Passport

The U.S. Passport agency provides passport status information as well as in-person appointments at 877-487-2778. Please note that the U.S. Passport Agency is experiencing an unprecedented number of requests for emergency appointments and is prioritizing those traveling within 72 hours.

Sen. Durbin’s office may make an inquiry regarding the status of a passport, but is required to provide a Privacy Act Release form signed (ink signature) by the recipient of the passport or in the case of a minor, their legal guardian.

Your Contact Information

Title*

First Name*

Middle Name

Last Name*

Suffix

Gender

Date of Birth

Email Address

Please Verify Email Address

Phone Number *

Home, work, mobile, other.

Secondary Phone Number

Home, work, mobile, other.

Street Address or P.O. Box*

Street Address (2)

City*

County of Residence *

State*

Zip Code*

Do you have a different mailing address?

Case Details

Which government agency (or agencies) have you been working with? *

Type of Passport required? First-time Passport or Renewal?

What is your date of travel?

Date Passport application submitted?

Were expedite fees paid?

Locator or application number?

Are you inquiring on behalf of a minor? Yes or No?

If so, are you the legal guardian of the minor? Yes or No?

What is the name and date of birth of the minor?

Have you contacted another Congressional office? *

Your Request

What do you need help with? *

Please describe the problem in as much detail as necessary.

Is there anything else that Senator Durbin or his staff needs to know?

I am filling out this form for myself only, not family, friends, or others. *

I certify, under penalty of perjury, that 1) I provided or authorized all of the information in this privacy release and any document submitted with it; 2) I reviewed and understand all of the information contained in my privacy release and submitted with it; and 3) all of this information is complete, true, and correct. *

* If the Power of Attorney is making the inquiry please fax a copy of the Power of Attorney to the D.C. office.

Preview and Send Request

Once you have reviewed your information, press the Print Privacy Release Form button. This will generate a PDF containing all of the information you have entered as well as a privacy release form. Please print the form, sign and date the last page, and return the form in its entirety to the Senator's office by fax or mail.

Preparing PDF...

Thank you for contacting me. The information on your form has been submitted electronically to my office. A PDF of your form is being generated automatically and should be ready within 10 seconds. If one is not available to download in that time, click here.

Once we have received your signed authorization, my staff will begin assessing how we can help. Please allow up to 30 days from the day we receive your release for my office to contact you. Thank you.

Senator Dick Durbin

Passport

Preview and Send Request

Preparing PDF...