DS-82 Renewal Form

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Middle Name

Suffix

Date of Birth *

Please enter your date of birth.

City of Birth *

Please enter your city of birth.

Country of Birth *

Please select your country of birth.

State/Territory of Birth *

Please select your state/territory of birth.

Social Security Number *

Please enter a valid SSN (XXX-XX-XXXX).

Sex *

Please select your sex.

Height *

Please select your height.

Hair Color *

Please select your hair color.

Eye Color *

Please select your eye color.

Occupation *

Please enter your occupation.

Employer or School

Contact Information

City *

Please enter your city.

Country *

Please select your country.

State *

Please select your state.

Zip Code

If the applicant is a child, enter a parent/guardian who receives mail at the address *

Please enter the guardian's name.

Permanent Address

Address Line 1 *

Please enter your permanent address.

Address Line 2

City *

Please enter your permanent city.

Country *

Please select your permanent country.

State *

Please select your permanent state.

Zip Code

Preferred Method of Communication *

Please select a method of communication.

Your Email Address *

Please enter a valid email address.

Confirm Email Address *

Email addresses must match.

Your Phone Number *

Please enter your phone number.

Phone Type *

Please select a phone type.

Travel Plans

Emergency Contact

Your Most Recent Passport

Have you been issued any of the following? *

Passport book

Passport card

Both

Never had a passport before

Do you still have the book in your possession? *

Yes

Yes – damaged or mutilated

No – lost

No – stolen

Have you reported your lost or stolen book/card? *

Yes

Date your most recent passport book was issued *

Please select the issue date.

Your name as printed on your most recent book

First and Middle Name

Enter your first and middle name as printed.

Last Name

Enter your last name as printed.

Book Number *

Please enter the book number.

Was the data printed correctly in your most recent document? *

No, incorrect on my passport book

No, incorrect on my book and card

No, incorrect on my passport card

Yes, it was printed correctly

Select items printed incorrectly:

Last Name

Middle Name

Date of Birth

First Name

Place of Birth

Sex

Has your name changed since your most recent document was issued? *

Yes, since I got my passport book

Yes, since I got my passport card

No, it has not changed

Reason for the name change *

Please select a reason for the name change.

Place of name change (City/State) *

Please enter the place of name change.

Date of name change *

Please enter the date of name change.

Can you submit certified documentation? *

Yes

Please indicate if you can provide documentation.

I understand DS-82 is free at travel.state.gov and government fees are separate. I’m paying DocuHelp for guidance, error-checking, and document-preparation.

Please acknowledge to continue.

DS-82 – Fill in the form

Applicant Information

Contact Information

Permanent Address

Travel Plans

Emergency Contact

Your Most Recent Passport