Items 1 to 9: about you
Your name as it should appear in the passport, date of birth, sex, place of birth, Social Security number, email, phone, mailing address and other names you have used.
DS-5504
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
- Agency
- State Department
- Revision
- 04-2025
- Fillable fields
- 79
- Pages
- 6
- Official source
- State Department form page
- Checked
- October 20, 2026
Form DS-5504: Passport Name Change, Data Correction and Limited Passport Replacement
Form DS-5504 is the U.S. Department of State's application for passport holders who can get a new U.S. passport book or card by mail without paying the passport fee again. It covers three cases: a name change by marriage or court order less than one year after a passport issued less than one year ago, identifying information printed incorrectly in your most recent passport, and a passport book limited to two years or less that you paid the full fee for.
If none of those apply, the form says to stop and use Form DS-11 or DS-82 instead. A lost, stolen, damaged or mutilated passport also cannot be replaced with this form; that takes Form DS-11 in person.
You sign DS-5504 yourself and mail it with your current passport. You can fill it out free in your browser on this page and download the result without an account.
What's on Form DS-5504
Your most recent passport
The book or card number and issue date of the passport you are sending in. You sign and date page 1 before moving on.
Description, contacts and travel
Page 2 asks for your height, hair and eye color, occupation, employer or school, permanent address, an emergency contact, and planned travel dates and countries.
Items 20 and 21: name change
Whether your name changed by marriage or court order less than one year after the passport was issued, and your new name.
Item 22: correction
Whether your identifying information was printed incorrectly. You check only the fields to correct, such as name, date of birth, sex or place of birth, and write them as they should appear.
Item 23: limited passport
Whether your most recent passport book was limited to two years or less. The book you send in must not be expired.
How to apply with Form DS-5504
- 1
Complete and sign the form
Fill out both application pages and sign and date page 1. Print each page on a separate piece of paper.
- 2
Include your most recent passport
Send the passport book or card with the error, the name to change or the limited validity.
- 3
Add your supporting documents
For a name change, a certified marriage certificate, divorce decree or court order. For a correction, a document showing the correct information. For a limited book, evidence of citizenship or identity.
- 4
Attach one photo
One color photo, 2 x 2 inches, taken in the last six months, on a plain white or off-white background, with no eyeglasses. Staple it at the four corners without bending it.
- 5
Mail it
Mail everything to the National Passport Processing Center address on the form, using the routine or expedited address. The State Department recommends a trackable mailing service.
- 6
Track it and receive it
Track the status at passportstatus.state.gov. Your new passport and returned documents can arrive in separate mailings.
Why fill Form DS-5504 on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the State Department, not a copy someone retyped
- Works on a phone, tablet or computer
Where to send it, fees and validity
Where to send it
Routine service goes to National Passport Processing Center, P.O. Box 90107, Philadelphia, PA 19190-0107. Expedited service goes to P.O. Box 90907, Philadelphia, PA 19190-0907.
Fees
There is no fee unless you ask for expedited service or 1-2 day delivery for a name change or limited passport replacement. A data or printing error in a valid passport is corrected at no cost. Current amounts are at travel.state.gov/passportfees.
Outside the United States
Applicants living outside the United States and Canada cannot use the domestic addresses. Each U.S. embassy and consulate has its own procedure.
How long the corrected passport lasts
An error reported within one year of issue gets a passport valid for 10 years for adults or 5 years for minors. An error reported later gets one valid until the original passport would have expired.
Your documents back
Documents that are not damaged, altered or forged are returned to you. Photocopies are not returned.
Related forms
Who can use Form DS-5504?
The form lists three statements about your most recent passport. If you can answer yes to any one of them, you may use it.
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Questions about Form DS-5504
Do I pay a fee to fix a mistake in my passport?
Not if the passport is still valid. The form says a data or printing error is corrected at no cost. Fees apply only to expedited service or 1-2 day delivery for a name change or limited passport replacement.
My name changed more than a year after my passport was issued. Can I use DS-5504?
No. DS-5504 covers a name change less than one year after a passport issued less than one year ago. The State Department points to Form DS-82 or DS-11 for other name changes.
Can I use DS-5504 to replace a lost passport?
No. A lost, stolen, damaged or mutilated passport has to be replaced with Form DS-11, in person.
Do I sign Form DS-5504 before mailing it?
Yes. Unlike Form DS-11, you sign and date DS-5504 yourself on application page 1 before you mail it.
How long will the corrected passport be valid?
If you report the error within one year of issue, 10 years for adults or 5 years for minors. If you report it later, until the original passport's expiration date.