Form DS-82, U.S. Passport Renewal Application Instructions
This form contains 86 fields organized into 12 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Address Information | ||
| undefined | Text |
Enter your permanent street address.
|
| undefined | Text |
Enter your permanent apartment or unit number.
|
| City | Text |
Enter the city of your permanent address.
|
| Permanent Address State | Text |
Enter the state of your permanent address.
|
| Zip Code | Text |
Enter the zip code of your permanent address.
|
| Contact Information | ||
| Text |
Enter your email address.
|
|
| App Phone 1 | Text |
Enter the first three digits of your phone number.
|
| App Phone 2 | Text |
Enter the next three digits of your phone number.
|
| App Phone 3 | Text |
Enter the last four digits of your phone number.
|
| Additional Contact Phone Numbers | Text |
Enter additional contact phone numbers.
|
| Additional # 1_Home | CheckBox |
Check this box if the additional contact number is a home number.
|
| Additional # 1_Cell | CheckBox |
Check this box if the additional contact number is a cell number.
|
| Additional Contact Phone Numbers 2 | Text |
Enter another additional contact phone number.
|
| Additional # 2_Home | CheckBox |
Check this box if the second additional contact number is a home number.
|
| Additional # 2 | CheckBox |
Check this box if the second additional contact number is another type of number.
|
| Additional # 1_Work | CheckBox |
Check this box if the first additional contact number is a work number.
|
| Additional # 1_Other | CheckBox |
Check this box if the first additional contact number is another type of number.
|
| Additional # 2_Work | CheckBox |
Check this box if the second additional contact number is a work number.
|
| Additional # 2_Other | CheckBox |
Check this box if the second additional contact number is another type of number.
|
| Eligibility | ||
| Yes | CheckBox |
Check this box to answer 'Yes' to the corresponding question.
|
| Eligibility Criteria | ||
| Most Recent_YES | RadioButton |
Select 'Yes' if your most recent U.S. passport book and/or card was issued within the last 15 years.
|
| Most Recent_NO | RadioButton |
Select 'No' if your most recent U.S. passport book and/or card was not issued within the last 15 years.
|
| 16 Years_YES | RadioButton |
Select 'Yes' if you were at least 16 years old when your most recent U.S. passport book and/or card was issued.
|
| 16 Years_NO_2 | RadioButton |
Select 'No' if you were not at least 16 years old when your most recent U.S. passport book and/or card was issued.
|
| Less Than 15_YES | RadioButton |
Select 'Yes' if your most recent U.S. passport book and/or card was issued less than 15 years ago.
|
| Less Than 15_NO | RadioButton |
Select 'No' if your most recent U.S. passport book and/or card was issued more than 15 years ago.
|
| Damaged_YES | RadioButton |
Select 'Yes' if your most recent U.S. passport book and/or card is damaged.
|
| Damaged_NO | RadioButton |
Select 'No' if your most recent U.S. passport book and/or card is not damaged.
|
| Not Limited_YES | RadioButton |
Select 'Yes' if your most recent U.S. passport book and/or card was not limited in validity.
|
| Not Limited_NO | RadioButton |
Select 'No' if your most recent U.S. passport book and/or card was limited in validity.
|
| Name Changed_YES | RadioButton |
Select 'Yes' if your name has changed since your most recent U.S. passport book and/or card was issued.
|
| Name Changed_NO | RadioButton |
Select 'No' if your name has not changed since your most recent U.S. passport book and/or card was issued.
|
| Emergency Contact Information | ||
| Emergency Contact Name | Text |
Enter the name of your emergency contact.
|
| undefined | Text |
Enter the address of your emergency contact.
|
| undefined | Text |
Enter the apartment or unit number of your emergency contact.
|
| undefined | Text |
Enter the city of your emergency contact.
|
| Emerg State | Text |
Enter the state of your emergency contact.
|
| undefined | Text |
Enter the zip code of your emergency contact.
|
| undefined | Text |
Enter the phone number of your emergency contact.
|
| undefined | Text |
Specify your relationship to the emergency contact (e.g., spouse, parent, friend).
