You can only use this form if you changed your name within one year of receiving your passport. Please make sure that you sign all the documents in your new name. If you have any identification in your new name please provide a copy and sign the same way as on your I.D
DS-5504 Name Change Application
Complete the DS-4085.
Original Court Documentation
Please provide the original court document that changes your name. For example, marriage certificate, divorce or legal name change document.
Print two authorization letters. This allows us to act as an agent on your behalf.
Ticket, E-Ticket, Itinerary, Confirmation or Letter from company
Passport must be in good condition. It will not be accepted if damaged or mutilated. Lamination must not be peeling off of the photo page of the passport.
A check or money order made payable to the "U.S. Department of State" in the amount of $60.00. Temporary or starter checks will not be accepted.
This form is used for Rushpassport.com to keep track of your application.
Either include your own Fedex account number/a prepaid fedex airbill or pay $26.00
For delivery Mon-Fri $40.00 Sat. Or just simply pick up at our location
Call us before coming in personally or sending via Fedex for updated fees. Note: Cash or Credit Card (Visa, Master Card, Amex) Accepted.
Credit Card Holder's Authorization Form