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DS-4283, Courier Drop Off List - reginfo

DS-4283, Courier Drop Off List - reginfo-2026

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The document is a form from the U.S. Department of State for courier companies to submit U.S. passport applications. It outlines instructions for completing and submitting the drop-off list, which must accompany each group of applications. The form collects information to track submissions and includes contact details for inquiries. It also mentions compliance with the Paperwork Reduction Act.

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Click ‘Get Form’ to open the DS-4283 in the editor.
Begin by filling in the 'Passport Agency' and 'Date' fields at the top of the form. Ensure accuracy as this information is crucial for processing.
Next, enter your 'Courier Company' name and select the appropriate 'Service Type' from options like Same Day, Three Day, or Two Day.
For each applicant, provide their 'Date of Birth', 'Last Name', and any relevant details such as 'Foreign Visa' status. Use the provided spaces for up to 15 applicants.
If applicable, check the boxes for AR (applicant response) or Rewrite next to each applicant's entry based on your submission type.
Finally, have the courier employee sign and print their name at the bottom of the form before submitting it with your applications.

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