Attach a separate sheet of paper if more space is needed. STOP YOU MUST SIGN THIS FORM IN FRONT OF A PASSPORT AGENT ACCEPTANCE AGENT OR NOTARY PUBLIC. NOTE A clear photocopy of the front and back of the identification you presented to the notary is required with this form. OATH I declare under penalty of perjury that the above information given by me is true and correct to the best of my knowledge. Printed Name of Affiant Signature of Affiant Affiant s Social Security Number Affiant s Date of Birth NOTARY SEAL Address of Affiant Number and Street City State and Zip Code Identifying Document Presented ID Number Driver s License Passport Place of Issue Issue Date mm/dd/yyyy Expiration Date mm/dd/yyyy Affirmed before Subscribed and Sworn Sworn to to Affirmed before me me this this Name of Passport Agent Acceptance Agent or Notary Public DS-10 07-2017 Other specify Military ID day of at Location Passport Agency or City State Page 1 of 2 WARNING False statements made knowingly and willfully....
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How to fill out the DS-10 online
The DS-10 form, known as the Birth Affidavit, is used for individuals born in the United States when no birth certificate exists or when a birth certificate was filed more than a year after birth. This guide provides clear, step-by-step instructions for completing the DS-10 online, ensuring you submit the correct information required for a U.S. passport.
Follow the steps to fill out the DS-10 effortlessly.
- Press the ‘Get Form’ button to access the DS-10 form in the editor.
- Begin by filling in the name of the passport applicant at the top of the form. This includes their last name, first name, middle name, and suffix if applicable.
- Indicate the sex of the passport applicant by checking the appropriate box: Male or Female.
- Enter the passport applicant's date of birth in the requested format.
- Fill in the place of birth by providing the city and state where the passport applicant was born.
- Provide the current home address of the passport applicant, including street address, apartment/unit if applicable, city, state/country, and zip/postal code.
- Detail the number of years the affiant has known the passport applicant.
- Explain the relationship between the affiant and the passport applicant, specifying how they know one another.
- In the next section, the affiant must provide a detailed account of the passport applicant's birth. Include relevant details such as the date, time, and location of the birth as well as the individuals who were present.
- Ensure the form is signed by the affiant in front of a passport agent, passport acceptance agent, or notary.
- Attach a clear photocopy of the valid identification presented to the passport agent, acceptance agent, or notary.
- Once all fields are completed and necessary documents are included, save the changes, download the completed form, print a copy, or share it as needed.
Start filling out your DS-10 form online today to ensure a smooth passport application process.
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