Please print, fill out and sign the appropriate number of authorization forms.
(two for new passports or to replace lost passports ... one for renewals and changes)

To return to the website please click this button: or use your back button.

I,

authorize Passport & Visa Exchange to process and pick up the passport of my:

son/daughter:

Date of Birth:

Signed:
(both parents)

Signed:
(child)


All signatures must be original & and signed in blue ink.

Passport & Visa Exchange
50 S. Pickett Street ~~ Suite 212
Alexandria VA 22304
703-739-0974