Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement

The Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement (DS-5504) is the form used by current passport holders who need to re-apply for a new passport within one year of the date of issuance for the following conditions: a) the passport holder's name has changed within the first year of the issuance of the passport; b) the passport holder needs correction of descriptive information on the data page of the passport; c) the passport holder wishes to obtain a fully valid passport after obtaining a full-fee passport with a limited validity of two years or less.

The latest form for Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement expires 2028-06-30 and can be found here.