Form DS-2006 NOTIFICATION OF CHANGE IDENTIFICATION CARD REQUEST

Foreign Diplomatic Services Applications (FDSA)

DS-2006 (11-2014)

NOTIFICATION OF CHANGE IDENTIFICATION CARD REQUEST

OMB: 1405-0105

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INSTRUCTIONS FOR COMPLETING FORM DS-2006,
NOTIFICATION OF CHANGE/IDENTIFICATION CARD REQUEST
Read all instructions before completing this Notification of Change.
This form should be used: (1) to update information (or include information not previously provided) on the original notification form, e.g., DS-2003,
DS-2004, DS-2005, or (2) to request identification cards in accordance with Part II below. Failure to provide the Office of Protocol with up-to-date
information may delay the issuance of identification cards, tax exemption cards, customs clearances, drivers’ licenses, license plates, etc.
PLEASE TYPE ALL ANSWERS.
1

Enter the principal's full name as originally notified to the
Department, in the order specified: (a) surname ; (b) given
name

Item D. Enter new residence address, e.g., street address, including
type of street, e.g. Ave., Blvd., etc., city, state, ZIP Code; and area code
and phone number.

2

Enter the principal's State Department Personal Identification
Number (PID), if available, 1001-1001.

Item E. Enter full name as provided on notification form, and new visa
status, e.g., A-1, A-2, A-3, G-1, etc.

3

Enter the principal's title as given on notification form. If no title,
give position, include military rank if applicable.

Item F. Enter full name as provided on notification form, and new
nationality. If change is to Permanent Resident Alien status include copy
of "green" card. Also new visa status, or changes if applicable.

4

Enter the principal's date of birth. Give date as:mm-dd-yyyy,
e.g. 09-07-1955.

Item G. Attach DS-2007.

5

Enter country name of principal's mission, e.g. Ruritania; and
type of mission, e.g., Embassy, OAS Mission, Consulate
General, Honorary Consulate, Miscellaneous Foreign
Government Office, etc.

6

Enter city and state where principal's mission or office is located.

7

For ID application only, enter principal's visa status in the United
States in box, e.g. A-1 or G-1, etc., if on a nonimmigrant A or G
visa; "LPR" if a Legal Permanent Resident Alien, or "USC" if a
United States Citizen.

Item H. Attach DS-2007.
Item I. Attach copy of marriage certificate and DS-2007. Check item A if
new surname of principal and item D if new residence.
Item J. Enter former spouse’s full name, as provided on notification form
and include date of divorce decree. Also check item A of new surname
of principal and item D if new residence.
Item K. Attach DS-2007. Include birth certificate if born in U.S.
Item L. Enter deceased family member's full name, as provided on
notification form; and date of death. NOTE: Submit Form DS-2008 for
deceased principal.

Part I. Notification of Change
Please check all appropriate items and provide information, as
specified in the instructions, in the Remarks section.
Item A. Enter new full name in the same order as given in item number
1. If change is for other than marriage or divorce, please provide
reason for change and supporting documents (copy of court order,
name page in passport, etc.). NOTE: Changes may in some cases
require the issuance or reissuance of State Department documents,
e.g., identification card, tax exemption card, driver’s license, which
must be applied for separately.
Item B. Enter new duty address, including name of new office or
mission. Give full street address, including type of street, e.g. Ave.,
Blvd., etc., city, state, ZIP code, and telephone, area code, phone
number, and extension. NOTE: Prior notification to the Department’s
Office of Foreign Missions may be required before property may be
purchased, leased, or occupied.
Item C. Enter new title or position, e.g., Second Secretary; Economic
Officer. Include military rank, if applicable, and effective date of change.
If change involves replacement of existing personnel, please give name
of predecessor and termination date. NOTE: This form should not be
used to change from one job category to another, e.g., employee to
diplomat; service to administrative staff, servant to service staff,
employee to consular officer, etc. A new DS-2003, DS-2004, or DS-2005
should be completed.

