Affidavit Regarding A Change of Name

OMB 1405-0133

OMB 1405-0133

The Affidavit Regarding a Change of Name (DS-60) is submitted in conjunction with an application for a U.S. passport. It is used by Passport Services to collect information for the purpose of establishing that a passport applicant has adopted a new name without formal court proceedings or a marriage and has publicly and exclusively use the adopted name over a long period of time (generally five years). The affidavit must be executed by an affiant who has personal knowledge of the facts of the applicant's use of both their birth name and their newly adopted name in question.

The latest form for Affidavit Regarding A Change of Name expires 2023-10-31 and can be found here.


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