Application for Data Corrections, Some Name Changes, and Limited-Validity Passports. DS-5504
The DS-5504 form is used for requesting data corrections, some name changes, and a limited-validity passport. The form has four parts:
1. Part 1 is for personal information, such as full name, date of birth, and passport number.
2. Part 2 is for the requested changes, such as correcting a data error, adding a missing name, or changing a name due to marriage or other legal reasons.
3. Part 3 is for the certification of the applicant, who must swear or affirm the truthfulness of the information provided.