To and type of request
The preprinted Department of State address, and boxes for issued for the foreign travel described below or revalidated.
GSA2083
Request for Official Passport
GSA Form 2083, Request for Official Passport, is a General Services Administration form, Rev. 3/1999. GSA's page lists OAD P 7620.7 as its authority or regulation, and GSA hosts it in its forms library.
The form is addressed to the Department of State, US Passport Office, FIA Division. It asks whether a passport is to be issued for the foreign travel described or revalidated, then for the employee's name and title, the type of travel, the dates of departure from and return to the United States, the country to be visited and the purpose of travel. A further section covers a change of official station and the dependents authorized to travel.
The form is one page and prints no instructions and no signature line. You can fill it out free in your browser on this page and download the result without an account.

The preprinted Department of State address, and boxes for issued for the foreign travel described below or revalidated.
First name, middle name, last name and title.
Temporary duty or change of official station, the dates of departure from and return to the United States, the country to be visited, the inclusive dates and the purpose of travel.
Type of change, new assignment or replacement, and the name of the employee being replaced.

Up to twelve rows for full name, relationship, date of birth and place of birth.
Check issued for the foreign travel described below, or revalidated.
Fill in the employee's first, middle and last name and title.
Mark temporary duty or change of official station, then enter the departure and return dates, the country to be visited and the inclusive dates.
Write the purpose of travel in the large box below the country.
For a change of official station, check new assignment or replacement, and name the employee being replaced if there is one.
Enter each dependent authorized to travel with relationship, date of birth and place of birth.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
Department of State, US Passport Office, FIA Division, 1111 19th Street, NW; Room 350, Washington, DC 20522, as printed on the Rev. 3/1999 form.
GSA's page lists OAD P 7620.7 as the authority or regulation for the form.
The form prints no instructions, no signature line and no time to complete. Follow the directions of the office that gave you the form.
The name of employee block asks for first, middle and last name, with the employee's title beside it.
A table lists each dependent's full name, relationship, date of birth and place of birth.
For a change of official station marked Replacement, the form asks for the name of the employee being replaced.
The TO block is preprinted Department of State, US Passport Office, FIA Division.
The form prints no instructions, so it does not say who completes or signs it. It names these people and offices.
The agency’s own page for Form GSA2083.
The official blank form, to print or fill by hand.
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It is a General Services Administration form, Rev. 3/1999. GSA's page lists OAD P 7620.7 as its authority or regulation. GSA hosts it in its forms library.
The TO block is preprinted Department of State, US Passport Office, FIA Division, 1111 19th Street, NW; Room 350, Washington, DC 20522.
Two boxes: issued for the foreign travel described below, and revalidated.
The form has boxes for temporary duty and change of official station. A change of official station also asks whether it is a new assignment or a replacement.
Yes. A table headed Dependents Authorized to Travel asks for each person's full name, relationship, date of birth and place of birth.
No. The form prints no signature line and no instructions.