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DS-5504 Fillable PDF – Name Change, Data Correction & Limited Passport Replacement

  1. Language English
  2. Country USA
  3. Department Department of State
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DS-5504 Fillable PDF – Name Change, Data Correction & Limited Passport Replacement

The DS-5504 is the official U.S. Department of State application used when you need to change the name on a passport, correct a printing error, or replace a limited‑validity passport. With Formize’s fillable PDF tool you can complete the form online, avoid manual errors, and print a clean copy ready for submission.

What Is the DS-5504 Form?

DS-5504 is designed for three specific situations:

  • Name change – if your legal name changed within one year of your last passport issuance.
  • Data correction – to fix a typo or incorrect personal information on an existing passport.
  • Limited passport replacement – when a temporary or limited‑validity passport expires or is damaged.

How to Fill Out DS-5504 with Formize

Instead of downloading the PDF and opening a separate editor, simply click the “Fill out this form” button on this page. The Formize PDF Filler app loads in your browser, letting you:

  1. Enter personal details directly into interactive fields.
  2. Upload a passport‑style photo.
  3. Save a draft and return later if needed.
  4. Download the completed, printable PDF with one click.

Common Mistakes to Avoid

  • Using a name change older than one year – the form will be rejected.
  • Leaving the signature line blank or signing on the wrong page.
  • Submitting an incorrect passport number or expiration date.
  • Forgetting to attach the required supporting documents (photo, legal name‑change proof, etc.).

Required Supporting Documents

Depending on your request, you will need to include:

  • Current valid U.S. passport (or limited‑validity passport).
  • One recent color passport photo (2" x 2").
  • Legal name‑change documentation (marriage certificate, court order) – if applicable.
  • Proof of the printing error (e.g., a copy of the original passport showing the mistake).

Where to Submit Your Completed Form

After printing, mail the DS-5504 package to the address listed in the form’s instructions or bring it to a regional passport agency. The application is free of charge; expedited processing is available for a fee.

Need help? Review the official DS‑5504 PDF for detailed instructions.

FAQ
  • Can I use DS-5504 for a name change after one year?

    No. The DS‑5504 is only valid for name changes that occurred within one year of your most recent passport issuance. For older changes, use form DS‑82.

  • Is there a fee to file DS-5504?

    The DS‑5504 application itself is free. Fees only apply if you request expedited processing or need a new passport book.

  • Do I need a photo for a data‑correction request?

    Yes. All DS‑5504 submissions require one recent color passport photo, even if you are only correcting printed information.

  • Can I submit the completed form electronically?

    The State Department currently requires a printed, signed PDF with supporting documents. Electronic submission is not accepted for DS‑5504.

  • What if my limited‑validity passport is still valid?

    You can use DS‑5504 to replace a limited‑validity passport that is damaged, lost, or you simply need a full‑validity book. Include the limited passport and a written explanation.

  • How long does processing take?

    Regular processing usually takes 6‑8 weeks. Expedited service (for a fee) can reduce the time to 2‑3 weeks.

  • Can I use Formize on a mobile device?

    Yes. The Formize PDF Filler works on most modern smartphones and tablets, letting you fill out DS‑5504 on the go.

HOW TO

How to fill out DS-5504 for free, online in 5 easy steps:

  1. 1
    Open the Fillable Form
    Click the "Fill out this form" button on the page. The Formize PDF Filler loads instantly in your browser.
  2. 2
    Enter Your Information
    Complete each interactive field – personal details, passport number, reason for the request, and upload your passport‑style photo.
  3. 3
    Review & Sign
    Double‑check all entries for accuracy, then add your electronic signature in the designated box.
  4. 4
    Download & Print
    Save the completed PDF, print a clean copy on white paper, and attach any required supporting documents.
  5. 5
    Submit to the State Department
    Mail or deliver the package to the address specified in the form instructions, or schedule an appointment at a passport agency.
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ABOUT

Department of State (DOS) Forms

DS-5504 is one of application forms that are used by the United States Department of State (DOS) to collect information and process various services related to international travel, visas, passports, and consular services. The DOS is responsible for managing U.S. foreign policy, international relations, and providing services to U.S. citizens and foreign nationals.

Here are some examples of Department of State forms:

Passport Application Forms: These forms are used to apply for a U.S. passport, which is an official document issued by the government that allows individuals to travel internationally. Passport application forms collect personal information, details about citizenship, identity, and other required information.

Nonimmigrant Visa Application Forms: The DOS oversees the issuance of nonimmigrant visas, which allow foreign nationals to temporarily visit the United States for various purposes such as tourism, business, study, or work. Nonimmigrant visa application forms, such as the DS-160, DS-156, or DS-260, are used to gather information about the applicant's personal details, travel history, purpose of travel, and other relevant information.

Immigrant Visa Application Forms: For individuals seeking to immigrate to the United States, immigrant visa application forms are used. These forms collect detailed information about the applicant's personal history, family members, employment history, and other relevant information. Examples include the DS-260 form for family-based immigration or the DS-230 form for diversity visa lottery winners.

Consular Report of Birth Abroad (CRBA) Form: This form is used to document the birth of a U.S. citizen child abroad to U.S. citizen parents. It collects information about the child, parents, and supporting documentation.

Affidavit of Support Forms: When sponsoring an immigrant to the United States, a U.S. citizen or lawful permanent resident may need to submit an Affidavit of Support form. This form, such as the I-864 or I-134, is used to demonstrate the financial ability to support the intending immigrant and prevent them from becoming a public charge.

Consular Services Forms: The DOS provides various consular services to U.S. citizens and foreign nationals, such as notarial services, requests for emergency assistance, or renunciation of U.S. citizenship. Specific forms are used for these services, including forms DS-11, DS-3053, or DS-4079, depending on the nature of the service requested.

It's important to note that the specific forms used by the U.S. Department of State can change over time, and different services may require different forms. It's advisable to visit the official website of the U.S. Department of State or consult with the nearest U.S. embassy or consulate for the most up-to-date and accurate information regarding the specific forms required for various services.

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