5504 ds5504 pdf-2025

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The document is an application form from the U.S. Department of State for eligible individuals seeking to correct, change their name on, or replace a U.S. passport issued within the last year. It outlines eligibility criteria, required documentation, and steps for submission, including instructions for name changes, corrections of errors, and limited passport replacements. The form also includes information on fees, processing times, and legal warnings regarding false statements.

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Click ‘Get Form’ to open the 5504 ds5504 PDF in the editor.
Begin with Section A, confirming your eligibility. Answer 'Yes' or 'No' to the statements regarding your passport status.
Proceed to Section B. Follow the steps outlined for reapplying for a U.S. passport, ensuring you complete and sign the form.
In Section C, fill in your personal details such as name, date of birth, gender, and place of birth. Ensure accuracy as this information will appear on your passport.
Attach a recent color photograph and any supporting documents required in Section D. Make sure they meet the specified requirements.
Finally, review all sections for completeness before submitting your application as detailed in Section E.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (157 Votes)
2019	4.2 Satisfied (43 Votes)
2016	4.4 Satisfied (70 Votes)
2013	4.3 Satisfied (59 Votes)
2010	4 Satisfied (21 Votes)
2005	4.3 Satisfied (44 Votes)

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How much does a DS-5504 cost?

There is no fee associated with the use of this form unless expedited service is requested (see below). Your re-issued passport book and/or passport card and any documentary evidence submitted to Passport Services will be returned to you by priority or first class mail, unless overnight delivery is requested.

Can you submit DS-5504 online?

If you were issued a limited validity passport, you can apply for a free replacement passport within one year of issuance. To exchange your passport, please provide the following documents: Complete form DS-5504 online here through the online system with a barcode.

Can I fill out DS-5504 online?

Step 1: Fill out the Form DS-5504 available online here or as a downloadable PDF. You must print out and sign the form. Form DS-5504 should be printed out on separate sheets of paper.

What is a DS-5504 form used for?

Replacing a Limited Validity Passport If you were issued a limited validity passport, you can apply for a free replacement passport within one year of issuance. To exchange your passport, please provide the following documents: Complete form DS-5504 online here through the online system with a barcode.

Where do I get a DS-5504 form?

Please visit our website at 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. Customer Service Representatives are available Monday-Friday 8:00a. m.