Your name as it appears on your most recent passport book or card.
Complete if name was different from your most recent passport book or card
The US State Department requires all passport applicants to list their Social Security Number (SSN) on their passport application. The security of our clients is our foremost concern so if you’re worried about providing this PII data, PVA can process your passport application, however you will be required to handwrite your SSN on the application form we provide prior to mailing to the Passport Agency. Should the SSN be left off the passport application, the Passport Agency will suspend the application process until the SSN information is physically sent to them.
(if applicable)
Applicants using PVA’s Standard Service will pay their passport fees directly to the Passport Agency. Fees for the passport book, passport card and expedited services are listed here, but are not collected by Passport Visa Advisors. The fees collected are for the processing of your application only. The passport book, passport card, and passport information is required so PVA can complete the application to your satisfaction.
I understand that I am using a private company providing passport application preparation service at my request. PVA is not affiliated with any government agency, nor advertises as such. I also understand that PVA makes no promises regarding the outcome of using our service. The US Passport Agency will decide if the applicant will receive their US passport book and/or card. I acknowledge and confirm that I have read, understood and agree to be bound by PVA’s Terms & Conditions and cancellation policy as well.
Government fee: $ 190.00(all associated passport and service fees will be collected at the Acceptance Agency)
Government fee: $ 220.00(all associated passport and service fees will be collected at the Acceptance Agency)
Tight deadlines require perfect applications to reduce critical issues, consider adding the following services to avoid costly delays:
From you to PVA
From PVA to you
Please open or print this document for detailed New Passport Requirements
Please open or print this document for detailed Passport Renewal Requirements
Please open or print this document for detailed Minor Passport Requirements
Please open or print this document for detailed Damage or Mutilated Passport Requirements
Please open or print this document for detailed Lost or Stolen Passport Requirements
Please open or print this document for detailed Second Passport Requirements
Please open or print this document for detailed Passport Name Change Requirements
The applicant must submit a PVA order form which provides contact information, service request and payment information. Upon completion of the order form, PVA will provide Receipt, Letter of Authorization and Delivery Instructions.
The applicant must contact PVA at (704) 246-6373 before going to the Acceptance Agency and PVA will assign a specific Letter of Authorization to fill out before going to the Acceptance Agency
After visiting the Acceptance Agency the applicant will drop off the package as indicated in the Delivery Instructions and PVA will take care of the rest.
Option 2 – $975/singleton and $1650/twins
Note*: Passport Agency appointments are very popular and are based on availability. PVA will only be able to contact the Passport Agency within thirteen calendar days of the date of departure and the actual appointment will not be known until we call. If no appointments are available, PVA will try to secure another appointment at another Passport Agency however overnight travel might be required. In the absence of a suitable Passport Agency appointment, Option 1 listed above will remain available.
Disclaimer: Passport Visa Advisors has no say in the issuance of the US Passport, nor any shipping delays by FedEx or UPS. Further, if the parent changes their departure date after the application has been submitted, they do so at their own risk.
*Please choose one of the available service options
*PVA's Main Contact
*Contact's relation to the child?
*Contact's Telephone Number
*Contact's Email Address
Party that referred you to PVA?
*Date of Departure from the USA?
*Date Birth Certificate in hand?
*Newborn's Date of Birth
*Newborn's City & State of Birth
*Newborn's First Name
Newborn's Middle Name
*Newborn's Last Name
*Newborn's Length?
Newborn's Social Security Number
*Newborn's Sex/Gender
*Newborn's Hair Color
*Newborn's Eye Color
*Twin's First Name
Twin's Middle Name
*Twin's Last Name
*Twin's Length?
Twin's Social Security Number
*Twin's Sex/Gender
*Twin's Hair Color
*Twin's Eye Color
*US Mailing Address
US Apartment/Unit
*US City
*US State
*US Postal Code
US Domestic Phone Number (if applicable)
*International Phone Number
*Email Address (this will go on the passport application)
*International (IP's Home) Mailing Address
International Apartment/Unit
*International City
International State/Province
International Postal Code
*Country
*Emergency Contact in USA (can't be an international contact)
Emergency Contact Relationship to Baby
*Emergency US Mailing Address
Emergency Apartment/Unit
*Emergency City
*Emergency State
*Emergency Postal Code
*Emergency USA Telephone Number
*List Parents on the Birth Certificate
If the Gestational Carrier remains on the birth certificate and the passport is being applied for with two parents listed on the court order, list those two parents as the two parents on this application.
*Parent First and Middle Name
*Parent Last Name at (their) Birth
*Parent Sex/Gender
*Parent US Citizen?
*Parent Date of Birth
*Parent City/State or City/Province and Country of parent's birth
*Parent 2 First and Middle Name
*Parent 2 Last Name at (their) Birth
*Parent 2 Sex/Gender
*Parent 2 US Citizen?
*Parent 2 Date of Birth
*Parent 2 City/State or City/Province and Country of parent's birth
US City of Departure
Airline
List your Record Locator Number
Provide a four digit PIN #
List your preferred dates to be seen at a regional Passport Agency
Date 1
Date 2
List any dates you CAN'T appear at a regional Passport Agency
*Date 1 - Can't
Date 2 - Can't
*Check the TOP THREE Passport Agencies you would like for us to check for in-person appointments
Please confirm you are choosing the following service:
Securely upload your documents using the Upload buttons below
International Phone Number
*International Postal Code
Parent First and Middle Name
Parent Last Name
Parent City/State or City/Province and Country of parent's birth
Parent 2 First and Middle Name
Parent 2 Last Name
Parent 2 City/State or City/Province and Country of parent's birth
