Fillable Special Issuance Passport Application No-Fee Transmittal

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Special Issuance Passport Application No-Fee Transmittal

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The Special Issuance Passport Application No-Fee Transmittal form is 1 page long and contains:

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Country of origin: US
File type: PDF

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The US Department of State (DOS) or the State Department, is the government official division that advises the President and performs international relations. Equivalent to the outside service of different nations, it was built up in 1789 as the country's first official department.

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Transmittal Tracking or Delivery Confirmation Number
Facility Identification Number (Non-State Only) Name of Facility or Consular Post Date (mm-dd-yyyy) (Check one)
Routine Expedite Form of
Name of Acceptance Agent (AA) - (Non-State Only) Telephone Number of AA or ACS Unit Email Address of AA or ACS Unit
Entry
Number
Applicant's Name
(Please Print or Type)
Date of Birth
(mm-dd-yyyy)
Type of Passport Requested
Diplomatic Official Service
No-Fee
Regular
DD Form
1056
Included
Authorization
Memo
Included
*Travel
Authorization
Request for
PPT Service
DS-1640
1.
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DS-7691
06-2017
Stamp or Seal of AA or Consular Officer (if available) Prepared by Total # of Applications Included
CONSULAR OFFICERS - THIS TRANSMITTAL FORM IS TO BE INCLUDED IN THE ENVELOPE WITH THE TRACKING NUMBER LISTED ABOVE WHEN MAILING OR
OTHERWISE DELIVERING SPECIAL ISSUANCE PASSPORT APPLICATIONS.
ACCEPTANCE AGENTS (AA) - PLEASE FOLLOW THE ABOVE INSTRUCTIONS AND RETAIN A COPY OF THIS TRANSMITTAL FORM FOR AT LEAST 
24 MONTHS FOR YOUR RECORDS IN ACCORDANCE WITH THE PASSPORT AGENT'S REFERENCE GUIDE.
* FOR THE DEPARTMENT OF STATE - TM-FOUR. FOR ALL OTHER FEDERAL AGENCIES INCLUDING THE DEPARTMENT OF DEFENSE - PERMANENT CHANGE 
OF STATION (PCS) ORDERS.
By checking this box, I, _______________________ , certify
that I am the individual submitting this document.
Date (mm-dd-yyyy)
Tourist
DoD/FED
(Exception)
SPECIAL ISSUANCE PASSPORT APPLICATION NO-FEE TRANSMITTAL
U.S. Department of State
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Special Issuance Passport Application No-Fee Transmittal

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Completed 22 May 2019

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