Fill Out Form DS-5504 Online
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
U.S. Department of State
Corrects an error, changes a name within one year of issuance, or replaces a limited-validity passport at no fee.
Reviewed July 2026
How it works
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Open the form. The official PDF loads straight into the editor, no download needed first.
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Fill it out in the editor. Click anywhere to type, add checkmarks and place your signature.
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Form DS-5504, Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement, covers three narrow situations where you can get a corrected or reissued passport without paying the standard application fee. It applies soon after issuance or when the government printed something incorrectly.
You can complete Form DS-5504 in the Universal PDF editor and download the finished PDF to sign and mail with your current passport and supporting documents. If your situation falls outside the form's windows, you will use DS-82 or DS-11 instead.
What is Form DS-5504 used for
The form handles corrections and early reissues rather than ordinary renewals. In qualifying cases there is no application fee, though expedited service and optional faster delivery cost extra; check current amounts on travel.state.gov.
- Name change within one year of your passport's issuance, with a certified marriage certificate, divorce decree, or court order
- Correction of a printing or data error in your current valid passport
- Replacement of a limited-validity passport, generally within the window stated in the form instructions
Who files Form DS-5504
File it if your passport is valid but shows a data error, if your name changed within one year of the issue date, or if you hold a limited-validity passport, such as one issued abroad in an emergency, and you qualify for a full-validity replacement.
If your name changed more than one year after issuance, use DS-82 if you meet its eligibility rules, or DS-11 in person if you do not. Damaged passports are not corrected with this form; they require a new DS-11 application.
How to fill out Form DS-5504
The form looks like the other passport applications, with the addition of the reason for reissue.
- Name, date and place of birth, Social Security number, and contact information
- Your current passport number and issue date
- The reason you are applying: name change, data correction, or limited passport replacement
- Product selection and the mailing address for the new passport
- Sign and date the form after printing
How to submit it
Mail the signed form with your current passport, one new compliant passport photo, and the documents supporting your request: a certified name change document for name changes, or evidence of the error for corrections. Use the address in the form instructions and a trackable mailing method, since your valid passport goes with the package.
The new passport and your supporting documents are returned by mail. If you need urgent service, review the expedited options and current fees on travel.state.gov before mailing.
Frequently asked questions
In qualifying cases there is no application fee for the corrected or reissued passport. Expedited processing and faster return delivery are optional paid services; check current amounts on travel.state.gov.
No. The no-fee name change window is one year from the issue date. After that, renew with Form DS-82 if you are eligible, or apply in person with Form DS-11.
A certified copy of your marriage certificate, divorce decree, or court order showing the change. Photocopies that are not certified are not accepted.
A passport issued for less than the standard validity period, often in an emergency at a U.S. embassy or consulate abroad. DS-5504 lets holders exchange it for a full-validity passport within the allowed window.
Yes. Your existing passport must accompany the DS-5504 so it can be canceled or corrected, and it travels back to you with the new document. Mail it with tracking.
No. Damage is not a data correction. A significantly damaged passport must be replaced by applying in person with Form DS-11 and submitting the damaged document with a signed statement.
Related forms
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