DS-5504 Application Form for Name Change and Data Corrections

U.S. Passport Form DS-5504

There are a large number of different reasons why you may need to fill out form DS-5504, otherwise known as the application form for Name Change and Data Corrections for your United States passport.

One of the most common reasons is marriage – if a bride takes her husband’s name (or vice versa), an existing passport will need to be corrected in order to reflect this legal name change. Someone may have also decided to change their name legally for any other reason between the time the passport was issued and now, further requiring the use of a form DS-5504.

How to Download DS-5504 Name Change Passport Form?

Form DS-5504 is available for you to access for free at any time from the US Department of State’s website. Note that you will need a copy of Adobe Reader or any other program capable of opening and displaying the contents of a PDF file installed on your copy in order to open the form in your browser.

DS-5504: Name Change, Data Correction Form

There is no way to submit the form online for processing – you can only view it in your browser. To print a blank copy of the form that you can then fill in with a pen, click the “Print” button in your browser window to continue.

Fill out the form to the best of your ability and include all required supporting documents. This will include your most recent US passport book and passport card, a recent color photograph to be used as an updated passport photo, and all evidence supporting your name change or the other changes you want to make to descriptive data.

Submitting the Application Form

When you have finished completing, signing and dating the DS-5504 form, you can send it along with all other required documents to one of the following addresses:


National Passport Processing Center

Post Office Box 90107

Philadelphia, PA 19190-0107



National Passport Processing Center

Post Office Box 90907

Philadelphia, PA 19190-0907

You must also submit checks for the required processing fees and other payments when you send your DS-5504 form to either of the previously stated addresses. Note that the full name, along with the date of birth of the applicant in question, MUST be printed on the front of your check.

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