Please print this checklist to make sure you include and send all items
listed here to APVI.
| DS-11 Application for a New Passport |
| DS-64 Statement Regarding a Lost or Stolen Passport |
| Proof of U.S. Citizenship |
| Government Fees: Check or money order payable to "U.S. Department of State" for $170.00, if applying for a Passport Book only or $200.00, if applying for a Passport Book and Card |
| Previously Issued US Passport Card (If applicable) |
* By signing this checklist, I agree that all items within this application are completed per the instructions provided to me by my APVI specialist. I understand that if any part of my application is missing or incorrect, I will need to provide the additional documentation at my own cost.
