PDF Passport Fee Waiver Form
Financial Information Annual Household Income: $______________________ Number of Dependents: ___________________________ Employer (if applicable ...
The United States Department of Homeland Security provides Citizenship & Immigration Services, that include fee waivers for individuals that can demonstrate an inability to pay filing fees for various citizenship and immigration documents. The Form to Request a Fee Waiver and the Instructions for Completion are both available as .pdf documents.
My household income is at or below 150% of the Federal Poverty Level
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Use this form to request a fee waiver (or submit a written request) for certain immigration forms and services based on a demonstrated inability to pay.
PDF Form I
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