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Adult SIMPLIFIED RENEWAL Passport Application

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Adult SIMPLIFIED RENEWAL Passport Application Adult SIMPLIFIED RENEWAL Passport Application for Canadians 16 years of age or over living in Canada or in the USA GENERAL INFORMATION AND INSTRUCTIONS Aussi disponible en français Failure to complete all the required sections of this form will result in your application being rejected. Who May Use This Form? Applying in Person IMPORTANT – You may use this form only if: For Canadians living in Canada: you submit a previous Canadian passport that: At a Passport Canada service location was issued to you within the last SIX (6) years from the date of At a participating Canada Post office reception of this current application (If the previous passport At a participating Service Canada Centre was applied for by mail from the USA, the passport must Our service locations are listed on page 2 of this application and on have been issued on or after August 1, 2003.), our website at www.passportcanada.gc.ca. was/is valid for years, FIVE (5) For Canadians living in the USA: is not damaged, This form can only be used to submit an application by mail was never reported as being lost or stolen, and (see “Applying by mail”) or in person at a Passport Canada was issued in Canada (as indicated under “Issuing Authority” service location (in Canada). on page 2 of the submitted passport); the name on this application form is exactly the same as the name that appears on the submitted passport; and you were at least 16 years of age at the time of your previous Applying by Mail application. Mailed-in applications are processed in Canada. Requirements Checklist BY MAIL BY COURIER BOTH pages of the application form completed and signed Passport Canada Passport Canada within the last 12 months. Foreign Affairs and 22 de Varennes Building TWO (2) identical passport photos taken within the last International Trade Canada 22 de Varennes Street 12 months. Gatineau QC K1A 0G3 Gatineau QC J8T 8R1 Any Canadian passport issued to you within the last SIX (6) CANADA CANADA years from the date of reception of this current application. DO NOT mail or bring your application to a Canadian government If the previous passport was applied for by mail from the USA, office in the USA. However, passport applications and related forms the passport must have been issued on or after August 1, 2003. are available from these offices. The fee. The original documents that you enclose with your application You may be requested to apply for a passport through the general are valuable. To ensure that these documents are not lost or application process using form PPTC 153, or provide additional misplaced, it is preferable to use a courier or mail service that documents or information in support of this application. allows you to trace your mail. Fee For Canadians living in Canada – C$87 (includes the passport fee (C$62) and consular service fee (C$25)) For Canadians living in USA – C$97 (includes the passport fee (C$72) and consular service fee (C$25)) Note – These fees are subject to change. Important – Every person who requests a passport service must – Only Canadian funds are accepted. pay the applicable fee. This fee is non-refundable. Preferred method of payment Other acceptable methods of payment Debit (Interac) (In person only), or Certified cheque or money order/international money order (postal or Credit card (Complete the section below, detach bank) payable in Canadian funds to the Receiver General for Canada and submit with your application.) Administrative fees and any applicable interest will be applied to all dishonoured payments. Credit Card Information COMPLETE if you are paying by credit card. FOR OFFICIAL Name appearing on card USE ONLY Authorization number Card number Date of expiry Month Year AUTHORIZATION – I authorize Signature of cardholder Date Passport Canada to charge Year Month Day C$ to my credit card. PPTC 054A (08-09) M02 Page 1 of 4 Contact Us General information is available 24 hours a day, 365 days a year. Specific information is available during regular office hours. INFORMATION ON PASSPORTS, FEES, AND PROCESSING TIMES INFORMATION ON TRAVEL CONDITIONS AND REQUIREMENTS Website: www.passportcanada.gc.ca Website: www.voyage.gc.ca Toll-free: 1-800-567-6868 Outside continental USA: 819-997-8338 TTY (For persons who are deaf or hard of hearing) Toll-free: 1-866-255-7655 (7:30 a.m. to 8:00 p.m. ET) To obtain the most recent version of this form, visit our website. Application forms are also available in Braille, on diskette or in large print for persons with visual impairment. Passport Canada Locations (NOT MAILING ADDRESSES) DO NOT mail or use courier services to send your application form directly to a Passport Canada service location in Canada listed below. However, passport applications and related forms are available from these service