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U.S. Department of State · United States (federal)

Form DS-5504: Application for a U.S. Passport for Eligible Individuals: Correction, Name Change to Passport Issued 1 Year Ago or Less, and Limited Passport Replacement

Current revision: Edition 04-2025 (checked on travel.state.gov, Oct 15, 2026)

Fill in the State Department's DS-5504 (04-2025) to correct a passport error or change your name within a year of issue. Sign it and mail it.

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Form

DS-5504

Issued by
U.S. Department of State
Applies in
United States (federal)
Edition
Edition 04-2025

Official source

PDFBetter is not affiliated with, endorsed by or acting for U.S. Department of State. We open the form from travel.state.gov, and you fill it in our editor. Check the issuer's instructions before you file.

What it is

What Form DS-5504 is for

Form DS-5504 lets you get a new passport by mail, usually at no cost, if your passport was issued less than a year ago and you've since changed your name, if it has a data or printing error, or if it was a limited-validity passport issued at the full fee. Unlike DS-11, you sign it yourself and mail it with your current passport.

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From eforms.state.gov to your filled copy

  1. 1

    Fetched from eforms.state.gov

    The agency's own, current PDF — not a retyped copy.

  2. 2

    Opens in the editor

    Fillable fields work as they are; on a flat page you type with text boxes.

  3. 3

    Your filled copy

    Download, print, sign or send it — the original stays untouched.

Who files it

  • People who married or changed their name by court order within a year of their passport being issued
  • Passport holders whose passport has a data error, such as a misspelled name or wrong place of birth
  • Holders of a passport with a printing defect
  • Holders of a full-fee passport limited to two years or less (for reasons other than multiple losses or damage)

What you need

  • Your most recently issued passport book and/or card
  • A certified name-change document (marriage certificate, divorce decree or court order), if applicable
  • Evidence of the correct information, for a data correction
  • One 2x2 inch color photo
  • Expedite fee, only if you want expedited service for a name change or limited passport replacement

Line by line

How to fill out Form DS-5504

  1. 1

    Check eligibility

    Answer the three yes/no questions in Section A. If all are “No,” stop — you need DS-11 or DS-82 instead.

  2. 2

    Items 1–9 — Identity and contact

    Enter the name you want in the passport, date of birth, sex marker, place of birth, SSN, email, phone, mailing address and up to two other names.

  3. 3

    Sign page 1

    Unlike DS-11, you sign and date this form yourself before mailing it.

  4. 4

    Page 2 — Passport details

    Describe the passport you're submitting and answer the questions about a name change, a data or printing error, or a limited-validity passport.

  5. 5

    Attach documents

    Staple the photo using four staples vertically in the corners, and include your passport and certified documents.

  6. 6

    Print correctly

    The instructions say to print page one and page two of the application on separate sheets of paper.

Where to send it

Mail it with a trackable service to the National Passport Processing Center: routine service (no fee) to P.O. Box 90107, Philadelphia, PA 19190-0107; expedited service (fee) to P.O. Box 90907, Philadelphia, PA 19190-0907. Applicants outside the United States and Canada must follow their U.S. embassy or consulate's procedures instead.

Filing rules change. Confirm the address or portal on travel.state.gov before you send.

Form DS-5504: questions people ask

Is there a fee?

No fee for routine service. You pay only if you request expedited service for a name change or limited passport replacement.

My passport is more than a year old. Can I use DS-5504 for a name change?

No. The name-change option requires both the name change and the passport issue date to be less than a year ago. Otherwise use DS-82 or DS-11.

Can I use DS-5504 for a lost passport?

No. A lost, stolen or damaged passport must be replaced in person with DS-11.

Can I sign it electronically?

The form is printed and mailed. Sign the printed page by hand.

Will my new passport have the same number?

No. Each newly issued passport book or card gets a different number.