Completing the DS-4085

The form should be downloaded and printed on white A4 or letter-size paper.

The instructions on this form are written for individuals applying for a passport within the United States. As applications are processed differently outside the United States, you should ignore instruction page one of this form.

Please complete this form in block letters and black ink.

Item 5 - Social Security Number: You must complete this item. If you have never had a Social Security Number (SSN), write zeros in the boxes. If you have a number, but do not remember it, call the Embassy's Federal Benefits Unit for assistance. You may call 020 7499 9000, any workday, between 08.30 and 13.00.

Item 6 - Mail My Passport To: Complete this item with a UK address, either your home address or the address where you are staying. Please note that you may choose to have your amended passport sent to a different address when you complete your self-addressed Royal Mail Special Delivery envelope or book with the Embassy's contracted courier.

Item 10 - Permanent Address or Residence: Complete this item with any address you consider to be your permanent address. This need not be in the UK or the U.S.

Items 14 and 15 - Emergency Contact and Travel Plans: This information is not required, but may be helpful in processing your application and in assisting you in the future.

Oath & Signature: (bottom of page one): You must read the "Acts or Conditions" on page three of the instruction pages of this form before you sign. If any mentioned acts or conditions have been performed by or apply to the applicant, cross out only the applicable portion(s) and submit an explanatory signed statement with the application.

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