Submit Application – EPassport.US

Order Summary

New Passport DS-11

$119.00

Passport Insurance $30.95
Priority Service $34.95
Passport Card $34.95

Total $219.85

Private service fee. Government filing fees not included.

New Passport

DS-11

Start a DS-11 application if any one applies:

You're applying on behalf of someone under 16.
This is your first U.S. passport.
Your previous passport was issued 15+ years ago.
You were age 15 or younger when it was issued.

Support

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Get help via email or form at any time.

Private service not affiliated with any government agency. Fees cover document preparation and support services.

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Applicant Details

Contact Information

Travel Plans

Emergency Contact

Passport Details

Parents & Spouse

Order Summary

Start Here:

Service Type

Select Service What's Included?

About the Applicant

Please select the document(s) you are applying for

Passport Book

Passport Card

Both

Do you need a regular or large passport book?
Large passport book is recommended for Frequent Travelers. There is no additional fee.

Regular

Large

Gender

Male

Female

First Name

Middle Name (Optional)

Last Name

Date of Birth

City of Birth

Country of Birth

State of Birth

Social Security Number Secure

Please confirm your SSN so that it is accurate. Your SSN is secured by latest SSL technology.

Height

Feet

Inches

Hair Color

Eye Color

Occupation

Employer/School (Optional)

Have you ever used a different name?

Yes

Former Name (Optional)

List any other names you have used such as Birth Name, Maiden, Previous Marriage, or Legal Name Change. Only enter the name that was different.

Former Name (Optional)

List any other names you have used such as Birth Name, Maiden, Previous Marriage, or Legal Name Change. Only enter the name that was different.

Contact Information

Where should the passport be mailed? Mailing address must be U.S. address

Street Address/RFD#, PO Box, or URB

Street Address 2 (Include Apartment, Suite, etc)

City

Country

State

Zip Code

Is this your Permanent Address?

Yes

Street Address/RFD#, PO Box, or URB

Street Address 2 (Include Apartment, Suite, etc)

City

Country

State

Zip Code

Preferred Method of Communication

Phone

Both

Re-enter Email

Phone Number

Phone type

Work

Home

Mobile

Do you want to add additional phone numbers?

Yes

Additional Phone Number

Phone type

Work

Home

Mobile

Additional Phone Number

Phone type

Work

Home

Mobile

Travel Plans (Optional)

Complete this section only if you have known travel plans. If you do not have any travel plans yet, you can skip this section.

Do you have any travel plans yet?

Yes

Date Of Your Trip

Date Of Your Return

Countries To Be Visited?

Emergency Contact (Optional)

Complete this section only if you have an emergency contact. If you do not have one, you can skip this section.

Do you have an emergency contact that you would like to add to this application?

Yes

Name of Emergency Contact

Street Address/RFD#, PO Box, or URB

Street Address 2 (Include Apartment, Suite, etc)

City

Country

State

Zip Code

Telephone Number

Relationship to Applicant

Your Most Recent Passport

Have you been issued any of the following?

Passport Book

Passport Card

Both

None

Do you still have the book in your possession?

Yes

Yes, but it was Damaged or Mutilated

No, it was lost

No, it has been stolen

Is your lost or stolen passport book expired?

Yes

Unknown

Have you reported your passport book lost or stolen book?

Yes

The date your most recent passport book was issued (If Known)

Your name as printed on your most recent book:

First and Middle Name

Last Name

Book Number (If Known)

Do you still have the card in your possession?

Yes

Yes, but it was Damaged or Mutilated

No, it was lost

No, it has been stolen

Is your lost or stolen passport card expired?

Yes

Unknown

Have you reported your passport card lost or stolen card?

Yes

The date your most recent passport card was issued (If Known)

Your name as printed on your most recent card:

First and Middle Name

Last Name

Card Number (If Known)

Did you file a police report for your lost or stolen passport book or card?

Yes

Do you want to order a new U.S. passport book and/or card? If yes, we'll provide your DS-11 form for no extra cost.

Yes

Has your name changed since the passport was issued?

Yes

State your full name that appeared on the lost or stolen passport

Lost or Stolen Book Information

Explain how the book was lost or stolen

Where did the loss or theft occur? Provide the address if known (city/state or city/country)

When was the book lost or stolen? If unknown, when was the last time you remember it being in your possession?

Lost or Stolen Card Information

Explain how the card was lost or stolen

Where did the loss or theft occur? Provide the address if known (city/state or city/country)

When was the card lost or stolen? If unknown, when was the last time you remember it being in your possession?

Other Missing Passports Information

Have you had another U.S. passport book/card lost or stolen?

Yes

How many passports?

Approximate date?

Did you file a police report?

Yes

Has your name changed since your most recent passport was issued?

Yes

Reason for the name change?

Marriage

Court Order

Do you have an official document to verify your name change?

Yes

Date of Name Change

Place of name change (City/State)

Applicant's Parent Information

Mother/Father/Parent Of Applicant

Unknown

First & Middle Name (at Parent's Birth)

Last Name (at Parent's Birth)

Date of birth (Optional)

Place of Birth (Optional)

Gender

Male

Female

U.S. Citizen

Yes

Mother/Father/Parent Of Applicant

Unknown

First & Middle Name (at Parent's Birth)

Last Name (at Parent's Birth)

Date of birth (Optional)

Place of Birth (Optional)

Gender

Male

Female

U.S. Citizen

Yes

Spouse Of Applicant

Has Applicant Ever Been Married?

Yes

Applicant's Spouse's Or Former Spouse's Full Name:

Date of Birth

Place of Birth

U.S. Citizen

Yes

Date Of Most Recent Marriage

Has applicant ever been widowed or divorced?

Yes

Date

Order Summary

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Step 11 of 11

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Once everything looks good, submit your application below.

Agreement

By checking this box I am electronically signing to authorize epassport.us to use the information I provided on this form to generate a pre-filled passport form for me. I understand that epassport.us is a third-party and is not affiliated with any government agency. I agree to receive sms, email and calls about my order and to the privacy policy and terms and conditions listed on this website. I also affirm the information listed above is accurate and truthful. I understand that the State Department provides forms and instructions for filings related to new, replacement, and updated passports at no charge. However, I request to use the epassport.us customized filing instructions to prepare my application based on the information I have provided.

New Passport DS-11

DS-11

We are here 24/7

Start Here:

Service Type

About the Applicant

Contact Information

Preferred Method of Communication

Travel Plans (Optional)

Emergency Contact (Optional)

Your Most Recent Passport

Lost or Stolen Book Information

Lost or Stolen Card Information

Other Missing Passports Information

Applicant's Parent Information

Spouse Of Applicant

Order Summary

Agreement

Accepted Payments