460 Van Emburgh Ave, Ridgewood, New Jersey 07450 USA
Tel: (201) 445-7088   Fax: (201) 445-0588
Email: service@visarite.com    Web: www.visarite.com
     

 

PASSPORT AUTHORIZATION LETTER
To Be Completed by Passport Applicants 13 Years of Age or Older

     
     
NAME:
 
(Last, First Middle)
     
     
DATE OF BIRTH:
 
(Month / Day / Year)
     
     
SOCIAL SECURITY:
 
     
     
I authorize VisaRite Services Inc. to submit my passport application to US Passport Agency and to collect it when issued on my behalf.
I authorize the US Passport Agency to discuss any problems which may arise with my passport application with VisaRite Services Inc.
 
 
 
 
Signature:
 
     
Date:
 
     
My daytime phone number is: