The Name Change Request Required For Passport you observe on this page is a reusable official template crafted by professional attorneys in accordance with federal and state statutes and regulations.
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Have you ever changed your name? Select Yes, if you have ever changed your name. Even if you have marginally changed your name or have changed your name/ surname after marriage select Yes, else select No. Enter your previous name (first name + middle name).
You can fill out the form using the online form filler of the Department of State website ( ) or print it out and fill it out by hand using a black pen.
The only way to remedy a mistake on an online passport application form after submission is by way of a written submission sent via post to the passport office. It must outline the error and its remedy and must be signed and dated by the individual named on the declaration form.
Send this form with your most recent U.S. passport book and/or passport card, any required additional evidence, and a recent color photograph.
Citizens: United States Citizens who change their name due to marriage, divorce, or because of any other circumstance may travel using your United States passport or other Western Hemisphere Travel Initiative approved document in your prior name provided you bring proof of your name progression such as; a marriage ...