You have answered YES to all items on the checklist. You are eligible to submit your passport renewal using our mail-in procedure.

Please follow this link to submit your payment. In the name fields, please use your current legal name, even if it is different from the name that appears on your prior passport. If you are submitting a payment on behalf of another passport renewal applicant, please enter their name. All fields are required.

You can only use this form to pay for one passport application at a time. Fee payments for multiple applications must be submitted separately.
No expedited service is available outside of the U.S., please do not submit the additional fee for this service.
This form cannot be used to submit passport card applications, please do not enclose your passport card.