AMERICAN CITIZEN SERVICES

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  birth Fees

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  Haifa

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 Trip to Israel

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Frequently Asked
  Questions (FAQs)

Forms

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U.S. Consulate in Jerusalem

Immigrant Visa

Non-Immigrant Visa

Tips for Completing the DS-4085

The form should be downloaded and printed on white A4 or letter-size paper.
The instructions on this form are written for individuals applying for a passport within the United States. As applications are processed differently outside the United States, you should ignore instruction page one of this form.
Complete items 1 to 14 on the application form in block letters and black ink. This information is mandatory.

Item 5 - Social Security Number: You must complete this item. If you have never had a Social Security Number (SSN), write zeros in the boxes. If you have a number, but do not remember it, you will need to complete an additional form at the Embassy to obtain your Social Security number.

Item 6 - Mail My Passport To: Complete this item with an Israeli address, either your home address or the address where you are staying. Please note that you may choose to have your amended passport sent to a different address when you complete the delivery envelope.

Item 7 - Permanent Address or Residence: Complete this item with any address you consider to be your permanent address. This need not be in Israel or the U.S.
Items 12 and 13 - Travel Plans: This information is not required, but may be helpful in processing your application and in assisting you in the future.

Item 14 - Oath & Signature: You must read the "Acts or Conditions" on page three of the instruction pages of this form before you sign. If any mentioned acts or conditions have been performed by or apply to the applicant, cross out only the applicable portion(s) and submit an explanatory signed statement with the application.