Passport Service Order Form

 How soon do you need your passport back?
   Select Service -- >  
 Applicant Information:
 Last Name:
 First Name:
 State of Residency:
Birth Date:
Day Time Phone:
Alternate Phone:
 Your Travel Information
 Passport Card Option
   Please add a Passport Card to my order for an additional $30.00 What is this?
 Passport Replacement Coverage
  Please add Passport Replacement Coverage to my order for an additional $25.00 What is this?
 Shipping to CVSC
For easy, fast and reliable shipping, we recommend that you use the enclosed FedEx shipping label to send your documents to our office. Go to a FedEx office near you and place your documents in a FedEx envelope, on to which you affix the enclosed shipping label. Your application will be sent to us by FedEx Overnight and can be easily tracked. The shipping cost is $37.
If you decline to use CVSC shipping label, please make sure that you mail your applications by either FedEx or UPS, and keep a copy of the tracking number.
If you live in a city where there is a CVSC office, you can drop off your application in person at our office during normal business hours.
 Return Shipping Option
 Return Shipping Address
 Billing Address
   Billing address same as shipping address.
 Payment Information
 Card Type:
 Card Number:  
 Name on Card:
 Expiration: /
 Card Code:   Where is this?
  New Passport
  Service:  $    
  Passport Card:  $    
  Passport Replacement Coverage:  $    
  Shipping to CVSC:  $    
  Return Shipping:  $    
  Delivery Signature:  $    
  Processing Fee:  $    
  Total:  $    **
** Not including Government fees