Form DS-82, U.S. Passport Renewal Application for Eligible Individuals Instructions

Enter the first additional contact phone number for the applicant.

Enter the extension for the first additional contact phone number, if applicable. Fill only if 'First Additional Contact Phone Number - Home', 'First Additional Contact Phone Number - Cell', 'First Additional Contact Phone Number - Work' any is 'Yes'.

Check this box if the first additional contact phone number provided is a home phone number.

Check this box if the first additional contact phone number provided is a cell/mobile phone number.

Check this box if the first additional contact phone number provided is a work phone number.

Check this box if the first additional contact phone number is another type not listed, and specify the type on the line provided.

Enter the second additional contact phone number.

Enter the extension for the second additional contact phone number, if applicable. Fill only if 'Second additional contact phone number - Home', 'Second additional contact phone number - Work', 'Second additional contact phone number - Cell' any is 'Yes'.

Check this box if the second additional contact phone number provided is a home phone.

Check this box if the second additional contact phone number provided is a work phone.

Check this box if the second additional contact phone number provided is a cell/mobile phone.

Check this box if the second additional contact phone number is another type and you will specify the type in the provided line.

Enter the applicant's first (given) name.

Enter the applicant's last (family) name as it appears on the previous passport or name change document.

Enter the applicant's middle name.

Enter the applicant’s full name including last name, first name, and middle name.

Enter the applicant’s date of birth.

Enter the applicant’s current occupation or job title.

Enter the name of the applicant’s current employer or school, if applicable.

Enter the applicant’s height.

Enter the applicant’s hair color.

Enter the applicant’s eye color.

Enter the applicant’s full legal signature exactly as it should appear on the application.

Enter any remaining portion of the applicant’s legal signature if it does not fully fit in the first signature field.

Enter the date the applicant signed the application.

Enter the expiration value associated with the DOTS entry for this application.

Enter the endorsement number associated with the DOTS entry for this application.

Enter the DOTS code assigned by the office for this application.

Enter the internal application tracking identifier assigned by the acceptance/processing office.

Check this box if, for office-use tracking purposes, the application is assigned the “O” code.

Check this box if, for office-use tracking purposes, the application is assigned the “DP” code.

Check this box if, for office-use tracking purposes, the application is assigned the “D” code.

Enter your date of birth.

Enter your place of birth (city and state if in the U.S., or city and country as currently known).

Check this box if your sex is male.

Check this box if your sex is female.

Check this box to indicate that you will continue completing the application on Page 2.

Check this box if you are applying to renew both a U.S. passport book and a U.S. passport card.

Check this box if you are applying to renew a U.S. passport book.

Check this box if you are applying to renew a U.S. passport card.

Check this box if you want a large passport book with more visa pages. Fill only if 'Both (Book and Card)', 'U.S. Passport Book' is 'Yes' (any).

Check this box if you want a standard-size passport book. Fill only if 'Both (Book and Card)', 'U.S. Passport Book' is 'Yes' (any).

Check this box if you are NOT able to submit your most recent U.S. passport book and/or card with this renewal application.

Check this box if you are able to submit your most recent U.S. passport book and/or card with this renewal application.

Check this box if you were younger than 16 years old when your most recent U.S. passport book and/or card was issued.

Check this box if you were at least 16 years old at the time your most recent U.S. passport book and/or card was issued.

Check this box if your most recent U.S. passport book and/or card was issued 15 or more years ago.

Check this box if your most recent U.S. passport book and/or card was issued less than 15 years ago.

Check this box if the U.S. passport book and/or card you are renewing has been mutilated, damaged, or reported lost or stolen.

Check this box if the U.S. passport book and/or card you are renewing has not been mutilated, damaged, or reported lost or stolen.

Check this box if your U.S. passport WAS limited to less than the normal ten-year validity period because of passport damage/mutilation, multiple thefts/losses, or non-compliance with 22 C.F.R. 51.41.

Check this box if your U.S. passport was NOT limited to less than the normal ten-year validity period (i.e., it was not shortened due to damage/mutilation, multiple thefts/losses, or non-compliance with 22 C.F.R. 51.41).

