Compose a request in writing that includes your full birth name and any name changes, birth date, place of birth, your current mailing address and phone number, email address, the estimated date of application (if known) and a copy of your valid state or federal identification card, such as a driver's license or military identification card. You must also include the reason for your request.
Take the request to a public notary and have it notarized. Sign the document in his or her presence.
Include a $50 check or money order payable to "Department of State."
Mail the check and written, notarized request to:
Department of State
Office of Legal Affairs
Law Enforcement Liaison Division
1111 19th Street, N.W. -- Rm. 500
Washington, DC 20036