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Federal forms, ICRs, and supporting documents

OMB control number

Affidavit Regarding A Change of Name

OMB 1405-0133 · STATE/AFA.

OMB 1405-0133

The Affidavit Regarding a Change of Name (DS-60) is submitted in conjunction with an application for a U.S. passport. It is used by Passport Services to collect information for the purpose of establishing that a passport applicant has adopted a new name without formal court proceedings or a marriage and has publicly and exclusively use the adopted name over a long period of time (generally five years). The affidavit must be executed by an affiant who has personal knowledge of the facts of the applicant's use of both their birth name and their newly adopted name in question.

The latest form for Affidavit Regarding A Change of Name expires 2027-10-31 and can be found here.

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OMB Details

Affidavit Regarding A Change of Name

Federal Enterprise Architecture: Homeland Security - Border and Transportation Security

Form DS-60Affidavit Regarding a Change of Namewww.travel.state.govForm and instruction

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