Check this box if your name has changed by marriage or court order and you can submit proper certified documentation to reflect the name change.

Check this box if your name has not changed since your most recent U.S. passport book and/or card was issued.

Enter the full name relevant to this application: if your name has not changed, enter the name exactly as it appears on your most recent U.S. passport book/card; if your name has changed, enter the new name you are requesting on this passport (you must also be prepared to submit certified documentation of the name change). Fill only if '6. My name has changed (No)' is 'Yes'.

Enter the full name of your emergency contact.

Enter the emergency contact's street address (Street/RFD # or PO Box).

Enter the city where the emergency contact lives.

Enter the emergency contact's apartment or unit number, if applicable.

Describe the emergency contact's relationship to the applicant (e.g., spouse, parent, friend).

Enter the state where the emergency contact lives.

Enter the emergency contact's phone number.

Enter the emergency contact's ZIP code.

Enter the execution fee amount charged for accepting and processing this application.

Enter the fee amount charged for processing the passport card.

Enter the amount charged for postage or mailing services related to this application.

Enter the fee amount charged for processing the passport book.

Enter any additional fee amount not included in the other fee categories.

Enter any notes, comments, or office stamp information to be recorded by the issuing office for this application.

Check this box only if the issuing office is coding the submitted document as “PPT BK C/R.”

Check this box only if the issuing office is coding the submitted document as “PPT BK S/R.”

Check this box only if the issuing office is coding the submitted document as “PPT CD C/R.”

Check this box only if the issuing office is coding the submitted document as “PPT CD S/R.”

Enter the ending reference (e.g., ending number or range end) for the supporting document information recorded by the issuing office.

Enter the starting reference (e.g., beginning number or range start) for the supporting document information recorded by the issuing office.

Check this box if a marriage certificate was submitted/received as supporting documentation.

Check this box if another type of supporting document (not a marriage certificate or court order) was submitted/received.

Check this box if a court order was submitted/received as supporting documentation.

Check this box if supporting documents are attached to the application packet.

Enter your primary phone number where you can be reached.

Enter your Social Security number.

Enter your email address to receive passport application status updates.

Enter the city for your mailing address.

Enter any additional mailing address details such as apartment or suite number, or “in care of/attention” information if applicable.

Enter the first line of your mailing address, such as street address, RFD number, P.O. Box, or URB.

Enter the country for your mailing address if it is outside the United States.

Enter the ZIP code for your mailing address.

Enter the state for your mailing address.

Enter the passport number from your most recent U.S. passport book.

Enter the issue date shown on your most recent U.S. passport book.

Enter the passport number from your most recent U.S. passport card.

Enter your name exactly as it is printed on your most recent U.S. passport book and/or passport card.

Enter the issue date shown on your most recent U.S. passport card.

Enter the date of the marriage or court order that changed your name. Fill only if 'Changed by Marriage', 'Changed by Court Order' is 'Yes' (any).

Enter the city and state where the marriage or court order that changed your name took place. Fill only if 'Changed by Marriage', 'Changed by Court Order' is 'Yes' (any).

Check this box if your name changed due to marriage and your current name differs from the name on your most recent U.S. passport book or card.

Check this box if your name changed due to a court order and your current name differs from the name on your most recent U.S. passport book or card.

Enter an additional other name you have used in the past if applicable.

Enter another name you have used in the past (for example, birth name, maiden name, previous married name, or a legal name change).

Enter the ZIP code for your permanent address.

Enter the city for your permanent address.

Enter your permanent street address, including any rural route/box (RFD) number or urbanization (URB) if applicable.

Enter your apartment, unit, suite, or other secondary address identifier for your permanent address, if applicable.

Enter the state for your permanent address.

Check this box if you have attached your passport photo in the designated photo attachment area (stapled as indicated).

List the countries you plan to visit during this trip.

Enter the date you plan to depart for your trip.

Enter the date you plan to return from your trip.

Enter the short text required next to the WARNING header (for example your initials, a brief acknowledgment, or the identifying code requested by the form).