Item M. Enter full name of spouse or child and indicate date of final
departure. All State Department identification documents must be
returned.
Item N. Enter other changes.
Part II. Identification Card Request
Indicate whether the request is for a new or replacement or renewal of
an existing identification card. Attach DS-2007 Continuation Sheet if
Items G, H, or I were checked in Part I. Indicate reason for
replacements. If request is for replacement or renewal for spouse and/or
dependent (s), set forth in remarks: surname; given name; middle initial;
date of birth; relation and visa status.
Remarks: This area is used to detail items checked above. If more
space is needed, use an additional sheet of blank paper, typing
principal’s name, PID and mission at the top and attach to form.
The completed form should be signed and dated by the Chief of Mission
or authorized deputy, and the Embassy seal affixed. (If requesting ID,
principal also must sign.) Give telephone number and email address of
office which can be contacted for further information, if necessary.

Submit the form (original and one copy) and attachments to
Office of Protocol
U.S. Department of State
3507 International Place, NW
Washington, DC 20008-3034
DS-2006
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Instruction Page 1 of 1

U.S. Department of State

OMB APPROVAL NO. 1405-0105
EXPIRATION DATE: xx-xx-xxxx
ESTIMATED BURDEN: 5 MINUTES *

NOTIFICATION OF CHANGE
IDENTIFICATION CARD REQUEST
(SUPPLEMENTAL TO DS-2003, DS-2004, DS-2005)
To: Secretary of State, Attention - Office of Protocol
1. Principal's Full Name
(a) Surname

(b) Given Name

2. Personal Identification Number (PID) If Available

3. Title or Position

5. Country and Type of Mission

6. Location

4. Date of Birth (mm-dd-yyyy)
7. Visa Status

(City)

(State)

Please check appropriate item(s) and provide information, as specified in instructions, in the remarks area. Incomplete forms will be returned.

I. NOTIFICATION OF CHANGE
A.

Change of Name

H.

Arrival of Children at Later Date

B.

Change of Duty Address and Phone Number

I.

Marriage

C.

Change of Title/Position and Effective Date

J.

Divorce

D.

Change of Residence Address and Phone Number

K.

Birth

E.

Change of Visa Status

L.

Death of Family Member

F.

Change of Nationality/Issuance of Green Card

M.

Permanent Departure of Spouse/Children

G.

Arrival of Spouse at Later Date

N.

Other Changes

II. REQUEST FOR IDENTIFICATION CARD
Request is for:

New
Replacement
Renewal
(Attach DS-2007 Continuation Sheet if items G, H, or I checked above.)

Anticipated Departure Date (mm-dd-yyyy)

Remarks

Signature of Principal

Date (mm-dd-yyyy)

Typed Name and Signature of Approving Official

Date (mm-dd-yyyy)

Contact Telephone Number
PRIVACY ACT and PAPERWORK REDUCTION ACT STATEMENTS
(Embassy Seal)

AUTHORITIES: The information is sought pursuant to Vienna Convention on Diplomatic Relations of 1961; Vienna Convention on Consular Relations of 1963;
Diplomatic Relations Act (22 U.S.C. 254a-e); and International Organizations Immunities Act (22 U.S.C. 288e (a)).
PURPOSE: The principal purpose for the collection of this information is to update the information collected on forms DS-2003, DS-2004, DS-2005, and DS-2007
to ensure that the Department extends proper privileges and benefits granted by the above-cited authorities which are predicated upon review and acceptance
of this information by the U.S. Department of State.
ROUTINE USES: The principal users of this information are offices within the U.S. Department of State, including but not limited to, the Office of Protocol, the
Office of Foreign Missions, and the Office of Visa Services. In response to inquiries from law enforcement agencies, the Office of Protocol may confirm status as
recognized by the U.S. Department of State as covered under STATE 36, Security Records. Information may also be provided to other government agencies
having statutory or other lawful authority to maintain such information. Names of the members of diplomatic staff, office addresses, titles, and names of spouses
are published quarterly in the Diplomatic List, U.S. Department of State Publication 10424. Names of Consular Officers, titles, and office addresses are published
semi-annually in Foreign Consular Offices in the United States, U.S. Department of State Publication 10277.
DISCLOSURE: Providing this information is mandatory. Failure to provide the information requested on this form may prevent acceptance and the extension of
benefits to principals or family members as provided in the above-cited authorities.

: *Public reporting burden for this collection of information is estimated to average 5 minutes per response, including time required for searching existing data sources, gathering the necessary
documentation, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB
control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: M/OFM, 3507 International Place NW, Washington, DC
20008.

DS-2006 (Formerly DSP-113)
xx-xxxx

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File Typeapplication/pdf
File TitleDS-2006
Authorciupekra
File Modified2014-11-18
File Created2014-11-18

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