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.
Enter city and state where principal's mission or office is located.
Enter the principal's State Department Personal Identification
Number (PID), if available, 1001-1001.
Enter the principal's full name as originally notified to the
Department, in the order specified: (a) surname ; (b) given name
Enter the principal's date of birth. Give date as:mm-dd-yyyy,
e.g. 09-07-1955.
Enter the principal's title as given on notification form. If no title,
give position, include military rank if applicable.
INSTRUCTIONS FOR COMPLETING FORM DS-2006,
NOTIFICATION OF CHANGE/IDENTIFICATION CARD REQUEST
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 Department of State 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.
Read all instructions before completing this Notification of Change.
DS-2006
12-2017
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.
1
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.
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.
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.
Item G. Attach DS-2007.
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.
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.
2
3
4
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
7
Instruction Page 1 of 1
Submit the form (original and one copy) and attachments to
U.S. Department of State
3507 International Place, NW
Washington, DC 20008-3034
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.
(Embassy Seal)
(a) Surname
Date (mm-dd-yyyy)
Date (mm-dd-yyyy) Approving Official Signature
Signature of Principal
(b) Given Name
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
6. Location
U.S. Department of State
NOTIFICATION OF CHANGE
IDENTIFICATION CARD REQUEST
1. Principal's Full Name
DS-2006
12-2017
*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.
To: Secretary of State, Attention - Secretary of State, Attention - Office of Protocol and Office of Foreign Missions
2. Personal Identification Number (PID) If Available 3. Title or Position 4. Date of Birth (mm-dd-yyyy)
5. Country and Type of Mission 7. Visa Status
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
(City)
(State)
II. REQUEST FOR IDENTIFICATION CARD
Request is for:
New Replacement Renewal
(Attach DS-2007 Continuation Sheet if items G, H, or I checked above.)
Remarks
Contact Telephone Number
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.
(SUPPLEMENTAL TO DS-2003, DS-2004, DS-2005)
Anticipated Departure Date (mm-dd-yyyy)
Change of Name
Change of Duty Address and Phone Number
Change of Title/Position and Effective Date
Change of Residence Address and Phone Number
Change of Visa Status
Change of Nationality/Issuance of Green Card
Arrival of Spouse at Later Date
Arrival of Children at Later Date
Marriage
Divorce
Birth
Death of Family Member
Permanent Departure of Spouse/Children
Other Changes
PRIVACY ACT and PAPERWORK REDUCTION ACT STATEMENTS
OMB APPROVAL NO. 1405-0105
EXPIRATION DATE: 05-31-2021
ESTIMATED BURDEN: 5 MINUTES *
Approving Official
click to sign
signature
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signature
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