Letters of Authorization Instructions

Transcription

1 Letters of Authorization Instructions Thank you for trusting Fastport Passport with your expedited passport processing. In order to process your passport, the U.S. Passport Agency requires the applicant to complete the registered courier authorization letter. Due to increased demand for passport expediting service, we now require all of If you do not follow these instructions correctly, the following LOAs to be completed. The LOAs allow us to ensure your passport application your passport can be processed application in time will for your be rejected upcoming and trip. delayed! Failure to follow the instructions below will cause your passport application to be rejected and delayed. IMPORTANT: PLEASE READ ALL INSTRUCTIONS STEP 1 Print all Letters of Authorization (attached below) STEP 2 Fill in the authorization letters by hand using blue or black ink only. Check off the first two boxes authorizing us to drop off and pick up the applicant s passport. DO NOT CHECK OFF ALL THREE BOXES. Complete all the applicant s personal information. It must be in the following order: Last Name, First Name, Middle Name STEP 3 Applicant MUST sign all Letters of Authorization. The signature must match all passport application documents. (DS Application, Letters of Authorization. etc.) Please refer back to the Instructional Checklist upon the completion of these forms. If you have any questions, please contact our office or support@fastportpassport.com

2 FASTPORT PASSPORT 1318 CONEY ISLAND AVENUE BROOKLYN, NY Please carefully read the information below before completing this. An individual s personal information cannot be released by the U.S. government to another party without the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a result, an employee at a U.S. passport agency cannot discuss the details of your passport application with a third party without your written consent. I authorize the company stated below to submit my passport application to a passport agency and pick up the passport from a U.S. passport agency on my behalf. I authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that that may arise in connection with my passport application, and I authorize the company to respond to such requests under my direction. I do not authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise with my passport application. I want the passport agency to contact me directly should an issue arise with my passport application that concerns matters other than the date on which the passport will be ready for pick-up from the passport agency. (Note: All of the information below may ONLY be filled out by the applicant, parent, legal guardian, or person legally acting in loco parentis) (Last Name, First Name, Middle Name) Applicant Phone No: (Area Code-XXX-XXXX) Courier Company Name: Date: FASTPORT PASSPORT (MM/DD/YYYY) Applicant Signature: (If the applicant is under the age of 16, a parent, legal guardian, or person legally acting in loco parentis must sign)

3 GETYOURUSPASSPORT.COM 1645 SOUTH CAMAC STREET PHILADELPHIA, PA Please carefully read the information below before completing this. An individual s personal information cannot be released by the U.S. government to another party without the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a result, an employee at a U.S. passport agency cannot discuss the details of your passport application with a third party without your written consent. I authorize the company stated below to submit my passport application to a passport agency and pick up the passport from a U.S. passport agency on my behalf. I authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that that may arise in connection with my passport application, and I authorize the company to respond to such requests under my direction. I do not authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise with my passport application. I want the passport agency to contact me directly should an issue arise with my passport application that concerns matters other than the date on which the passport will be ready for pick-up from the passport agency. (Note: All of the information below may ONLY be filled out by the applicant, parent, legal guardian, or person legally acting in loco parentis) (Last Name, First Name, Middle Name) Applicant Phone No: (Area Code-XXX-XXXX) Date: (MM/DD/YYYY) Courier Company Name: GET YOUR US PASSPORT. COM Applicant Signature: (If the applicant is under the age of 16, a parent, legal guardian, or person legally acting in loco parentis must sign)

