

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