NIH Employee DS-11 Official Passport or Renewal Instructions | FIC

This form must be presented and signed in person at the time of your appointment with the Fogarty Passport Agent.

You must use this form if:

•  You have never had a U.S. passport book/card, or you need your personal passport for a personal trip and cannot submit it at this time, or
• You were under the age of 16 when your most recent U.S. passport book/card was issued, or
• Your most recent passport/card was issued more than 15 years ago, or
• Your most recent passport was damaged, lost or stolen. (If you are applying because your passport was lost or stolen, you will also need to submit Form DS-64.)

Requirements

When applying for an official passport using the DS-11 form, bring the following items with you to your appointment at the FIC Visa/Passport Office: 

• Completed Passport Application Form DS 11, using the Department of State form filler tool.
  • Select "Fill Out Online and Print"
  • For Contact Information – Mailing Address, use:
    • Street Address: Courier
    • Street Address 2: HHS/NIH
    • City: Bethesda
    • State: MD
    • Zip Code: 20892
  • Put your address in the Permanent Address section.
  • For Your Most Recent Passport, select None (even if you do have a passport book/card).
  • For Passport Products and Fees, select Passport Book. Ignore the fee information. There is no fee for the official passport.
  • Review your information and print out the form, single-sided.
  • Important: Do not sign the form. You will sign the form in front of the FIC Passport Agent.
  • If you notice an error after printing, you will need to start over and complete a new form. Handwritten additions or changes cause delays in processing.
  • For additional guidance and screen shots, see the form filler tutorial.
• Recent photo: One 2”x2” color photograph on a light background, taken within the last 6 months.
  • Submitting an old or previously used photo causes processing delays.

  • Pictures may be obtained from the NIH photography team in the Event Management Branch Multimedia Section:

    • Location: Building 10, Room B2L328
    • Telephone: 301-496-9993
    • Hours: Tuesdays from 9 to 11 a.m. and Thursdays from 3 to 4 p.m.

    Bring a completed photography request form .

  • Eye glasses may not be worn in passport photos. If you cannot remove your glasses for medical reasons, you’ll need to obtain and submit a signed statement from a medical professional or practitioner with your passport application.
• Proof of U.S. citizenship (bring original document and a photocopy, single-sided of the front and back):
  • U.S. birth certificate with an embossed seal, or
  • U.S. naturalization certificate, or
  • Previous U.S. passport book/card.
• Proof of identity (bring original document and a photocopy, single-sided of the front and back):
  • Driver’s license, or
  • Previous or current U.S. passport book/card, or
  • Military or federal government employee identification, or
  • Certificate of Naturalization or Citizenship.
• If you have changed your name since your identification was issued, provide legal documentation (e.g., a marriage certificate).
• Fogarty passport information sheet [PDF 35K].
• Supervisory approval of your request to travel
  • If your travel authorization is not yet in the CGE travel system, provide a copy of your supervisor’s approval of your request to travel.

Travel Specialist Contact Information

• Contact your Fogarty Specialist for assistance.