Fillable Form Passport Renewal DS-82 (2017) | PDFRun - Free Printable

The image provided is a U.S. Passport Renewal Application form (DS-82) for eligible individuals. The task appears to involve filling out the form correctly. Below, I will explain how to approach this task step by step:

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Step-by-Step Guide to Filling Out the Form

#### 1. Select the Document Type
- At the top of the form, you need to select whether you are applying for a Passport Book, Passport Card, or Both.
- Use the checkboxes provided.

#### 2. Personal Information
- Name: Fill in your Last Name, First Name, and Middle Name as they appear on your most recent passport.
- Date of Birth: Enter your date of birth in the format mm/dd/yyyy.
- Sex: Indicate whether you are Male (M) or Female (F).
- Place of Birth: Provide the city and state where you were born. If you were born outside the U.S., include the country as well.
- Social Security Number: Enter your Social Security Number if you have one.
- Email: Provide an email address where you can receive alerts from `travel.state.gov`.
- Primary Contact Phone Number: Include your primary phone number.

#### 3. Mailing Address
- Fill in your mailing address:
- Line 1: Street/RFD#, P.O. Box, or URB.
- Line 2: Apartment, Company, Suite, Unit, Building, Floor, etc.
- City: Your city.
- State: Your state.
- Zip Code: Your ZIP code.
- Country: If you are outside the U.S., specify the country.

#### 4. Other Names Used
- List any other names you have used, such as a maiden name, previous marriage name, or legal name change. Attach additional pages if needed.

#### 5. Passport Book and/or Passport Card Information
- Provide details about your most recent passport book and/or passport card:
- Passport Book Number: Enter the number from your most recent passport book.
- Issue Date: Enter the issue date of your passport book.
- Passport Card Number: Enter the number from your most recent passport card (if applicable).
- Issue Date: Enter the issue date of your passport card.

#### 6. Name Change Information
- If your name has changed since your last passport was issued, provide details:
- Changed by Marriage: Check this box if your name change was due to marriage.
- Place of Name Change: Specify the city and state where the name change occurred.
- Date: Enter the date of the name change.
- Changed by Court Order: Check this box if your name change was due to a court order.
- Place of Name Change: Specify the city and state where the court order was issued.
- Date: Enter the date of the court order.

#### 7. Photograph
- Attach a color photograph taken within the last six months. Ensure it meets the requirements specified on the form (e.g., size, background, etc.).

#### 8. Declaration
- Sign and date the declaration at the bottom of the form. This section states that all information provided is true and correct, and you agree to the terms outlined in the application.

#### 9. For Issuing Office Only
- This section is for internal use by the passport issuing office. Do not fill it out unless instructed to do so.

#### 10. Additional Notes
- Ensure all fields are filled out completely and accurately.
- Use black ink as required.
- Attach any necessary documents (e.g., certified copies of name change documents).

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Solution Explanation

The key to solving this task is to carefully read the instructions and fill out each section of the form accurately. Here’s what you should focus on:

1. Accuracy: Double-check all personal information, dates, and numbers to ensure they match your current records.
2. Completeness: Make sure no required fields are left blank. If additional pages are needed, attach them.
3. Documentation: Attach any required documents, such as certified copies of name change documents.
4. Photograph: Ensure the photograph meets the specifications provided on the form.

By following these steps, you will complete the form correctly and increase the likelihood of a smooth passport renewal process.

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Final Answer

To solve the problem, follow the step-by-step guide above to fill out the DS-82 form accurately and completely. Ensure all required fields are filled, attachments are included, and the form is signed and dated.

Boxed Final Answer:
\boxed{\text{Follow the step-by-step guide to fill out the form accurately.}}