locations or may be obtained online at www.passportcanada.gc.ca. CANADA ALBERTA NEW BRUNSWICK North York Laval Calgary Fredericton Suite 380, 3rd Floor Suite 500, 5th Floor Suite 254 Suite 430 Joseph Shepard Building 3 Place Laval Harry Hays Building Frederick Square 4900 Yonge Street Montréal 220-4th Avenue South East 77 Westmorland Street Ottawa West Tower, Suite 103 Calgary (South) (English only) NEWFOUNDLAND AND Level C, East Tower Complexe Guy-Favreau 14331 Macleod Trail SW LABRADOR C.D. Howe Building 200 René-Lévesque Boulevard West Edmonton St. John's (English only) 240 Sparks Street Pointe-Claire Suite 126 Suite 802 Scarborough (English only) Suite F-016A Canada Place Building TD Place Suite 210 Fairview Pointe Claire Shopping Centre 9700 Jasper Avenue 140 Water Street 200 Town Centre Court 6815 Trans-Canada Highway BRITISH COLUMBIA NOVA SCOTIA St. Catharines Québec Richmond (English only) Halifax Suite 600 Suite 200, 2nd Floor Suite 310 Suite 1508, 15th Floor Landmark Building Place de la Cité, Tour Cominar 5611 Cooney Road Maritime Centre 43 Church Street 2640 Laurier Boulevard Surrey (English only) 1505 Barrington Street Thunder Bay Saguenay Suite 900 ONTARIO 2nd Floor Suite 408 13401-108th Avenue Brampton (English only) 979 Alloy Drive Immeuble Saint-Michel Vancouver Suite 401 Toronto (English only) 3885 Harvey Boulevard Suite 241 40 Gillingham Drive Suite 300 Saint-Laurent Sinclair Centre Hamilton 74 Victoria Street Suite 112 757 Hastings Street West Plaza Level Whitby 3300 Boulevard de la Côte-Vertu Victoria Standard Life Building Whitby Mall SASKATCHEWAN 1318 Blanshard Street 120 King Street West 1615 Dundas Street East Regina MANITOBA Kitchener Windsor Suite 500 Winnipeg Mezzanine Level Suite 503 1870 Albert Street Suite 400 40 Weber Street East CIBC Building Saskatoon 433 Main Street London 100 Ouellette Avenue Suite 405 Suite 201, 2nd Floor QUEBEC Federal Building 400 York Street Gatineau (Hull) 101-22nd Street East Mississauga (English only) Commercial Level 2 Suite 116, 2nd Floor Place du Centre Central Parkway Mall 200 Promenade du Portage All service locations are 377 Burnhamthorpe Road East wheelchair accessible. USA DO NOT mail or bring your application form to a Canadian government office in the USA listed below. However, passport applications and related forms are available from these offices or may be obtained online at www.passportcanada.gc.ca. ATLANTA DALLAS MIAMI SAN JUAN The Consulate General of Canada The Consulate General of Canada The Consulate General of Canada The Honorary Consulate of Canada 100 Colony Square Suite 1700 First Union Financial Center Hato Rey Center Suite 1700 750 North St. Paul Street Suite 1600 Suite 802 1175 Peachtree Street NE Dallas TX 200 South Biscayne Boulevard 268 Ponce de Leon Avenue Atlanta GA DENVER Miami FL San Juan PR BOSTON The Consulate General of Canada MINNEAPOLIS SEATTLE The Consulate General of Canada Suite 2600 The Consulate General of Canada The Consulate General of Canada Three Copley Place 1625 Broadway 9th Floor Suite 600 Suite 400 Denver CO 701 Fourth Avenue South 1501 Fourth Avenue Boston MA DETROIT Minneapolis MN Seattle WA BUFFALO The Consulate General of Canada NEW YORK WASHINGTON D.C. The Consulate General of Canada 600 Renaissance Center The Consulate General of Canada The Embassy of Canada HSBC Center Suite 1100 1251 Avenue of the Americas 501 Pennsylvania Avenue NW Suite 3000 Detroit MI New York NY Washington DC Buffalo NY LOS ANGELES SAN FRANCISCO CHICAGO The Consulate General of Canada The Consulate General of Canada The Consulate General of Canada 9th Floor 14th Floor Two Prudential Plaza 550 South Hope Street 580 California Street Suite 2400 Los Angeles CA San Francisco CA 180 North Stetson Avenue Chicago IL PPTC 054A (08-09) M02 Page 2 of 4 INSTRUCTIONS 1 Personal Information NAME TO APPEAR IN PASSPORT Your name must be written exactly as it appears in the previous passport. Your surname (last name) and given names must be spelled the same and be placed in the same order. If your name has changed, you cannot use this form. You must complete an “Adult General Passport Application” form PPTC 153. SURNAME (LAST NAME) AT BIRTH/FORMER SURNAME (FORMER LAST NAME) Complete only if different from the surname (last name) to appear in the passport (for Passport Canada information only; will not appear in the passport). MOTHER'S MAIDEN NAME Indicate your mother's surname (last name) when she was born. SIGNATURE You MUST sign your usual signature on BOTH pages. Your signature in section 1 will appear in the passport. Therefore, your signature MUST NOT exceed the inner limits of the signature box. 2 Previous Canadian Passport Enclose any Canadian passport issued to you within the last SIX (6) years from the date of reception of this current application. If the previous passport was applied for by mail from the USA, the passport must have been issued on or after August 1, 2003.
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