Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement Form: DS-5504


Use the Passport Application Wizard to Fill Out Your Form DS-5504 Online!

The Passport Application Wizard will help you determine if you need Form DS-11, DS-82, DS-5504 or DS-4085, help you to complete the form online, estimate your payment, and generate the form for you to print - ALL IN ONE PLACE!

PLEASE PRINT OUT AND SUBMIT ONLY ONE-SIDED PAGES OF THE APPLICATION .

Please type or print legibly in black ink when completing all sections of this application.

This form should only be used for making a data change for a previously issued, currently valid U.S. passport WITHIN one year from the date of issue:

  • When there is a change in your identifying information, such as a name-change due to marriage or by court order;
  • To extend the validity of certain previously limited passports; or
  • To correct a Passport Services’ printing error.

There is no charge for routine service , which is receipt of your replacement passport in approximately three weeks from the date you submit it.

If Expedited Service is requested for any of the above, with the exception of an error by Passport Services, there is an additional charge of $60 per application, plus the cost of two-way overnight delivery for receipt within two weeks from the date you submit your application. Please write "Expedite" clearly on the envelope.  For Expedited Service at a Regional Passport Agency, there is a $60.00 fee per application.

When submitting, please include:

  • Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement Form DS-5504,
  • The passport to be replaced,
  • The documentation required for the change (see Instruction Page 2 of the form), and
  • New photos.

Please follow the instructions on the form carefully. Complete, sign, and date the application. When submitting by mail, send the application form to mailing address listed on the form.

Philadelphia, PA 19101-3290

If you need your passport back in less than 2 weeks for international travel or within 4 weeks for foreign visas, you may make an appointment to submit Form DS-5504 in person at a Regional Passport Agency. For a list of Regional Passport Agencies, including their addresses, please click here.

If it is MORE than one year since the date of issue , you must submit Form DS-82 (or DS-11, if appropriate) and pay the applicable fees. For more information on Form DS-82, click here.

Printing Errors by Passport Services.

If there is a printing error due to Passport Services and your passport was issued less than 30 days ago, please submit the following:

  • A letter explaining the specific correction needed and the date by which the corrected passport is needed;
  • The passport containing the printing error;
  • A completed form DS-5504;
  • The documentation required for the change (see Instruction Page 2 of the form), and
  • New photos.

Please send the above documentation and form to the Passport Agency that issued your passport.  See the Passport Corrections Chart to determine which Passport Agency issued your passport.  There is no fee to request a corrected passport if the printing error was due to Passport Services.

NOTE:  These instructions are different than the instructions on the current DS-5504.  Please follow these instructions.  However, if you have already followed the instructions on the DS-5504, your correction will still be processed. 

If it has been more than 30 days since your passport was issued, please submit the following:

  • Two new passport photos;
  • A letter explaining the specific correction needed and the date by which the corrected passport is needed;
  • The passport containing the printing error; and
  • A completed form DS-5504

Please send the above documentation and form to the address above.  There is no fee to request a corrected passport if the cause is a printing error by Passport Services regardless of the age of the valid passport.

If you would prefer to complete the current Form DS-5504 online or by hand, please do so legibly and in black ink. Illegible applications may delay application processing times.

Guidelines for downloading and printing documents.