NIH Employee DS-11 Official Passport or Renewal Instructions

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.

Updated December 15, 2022