Form DD Form 1056 DD Form 1056 Authorization to Apply for a "No-Fee" Passport and/or Re

This form must be completed electronically or typed. See DoD 1000.21 for form completion instructions.

AUTHORIZATION TO APPLY FOR A "NO-FEE" PASSPORT AND/OR REQUEST FOR VISA
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 113, Secretary of Defense; 32 CFR part 46, Passport and Passport Agent Services; DoD 1000.21-R, Passport and Passport
Agent Services Regulation; and E.E. 9397 (SSN), as amended.
PRINCIPAL PURPOSE(S): To provide authority for the issuance of a "No-fee" passport and/or foreign visa(s). In processing, the Social Security
Number is used to identify and verify the identity of the applicant or sponsor. The applicable system of record notice is A0 1000.21 OAA DoD, Visa
Passport Automated System (VPAS), and can be found at:
ROUTINE USES: To the Department of State for the issuance of a no-fee passport, a Status of Forces Agreement (SOFA) stamp, or to foreign
embassies to obtain a foreign entry visa. To a Federal, State, local government or foreign agency as a routine use in response to such an agency's
request for information arising by general statute or particular program statute, or by regulation, rule or order issued pursuant thereto, if necessary, and
only to the extent necessary, to enable such agency to discharge its responsibilities of enforcing or implementing the statute. The DoD Blanket Routine
Uses set forth at the beginning of the Army's compilation of systems of records notices may apply to this system. The complete list of DoD blanket routine
uses can be found online at http://dpcld.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx.
DISCLOSURE: Providing your Social Security Number and other information on this form is voluntary, but failure to provide your Social Security Number
or other information requested on this form may result in processing delays or denial of your application.

INSTRUCTIONS
APPLICANT AND SPONSOR INFORMATION:
1.
Date Passport or Visa Required by Applicant. Indicate the date the passport will be needed by the applicant.
2.
Major Service Component. “USA” for Army, “USN” for Navy, “USAF” for Air Force, “USMC” for Marine Corps.
3.
Type of Request. Check the appropriate block.
4.
Type of Passport Being Requested. Check the appropriate block.
5.
Applicant’s Last Name – First Name – Middle Name. e.g. “Doe, John Michael”. Name should be exactly as it appears on the passport or visa
application.
6.
Applicant’s Date of Birth. e.g. “6 May 1965”
7.
Applicant’s Place of Birth. Write the name of the state and country if the applicant is born in the US. Write the name of the country if the
applicant was born outside the United States.
8.a. Sponsor's Last Name - First Name - Middle Name. For spouses and/or family members. Enter the sponsor's name.
8.b. Sponsor’s E-mail Address. Sponsor's official email address.
9.
Sponsor’s Military Rank/Civilian Grade. Military: type letter rank. Civilian: GS rating or equivalent. NAF: Non- Appropriated Fund.
Contractor: Type the word "Contractor".
10. Sponsor’s SSN. Sponsor's 9-digit Social Security Number.
11.a. Applicant’s Current Home Address. Applicant's permanent residence.
11.b. Home Telephone Number. Commercial telephone number, including area code.
11.c. Office Telephone Number. Commercial telephone number, including area code. May also include DSN.

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PASSPORT AGENT INFORMATION:
12.a. Passport Agent’s Name. e.g. "Smith, Anna Marie"
12.b. Mailing Address. Passport Agent's Official Mailing Address. This address must match the information previously submitted to the State
Department as the passport agent's official mailing address.
12.c. Agent E-mail Address. Passport Agent's Official E-mail Address.
12.d. Telephone. Passport agent's official telephone number.
12.e. Agent ID Code. Agent ID Number assigned by Department of State.
12.f. Facility ID Number. Facility ID Number assigned by Department of State.
TRAVEL INFORMATION:
13. Destination. Destination must be indicated. The destination determines if the applicant is entitled to a No-fee passport.
14. Special Assignment Requiring Passport. See Note. Enter assignment information in this block. If a Diplomatic Passport is requested for this
assignment, it should also be indicated in this block. If no special assignment is known, type "N/A."
15. Passport Will Be Returned To. A Commercial Address and Commercial Telephone Number are needed for delivery via commercial carriers.
16. Estimated Date of Departure. Date applicant is scheduled to leave the country for the assignment indicated.
AUTHORIZING OFFICIAL INFORMATION:
18.a. Authorizing Official Name. Authorizing Official is determined by the Installation Commander. A military passport agent may be the authorizing
official.
18.b. Grade. Military: type 3 letter rank. Civilian: GS rating or equivalent.
18.c. Title. Official title of the Authorizing Official.
18.d. Mailing Address. Official mailing address of the Authorizing Official.
18.e. Telephone Number. Commercial telephone number of the Authorizing Official.
18.f. Signature of Authorizing Offical.
18.g. Date. e.g. “12 Jan 2013.”
ADDITIONAL INFORMATION:
19. Additional Information. Indicate any additional information here.
SUSPENSE CONTROL:
For use by Issuing or Receiving Passport Acceptance Agent to track passports and visas. Complete 20- 22 if Passport Agent is different from Authorizing
Official and submit with passport or visa application.

