EFTA00296333.pdf
PDF Source (No Download)
Extracted Text (OCR)
CONCIERGE SERVICE
SECOND VALID PASSPORT
ALL TRAVELERS must include the following documents in your package to G3:
A copy of your current primary (10 year) US passport book. Submit a color photocopy of the nforrnation/photo page.
• Your primary passport must be valid and signed.
• Your primary passport must have more than one year of validity remaining. If your 10 year passport will expire in less than a
year. you will need to renew the passport. Contact G3 for additional instructions at ConciercieDesk@o3visas.com.
Your expired or expiring second valid (2 year) passport. Submit the actual book, pat a copy.
• If you have been issued a second valid passport on more than one occasion, include the second valid passport issued
most recently.
• If you previously have been issued a second valid passport and this passport is no longer in your possession because it
was lost or destroyed, contact G3 for additional instructions at ConcieraeDesk@a3visas.com or 855.266.0701.
Your prior second valid passport will be returned with your new passport.
K US Passport Form DS-82. The application must be created online at
tittpa://pptforin state.gov then printed and signed with a pen-to-paper signature in
blue or black ink. The signature must match the signature in your current nav-sport.
See Page 5 for details.
K
One NEW passport-style color photograph.
The photo must be on high-quality photo paper with a white background, taken within the last six
months.
ti
•
Must be 2"x2" with face measuring 1" to 1 3/8" from top of head to chin.
•
Photos must be clearly different from photos in any previously issued passports.
•
No uniforms, sunglasses. or hats are allowed, except for religious headgear. You must include a
signed letter explaining that the item is worn daily for religious reasons.
K
Letters of Authorization, completed and signed. The Letter of Authorization (LOA) allows G3 to represent you to all
agencies involved in issuing your passport. Please print and sign all LOAs attached. The signature on all the LOAs must be
an original pen-to-paper signature in blue or black ink, and must match the signature on your current passport and your
application form. No faxes, scans or copies will be accepted.
K Second Valid Passport Request Form (attached), completed by hand and signed by the applicant in blue or black ink.
K
Second Valid Letter of Request, signed by the applicant with an original pen-to-paper signature. A sample is attached. The
Letter of Request must describe specific trips that demonstrate one of two reasons for a second valid passport:
• Trips arriving and departing in close proximity. making it difficult to acquire the visas needed for the second trip.
• Primary passport contains Israel markings and future travel ncludes visits to Middle East countries that may deny entry, or future
travel includes visits to Israel and then visits to Middle Eastern countries that may deny entry. Countries that may deny entry
to US citizens with passports contaning Israel markings include Algeria, Iran. Iraq. Lebanon, Libya Pakistan, Saudi Arabia.
Sudan. Syria. and Yemen. This list is subject to change by the US Department of State.
Proof of known or anticipated travel plans.
• Copy of airline reservations showing applicant's name and all trips described in the second valid letter of request,
• Copy of crewmember trip sheet showing all trips described in the second valid letter of request, or
• A business letter (on company letterhead) stating that a passport is required for travel. This letter must signed by
a representative of the company other than the applicant with an original pen-to-paper signature and must specify the
applicant's departure dates and destinations. A sample is attached.
G3's Standard of
All visa and passport requests are processed by knowledgeable, experienced associates.
All calls are answered by a well-informed associate, not a call center or voice mail system.
All Personally Identifiable Information is protected with safeguards that exceed State Department standards.
All requests receive email confirmation acknowledging receipt by a G3 associate.
All application documents will be thoroughly reviewed prior to submission.
All requests receive email confirmation of the completion and FedEx tracking information.
All passports are returned via the FedEx service of your choice.
Need additional assistance? Select Concierge Service.
EFTA00296333
•
C
CONCIERGE SERVICE
SECOND VALID PASSPORT
There is No Substitute for Experience.
Concierge Service x $175.00 Required
G3's Concierge Service includes the following benefits:
Document Review: Email r.nncierapneeR4u3visas corn for a rapid response and thorough review of your documents
before you send them to one of our Operations Centers.
Application Creation: Our experts will readily create your visa or passport application ensuring it meets the
requirements of the consulate or agency, saving you valuable preparation time. Your application will be emailed to you in
PDF format to print and sign with a pen-to-paper signature.
