Quick answer
What is DS-5504 used for?
Request an eligible passport data correction, qualifying name change within one year, or replacement of certain limited-validity passport books by mail.
Use this form when
Use DS-5504 when the Department printed identifying information incorrectly, a legal name change occurred within one year of passport issuance and the passport is less than one year old, or an eligible passport issued at full fee was limited to two years or less.
Do not use it for
Do not use DS-5504 when every eligibility statement is false. Name changes outside its one-year conditions, ordinary renewals, lost or stolen passports, and limited passports issued for excluded reasons generally require DS-82 or DS-11.
What to prepare for DS-5504
Collect the relevant records before typing. The exact set depends on the applicant and the government instructions or case-specific request.
- The most recently issued passport book or card being corrected or replaced
- A new compliant passport photo when the instructions require one
- A certified marriage certificate or court order for an eligible legal name change
- Evidence showing the correct data when reporting a printing or biographical error
- The endorsement page and issuing letter relevant to a limited-validity passport
A reliable fillable-PDF workflow
1. Map answers to source records
Separate originals, certified copies, ordinary photocopies, and working scans. The State Department does not treat these as interchangeable. Create an attachment inventory showing what must be presented, what must be mailed, and what should remain in your records, then compare that inventory with the current form instructions before submission.
2. Fill a downloaded working copy
Download a fresh DS-5504 directly from the State Department. Save it locally before typing, use a PDF application that preserves AcroForm values, and do not overwrite the untouched source. Complete only facts supported by records; flag missing information instead of inserting a plausible answer.
3. Reopen, inspect, and print
Reopen the saved PDF before printing and verify that every typed value persisted. Check long names and explanations for clipping, review radio buttons and checkboxes, and confirm blank fields are intentional. Print only after the electronic working copy and the visible page agree.
Critical DS-5504 review points
- 01
Select one exact filing basis and make every attachment support that basis.
- 02
Compare the issue date, name-change date, and current date before relying on the one-year rule.
- 03
Copy the existing passport book and card numbers separately; they are not interchangeable.
- 04
Verify whether expedited service creates a fee even when the underlying correction or replacement has no application fee.
How to submit DS-5504
Sign the printed form and mail it with the current passport and supporting evidence to the address printed in DS-5504. Use the routine or expedited destination that applies, and use a trackable method accepted for the listed PO Box.
Print passport forms single-sided on 8.5-by-11-inch letter paper in portrait orientation. Use the current PDF and case-specific directions because destinations, fees, evidence, and processing options can change after this guide is reviewed.
Official DS-5504 download and guidance
Clerks AI PDF skill
Prepare DS-5504 from your evidence
Add the official blank PDF and your source records. Clerks AI can map supported facts to interactive fields and flag missing evidence for review. It does not decide citizenship, identity, consent, eligibility, fees, or whether a passport will be issued.
Get the AI PDF filling skillDS-5504 fillable PDF FAQ
Is this DS-5504 PDF actually fillable?
Yes. We inspected the official file's AcroForm tree on 2026-08-09; it contained 83 interactive field definitions. Always download a fresh copy because the Department may replace the file.
Can I submit the filled PDF electronically?
Fillability does not imply electronic submission. Follow the submission section above and the official instructions. Many passport PDFs must be printed, signed as directed, and presented or mailed with evidence.
Can I sign DS-5504 before printing?
Follow the signature rule printed on this specific form. Passport forms commonly require an original handwritten signature, and DS-11 or notarized consent documents have special timing and witness requirements.
Related passport form guides
Primary sources: the Department of State Passport Forms portal and official DS-5504 PDF. Independent guide by Clerks AI; not affiliated with the Department of State and not legal advice.
Last researched 2026-08-09. Recheck the official PDF, fee schedule, processing times, and instructions before filing.