Passport and Visa Request Form
JUSTIN DOCUMENT SERVICE, INC.
Justin Document Service, Inc.

(914) 592-2760 | (800) 327-8014

Fill out this form below and upload your required documents.

"*" indicates required fields

Name of Traveler*
Address*
Contact Name (Full)*
Date of Birth*
Expiration Date*

Passport Services

Passport Services
*Note- First Time Passport (Sealed Envelope requires a mandatory pre-check of an additional 50.00, contract us for details)

Same Day Service Must Be Prearranged with JIDS

Same Day Service Must Be Prearranged with JIDS

Visa Services (Please Check One)

Visa Services (Please Check One)
Date Needed in Your Office*
Ship To Address*
Ship To Address (If Different)

If Residence Check no Signature

If Residence Check no Signature
Note- If no box is checked, the package arrives with no signature required and JIDS assumes no responsibility for overnight carriers.

Form of Payment (Check One)*

Form of Payment (Check One)*
Note- PROCESSING FEE: 5.9% Processing fee added when JIDS pays any government.

Credit Card Information

Credit Card Information
Address

Return Via*

Return Via*
Please include a return shipping label or a $10.00 fee will apply. Just-in Document will gladly return your documents via the carrier of your choice. If a return label or account number is not provided, then Federal Express will be used and you will be charged accordingly. If you send us a USPS label, please note, this is put in a regular mailbox, JIDS is not responsible for overnight carriers. We can provide tracking. [Information however updated status information can be obtained by calling your carrier directly]
Country #1 Entry Dates
Country #1 Exit Dates
Country #2 Entry Dates
Country #2 Exit Dates

Register Your Trip at US Embassy?

Register Your Trip at US Embassy?
The Smart Traveler Enrollment Program (STEP) allows U.S. citizens and nationals travelling and living abroad to enroll their trip with the nearest U.S. Embassy or Consulate. Receive important information from the Embassy about safety conditions in your destination country. Help the U.S. Embassy contract you in an emergency. Help family and friends get in touch with you in an emergency.

Submit Day of Arrival if Available?

Submit Day of Arrival if Available?
Justin-In Document Service, Inc. assumes information given is accurate at the time of release. We do not assume responsibility for changes or incorrect information given by government agencies. We do not assume responsibility for any loss or damage done to the passport while in the hands of overnight carries, delivery services, US Department of State, embassies, or consulates. Upon completion of this application, all above information is fully acknowledged and agreed upon by the customer and Just-In Document Service, Inc.
Consent
By submitting an order to JIDS, you agree to all TERMS and CONDITIONS. Fees and services are non-refundable.
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    Print this order form and include it with your documents to us to the following address:

    Justin Document Service, Inc.,
    5 West Main Street, Suite 201 Elmsford, NY 10523

    Always Available To Help!

    If you have any questions feel free to call us at (914) 592-2760

    JIDS

    Passport Services

    Special Services

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