Accelerated Processing: G3 will generate a FedEx air bill for you to efficiently send your documents to ow office. Your
request wil be given precedence for immediate processing by our most experienced associates.
Expert Advice: Call our dedicated Concierge Service phone number: 855.266.0701, or email Crinciergorirssk@grtuics•„,
corn for a quick response from the experts.
Real-Time Status Updates: Your G,3 associate will personally contact you to confirm receipt of your documents and
provide a timeline of completion. If you require more than one visa or passport service, your associate will advise you
at each stage of completion ensuring we meet your travel dates. Upon completion of your request, your associate will
contact you to confirm your return delivery information.
Upgraded Delivery Service: Your G3 associate will provide a complimentary return delivery upgrade when your request
is complete using Federal Express Priority Overnight service (delivery next business day by 10am), and will track your
package and follow up with you to confirm you have received it.
Emergency Support: You will have access to our Emergency Concierge Services and Lost Passport Support if you ever
need
aASSPoWSERVIal
in
• These instructions we for renewal of second valid passports, and are not applicable for travelers who have never been issued a
second valid passport.
• Second valid passports are issued at the discretion of the US Department of State and are issued with a maximum two-year validity.
• If you select Passport Book and Card on the Passport Products and Fees screen of the DS-82 government application form,
you will need to print a second DS-82 ar3olication to sign and include in addition to the DS-82 and other documents required
for the second valid passport. The passport card may be issued separately and wil be mailed directly to the applicant.
Passport cards can be used to enter the United States from Canada, Mexico, the Caribbean, and Bermuda at land border
crossings or sea ports-of-entry. The passport card cannot be used for international travel by air.
• Send al rewired documents and the completed Passport Order Form to G3 using a service with tracking such as FedEx or UPS.
• Due to submissions deadlines set by agencies, documents received by G3 are hand-carded to the appropriate prnrpssing
facility on the next business day.
• Business days are Mondays through Fridays and do not include US Federal Holidays or other incidental processing restrictions
set by agencies.
• It is not possible to change passport processing speed once the request has been submitted to the US Passport Agency.
Please ensure you select a prnrpssing speed that meets your needs.
• Credit card payments are subject to a 5% credit card convenience fee unless the physical card is presented in person.
• Complete details of G3S Privacy, Cancellation, Payment, and Shipping Policies are available at www g3visas com/Policies MTN
• Passport services are rendered at the discretion of the US Department of State. G3 acts on the behalf of the client, and takes
no responsibility for the services rendered by Travel Agents, Government Agencies, Consulates or Embassies in connection
with issuance of visas and passports. G3 takes no responsibility for delays or loss of passports as may occur through above
services or by any delivery service. Damage compensation is not available.
EFTA00296334
Send to: G3 Global Services
Attn: Passport Department
388 Market Street. Suite 1520
San Francisco. CA 94111
877.898.1203 I SanFrancisco@g3visas.com
CONCIERGE SERVICE
SECOND VALID PASSPORT
There is No Substitute for Experience.
Special Services
E Concierge Service $175.00 (Required)
-I Passport Protection Plan $40.00
=US
Government Fees for Passport Processing
Second Valid Passport (Book Only)
Second Valid Passport Book and Passport Card
0 $170.00
0 $200.00
G3 Service F
Service Type
Mission Critical 3 Business Days
Priority 7 Business Days I
Expedited 12 Business Days
Passport Renewal
0 $275.00
$195.00
0 $110.00
Return Delivery Fees
OFedExExpressSaver
3 Business Day Delivery
0 FedEx Standard Overtight
Delivery Next Business Day by 3PM
0 Sarno Day Delivery*
Delivery by FedEx or
Commercial Airline
$19.00
$29.00
FedEx First Overnight`
pay by 8:30AM
0 FedEx Saturday Delivery*
Delivery by 3PM
Please Cal 0 FedEx International Delivery*
including Puerto Rico
Delivery Times Vary by Location
0 FedEx or UPS Account Number Provided
$5.00
0 FedEx or UPS Return Alibill Included
'These services may not be available for all delivery locations.
