Expedite Refund Request Form

*Required Fields

First Name *

Your must enter your first name here

Middle Name

Your must enter your middle name here

Last Name *

Your must enter your last name here

Email Address *

You must enter your email address here.

Phone Number *

You must enter your phone number

Application Number *

You must enter your 9-digit application number here.

Mailing Address *

You must enter your address

City *

You must enter your city.

State *

You must enter your state

Zip Code *

You must enter your zip code.

Please explain why you are submitting an expedited refund request: *

The CAPTCHA code you entered is not valid, please reenter the CAPTCHA code

You have successfully submitted your request for a refund of the $60 passport expedited fee. Please check your email for a confirmation message.

Due to a technical issue, we did not receive your request for a refund of the $60 passport expedited fee. Double check all form fields and submit your request again. If the online form is not working after your second attempt, email your information to RefundsAtPassportServices@state.gov.