|
| Form Actions | ||
| Clear | Button |
Click this button to clear the form.
|
| Mailing Address | ||
| Mailing Address Line 1: Street/RFD#, P.O. Box, or URB | Text |
Enter the first line of your mailing address, including street, P.O. Box, or URB.
|
| undefined | Text |
Enter the second line of your mailing address, if applicable.
|
| City | Text |
Enter the city of your mailing address.
|
| App Mailing Address State | Text |
Enter the state of your mailing address using the two-letter state abbreviation.
|
| Zip Code | Text |
Enter the ZIP code of your mailing address.
|
| City | Text |
Enter the country of your mailing address.
|
| Name Change Information | ||
| Changed by Marriage | CheckBox |
Check this box if your name has changed due to marriage.
|
| Changed by Court Order | CheckBox |
Check this box if your name has changed due to a court order.
|
| Name Change Place | Text |
Enter the place where your name change occurred.
|
| Name Change Date (mm/dd/yyyy) | Text |
Enter the date when your name change occurred in the format mm/dd/yyyy.
|
| Passport Information | ||
| Your name as printed on your most recent U.S. passport book and/or passport card | Text |
Enter your name as it appears on your most recent U.S. passport book and/or passport card.
|
| Most recent U.S. passport book number | Text |
Enter the number of your most recent U.S. passport book.
|
| Book Issue Date mm/dd/yyyy | Text |
Enter the issue date of your most recent U.S. passport book in mm/dd/yyyy format.
|
| Most recent U.S. passport card number | Text |
Enter the number of your most recent U.S. passport card.
|
| Card Issue Date mm/dd/yyyy | Text |
Enter the issue date of your most recent U.S. passport card in mm/dd/yyyy format.
|
| Passport Selection | ||
| Selection_Book | CheckBox |
Check this box if you are applying for a U.S. passport book.
|
| Selection | CheckBox |
Check this box if you are applying for a U.S. passport card.
|
| Selection_Both | CheckBox |
Check this box if you are applying for both a U.S. passport book and card.
|
| Regular or Large Book_Regular | CheckBox |
Check this box if you are applying for a regular-sized U.S. passport book.
|
| Regular or Large Book_Large | CheckBox |
Check this box if you are applying for a large-sized U.S. passport book.
|
| Personal Information | ||
| Name Last | Text |
Enter your last name as it appears on your most recent U.S. passport book and/or card.
|
| First | Text |
Enter your first name as it appears on your most recent U.S. passport book and/or card.
|
| undefined | Text |
Enter your middle name as it appears on your most recent U.S. passport book and/or card.
|
| App DOB MM | Text |
Enter the month of your date of birth (MM).
|
| App DOB DD | Text |
Enter the day of your date of birth (DD).
|
| App DOB YYYY | Text |
Enter the year of your date of birth (YYYY).
|
| undefined | Text |
Enter the place of your birth (city and state or country).
|
| Gender_M | CheckBox |
Check this box if your gender is male.
|
| Gender_F | CheckBox |
Check this box if your gender is female.
|
| Gender_X | CheckBox |
Check this box if your gender is non-binary or unspecified.
|
| App SSN 1 | Text |
Enter the first three digits of your Social Security Number.
|
| App SSN 2 | Text |
Enter the middle two digits of your Social Security Number.
|
| App SSN 3 | Text |
Enter the last four digits of your Social Security Number.
|
| App List all other name you have used | Text |
List any other names you have used.
|
| App List all other names you have used 2 | Text |
List any additional names you have used.
|
| undefined | Text |
Enter your full name (Last, First, Middle).
|
| Date of Birth 2 | Text |
Enter your date of birth.
|
| Height | Text |
Enter your height.
|
| Hair Color | Text |
Enter your hair color.
|
| Eye Color | Text |
Enter your eye color.
|
| Occupation | Text |
Enter your occupation.
|
| Employer or School | Text |
Enter the name of your employer or school.
|
| Travel Information | ||
| undefined | Text |
Enter the date you plan to depart for your travel.
|
| undefined | Text |
Enter the date you plan to return from your travel.
|
| undefined | Text |
List the countries you plan to visit during your travel.
|