DD FORM 1056 INSTRUCTIONS, 20150617 DRAFT

PREVIOUS EDITION IS OBSOLETE.

Adobe Designer 9.0

This form must be completed electronically or typed. See DoD 1000.21 for form completion instructions.

AUTHORIZATION TO APPLY FOR A "NO-FEE" PASSPORT AND/OR REQUEST FOR VISA

OMB No.
OMB approval expires

The public reporting burden for this collection of information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management
Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (XXXX-XXXX). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any
penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. RESPONSES SHOULD BE SENT TO: Department of Defense, Washington
Headquarters Services, Enterprise Management Directorate, Business Integration Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100.

1. DATE PASSPORT OR VISA REQUIRED BY APPLICANT

2. MAJOR SERVICE COMPONENT

(YYYYMMDD)

3. TYPE OF REQUEST (X appropriate box)

4. TYPE OF PASSPORT BEING REQUESTED (X if applicable)

INITIAL
RENEWAL
OFFICIAL
ADDITIONAL PAGES
VISA ONLY
DIPLOMATIC
5. APPLICANT'S LAST NAME - FIRST NAME - MIDDLE NAME 6. APPLICANT'S DATE OF
BIRTH (YYYYMMDD)
8a. SPONSOR'S LAST NAME - FIRST NAME - MIDDLE NAME
(For spouses and/or family members)

MILITARY DEPENDENT
NO-FEE REGULAR
7. APPLICANT'S PLACE OF BIRTH

9. SPONSOR'S MILITARY RANK/ 10. SPONSOR'S SSN
CIVILIAN GRADE

b. SPONSOR'S EMAIL ADDRESS:
11.a. APPLICANT'S CURRENT HOME ADDRESS (Include ZIP code)

b. HOME TELEPHONE NUMBER (Include area code)
c. OFFICE TELEPHONE NUMBER (Include area code/DSN)

12.a. PASSPORT AGENT'S NAME (Last, First, Middle Initial)

b. MAILING ADDRESS (Include complete physical mailing address, building number,
room number, ZIP code)

c. AGENT EMAIL ADDRESS
d. TELEPHONE NUMBER (Include area code)

13. DESTINATION (Country or
countries)

X if hold for pickup at the DoD Executive Agent Front Counter
f. FACILITY ID NUMBER

e. AGENT ID

14. SPECIAL ASSIGNMENT
REQUIRING PASSPORT* (See Note)

16. ESTIMATED DATE OF DEPARTURE
(YYYYMMDD) (From country in which applicant is
currently residing)

15. PASSPORT WILL BE RETURNED TO: (Include complete physical mailing
address, building number, room number, ZIP code, and telephone
number/DSN. No APO, FPO, or P.O. Boxes.)

17. PROPOSED LENGTH
OF STAY

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*NOTE: If assignment is to Attache; MAAG; JUSMMAT; Security Assistance Liaison Office (SALO); OSP or other Special Advisory Group, e.g., CENTO;
or any particular assignment that will govern type and need for a passport, enter such information. If not, enter "Not Applicable."
18. AUTHORIZING OFFICIAL
a. NAME (Last, First, Middle Initial)

X if same as item 12.a.

d. COMPLETE MAILING ADDRESS (Include ZIP code)

b. GRADE

e. TELEPHONE NO.

c. TITLE

f. SIGNATURE

g. DATE

(Incl. area code/DSN)

19. ADDITIONAL INFORMATION (Attach continuation pages if necessary)

FOR USE BY ISSUING OR RECEIVING AGENT (Suspense Control)
20. DATE APPLIED FOR PASSPORT/VISA

21. PLACE APPLIED FOR PASSPORT/VISA

22. NAME OF COURT OR PASSPORT AGENT

23. DATE PASSPORT/VISA RECEIVED

24. PASSPORT NUMBER

25. PASSPORT ISSUE
DATE

27. DOCUMENT(S) INCLUDED WITH
PASSPORT/VISA

28. VISA REQUESTED FOR
(Country)

DD FORM 1056, 20150617 DRAFT

29. DATE PASSPORT/VISA
MAILED OR PICKED UP

26. PASSPORT
EXPIRATION DATE

30. PASSPORT RETURNED TO