You are eligible to use form (DS-5504) if:
- You can submit your most recent U.S. Passport
- You had a change in your identity information or your identifying information was printed incorrectly
- Your most recent U.S. Passport was limited in validity for one year or less, and was issued abroad
Instructions for passport name change or data correction:
Print Page
1 - Completed and Signed Online Application Form DS-5504
Please read the following important notes before completing the DS-5504 fillable PDF application:
Review the above criteria and confirm that you meet the requirements for form DS-5504.
Handwritten applications will not be accepted. Click on the below fillable PDF and type-in the information requested.
If you are using our expediting service, it is essential that you send or deliver all required documents directly to the Ambassador Passport and Visa Services. This allows us to hand-carry your application to the U.S. Passport Agency immediately.
You must send or deliver all documents and requirements within one to two days after completion of the application to Ambassador Passport and Visa Services, so that we can hand carry your application into the Passport Agency immediately. Your application expires within five (5) business days from the date of completion.
FAILURE TO SEND OR WALK-IN YOUR DOCUMENTS AND REQUIREMENTS DIRECTLY TO OUR ADDRESS WITHIN ONE TO TWO DAYS MAY RESULT IN SIGNIFICANT DELAYS THAT ARE BEYOND OUR CONTROL.
Complete, print and sign the fillable DS-5504 form: Click here for the DS-5504 application form
Upon completion, review for accuracy and make corrections if necessary. Print and sign with black ink. Signature section is on the bottom of page 5.
Please note: Electronically signed applications are not acceptable and will cause your application to get rejected.
If you have any questions or concerns, please call us at 310-828-7878.
2 - U.S. Valid Passport
Submit your most recent US passport. The passport must have been issued less than one year ago.
3 - Two Recent Passport Photographs
Please note: acceptable passport photos are:
• Photographs must be 2 x 2 inches in size, taken within the past 6 months.
• The image size from the bottom of the chin to the top of the head should be between 1 inch and 1 3/8 inches.
• No glasses
• The photographs must be in color
• They must be full face, front view with a plain white or off-white background. • Photographs should be taken without a hat or headgear that obscures the hair or hairline.
• Dark glasses or nonprescription glasses with tinted lenses are not acceptable unless required for medical reasons.
• Home made Digital photographs are not acceptable
4 - The Necessary Documentations Required for the Change
- Your most recent U.S. passport
- An original or certified document which shows that you changed your name less than one year after your most recent U.S. passport was issued. Examples include a marriage certificate, divorce decree, or court order.
• You can correct your passport if there is a date or printing error. A data error may include an issue with your name, gender or place of birth. A printing error may include missing data on the biographical page, discoloration or crooked printing.
• If there is a change or an error in the descriptive data in your recently issued passport, you must submit the evidence of the error (e.g. your U.S. birth certificate or a previously issued U.S. passport showing the correct information).
• All documents submitted for a name change or a data correction MUST bear the official seal of the issuing authority. Uncertified copies or notarized documents cannot be accepted.
5 - Authorization Letter Completed and Signed by the Applicant
Please complete, print and sign (in blue ink only):
Click here for the Letter of Authorization – Online Fillable PDF Version.Please note: Electronically signed documents or photocopies are not acceptable, and will cause rejection or significant delays in processing (original wet signature only).
If you are using a mobile device, and/or have trouble filling out the form online, please click here for a printable-only version that can be filled out and signed by hand in blue ink.
6 - Proof of the Departure Date from the USA is Required
At this time it is not required to provide any type of proof of departure or travel until further notice. However, if you have an itinerary, flight or hotel reservation, business letter, or other proof of travel, please provide it.
Click here for a sample of the Business Letter for the Passport Office.
7 - Completed Ambassador Passport and Visa Services Cover Letter
8 - Fees
Please note, unless otherwise confirmed by an Ambassador Passport and Visa Agent, processing for a U.S. Passport begins the FIRST BUSINESS DAY AFTER all the documents and requirements are received by Ambassador Passport and Visa Services.
(1) Government Fee:
Passport Amendment Additional Government Fee |
$60.00 $21.36 |
(2) Ambassador Passport and Visa Services Fees:
Regular Processing (12 to 15 Business Days) | Call for current pricing |
Rush Processing (8 to 10 Business Days) | Call for current pricing |
Ultra Rush Processing (5 to 6 Business Days) | Call for current pricing |
For faster service and availability, please contact one of our agents at 310-828-7878 |
Please note: Processing times begin the next business day after we receive your documents.
(3) Federal Express Fees (Continental USA Only)
FedEx 2nd Business Day | $45.00 |
FedEx Letter (Priority Overnight) | $48.00 |
FedEx Letter (First Overnight) | $130.00 |
FedEx Letter (Saturday Delivery) | $78.00 |
Alaska, Puerto Rico, Hawaii, USVI – FedEx Priority Overnight Letter (No Saturday Delivery) |
$88.00 |
9 - Mailing Instructions
Please Forward All The Above Documents and Requirements To:
Ambassador Passport and Visa Services, Inc.
2811 Wilshire Blvd., Suite 720
Santa Monica, California, 90403
(310) 828-7878
or email us