4 U.S. Visa Connection Please carefully read the information below before completing this. An individual s personal information cannot be released by the U.S. government to another party without the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a result, an employee at a U.S. passport agency cannot discuss the details of your passport application with a third party without your written consent. I authorize the company stated below to submit my passport application to a passport agency and pick up the passport from a U.S. passport agency on my behalf. I authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that that may arise in connection with my passport application, and I authorize the company to respond to such requests under my direction. I do not authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise with my passport application. I want the passport agency to contact me directly should an issue arise with my passport application that concerns matters other than the date on which the passport will be ready for pick-up from the passport agency. (Note: All of the information below may ONLY be filled out by the applicant, parent, legal guardian, or person legally acting in loco parentis) W Last Name First Name Middle Name Applicant Phone No: ( ) - Date: / / W Area Code XXX XXXX MM DD YYYY Courier Company Name: US VISA CONNECTION (name of company submitting your passport application for you) Applicant Signature: (If the applicant is under the age of 16, one parent, legal guardian, or person legally acting in loco parentis must sign) U.S. Visa Connection 510 Earls Court, Katy TX, VISADOC

5 Cliffs Passport Service Please carefully read the information below before completing this. An individual s personal information cannot be released by the U.S. government to another party without the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a result, an employee at a U.S. passport agency cannot discuss the details of your passport application with a third party without your written consent. I authorize the company stated below to submit my passport application to a passport agency and pick up the passport from a U.S. passport agency on my behalf. I authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that that may arise in connection with my passport application, and I authorize the company to respond to such requests under my direction. I do not authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise with my passport application. I want the passport agency to contact me directly should an issue arise with my passport application that concerns matters other than the date on which the passport will be ready for pick-up from the passport agency. (Note: All of the information below may ONLY be filled out by the applicant, parent, legal guardian, or person legally acting in loco parentis) W Last Name First Name Middle Name Applicant Phone No: ( ) - Date: / / W Area Code XXX XXXX MM DD YYYY Courier Company Name: Cliffs Passport Service (name of company submitting your passport application for you) Applicant Signature: (If the applicant is under the age of 16, one parent, legal guardian, or person legally acting in loco parentis must sign) Cliffs Passport Service 2450 Louisiana St #400 PMB 702 Houston, TX

6 Express Passport Services 2400 Augusta Drive. #376, Houston, TX Please carefully read the information below before completing this. An individual s personal information cannot be released by the U.S. government to another party without the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a result, an employee at a U.S. passport agency cannot discuss the details of your passport application with a third party without your written consent. I authorize the company state below to submit my passport application to a passport agency and pick up the passport from a U.S. passport agency on my behalf. I authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise in connection with my passport application, and I authorize the company to respond to such requests under my direction. I do not authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise with my passport application. I want the passport agency to contact me directly should an issue arise with my passport application that concerns matters other than the date on which the passport will be ready for pick-up from the passport agency. (Note: All of the information below may ONLY be filled out by the applicant, parent, legal guardian, or person legally acting in loco parentis) (Last Name, First Name, Middle Name) Applicant Phone No: (Area Code XXX-XXXX) Date: (MM/DD/YYY) Courier Company Name: Express Passport Services Applicant Signature: (If the applicant is under the age of 16 the parent (s), legal guardian (s), or person legally acting in loco parentis must sign)

7 Travel Document Services 2400 Augusta Drive. #376, Houston, TX Please carefully read the information below before completing this. An individual s personal information cannot be released by the U.S. government to another party without the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a result, an employee at a U.S. passport agency cannot discuss the details of your passport application with a third party without your written consent. I authorize the company state below to submit my passport application to a passport agency and pick up the passport from a U.S. passport agency on my behalf. I authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise in connection with my passport application, and I authorize the company to respond to such requests under my direction. I do not authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise with my passport application. I want the passport agency to contact me directly should an issue arise with my passport application that concerns matters other than the date on which the passport will be ready for pick-up from the passport agency. (Note: All of the information below may ONLY be filled out by the applicant, parent, legal guardian, or person legally acting in loco parentis) (Last Name, First Name, Middle Name) Applicant Phone No: (Area Code XXX-XXXX) Date: (MM/DD/YYY) Courier Company Name: Travel Document Services Applicant Signature: (If the applicant is under the age of 16 the parent (s), legal guardian (s), or person legally acting in loco parentis must sign)

8