Type or clearly print a request for passport records, including your full name at birth and any subsequent changes to your name, your date and place of birth, your mailing address, your daytime telephone number, and a copy of your federal or state photo identification. If available, you should also include your current email address, your passport number, and the actual or estimated dates that your passport was issued.
Notarize the completed request for passport records.
Mail the notarized record request to the Department of State at the following address:
Department of State
Office of Legal Affairs
Law Enforcement Liaison Division
1111 19th Street, N.W. -- Rm. 500
Washington, DC 20036
Include a $50.00 money order or check, made payable to the Department of State.