$84.00
$44.00
Please Call
No Charge
Passport Protection Plan
sso.00sms
If your passport is lost, stolen, or damaged, G3 will replace it without charging our standard service fee.
G3's Passport Protection Plan includes the following benefits:
Application Creation: Our experts will create your paperwork for you to ensure that it meets the requirements of
the passport agency, allowing you to avoid delays and additional stress.
Expedited Passport Processing: Your new passport will be i.esikrzcl at our expedited processing speed. If
desired. you may upgrade to a faster service by paying the price difference at the time of claim.
Personal Attention: Upon receipt of your materials, we will hand-carry your documents to the passport agency,
then pick up your completed passport and review it for accuracy.
Long-Term Validity: Your Passport Protection Plan is in force until the day your passport expires.
International Support: If your passport is lost, stolen, or damaged while you are outside of the US, G3 will create
your passport applications and provide you with scans of your lost passport so you can have your passport issued
in person at the nearest US Embassy or Consulate.
G3's Industry-Leading Standard of Service: Our experienced staff will provide personal communication and in-
depth knowledge to ease your mind and resolve your concerns.
Passport Protection Plan does not cover US Casement Fees. stievalng fees. or replacement of vatic? visas. Questions? Contact PasseertsaVawas ham.
rd
Completed Order Form and All IMPIMMINIMMEI
a
Lij
G3 Global Services. Attn: Passport Department, 388 Market Street, Suite 1520, San Francisco, CA 94111
";
415.762.8268 Phone I 877.898.1203 Toll Free 1415.762.8269 Fax I SanFrancisco@g3visas.com
www.g3visas.com
EFTA00296335
sai
Send to: G3 Global Services
Attn: Passport Department
388 Market Street, Suite 1520
San Francisco, CA 94111
877.898.1203 I SanFrancisco.g3visas.com
SAN FRANCISCO
SECOND VALID PASSPORT
Your invoice will be sent to your contact email. • Check here if you require a hard copy included with your return delivery.
Payment Information
O Payment Via Check #:
0 Payment Via Credit Card:
Vis8iMasterCard:0000-0000 0000-00011
Exp. Date:
/
Security Code 000
OR
American Express: 0000-000000-00000
Exp. Date:
/
Security Code: 0000
Check payable Co
G3 Global Services
Name as it appears on the card:
Billing Address:
City:
State
Zip:
Signature:
Payment Via Approved Billing Terms
G3 Customer Number, Billing, P.O., Project or Reference Codell:
x Concierge Service Require
Total Fees from Applicable Fees Page
Concierge Fee
US Government Fee
G3 Service Fee
Passport Protection Plan
FEE
# Travelers
X
X
X
X
Return Delivery Fee
Subtotal
Add 5% for credit card convenience fee
Total Payment Enclosed
TOTAL
areaveter
Inforinallaa
Traveler 1 Name:
Traveler 2 Name:
Date of Birth:
Date of Birth:
PassP°r1Servil
Service: C Second Valid Passport (Book Only)
[
Second Valid Passport (Book and Card)
Processing Speed: 7 Mission Critical r Pdodty r Expedited
C
Travel Details
Date of US Departure:
Other visa or passport strata requested:
Notes:
I must have my passport no later than:
Contact Information
a
Name:
Contact Email (required):
Daytime Phone:
Company:
Mobile Phone:
Return Delivery Address
Name:
Street Address:
City:
Company:
Zip Code:
ri
:1:1313PWIN 1:13O1:1O
Daytime Phone:
Mobile Phone:
EFTA00296336
C
•0
I
••••=ma
iosweiraw.g•a•
ONLINE APPLICATION GUIDE
SECOND VALID PASSPORT
Your Passport Form DS-82 must be created online at
httos://ootform.state.gov/, printed and signed. To begin, dick the fraud
notice button then click "Submit: On the next page select 'Apply Online." If you
encounter error messages, you may wish to utilize a different web browser.
You will complete a multi-page questionnaire that will create an application with a
2D barcode required for expedited services.
NI passport requests submitted by G3 are
considered expedited by the US Department
of State. Applications that are incorrectly
completed or not barcoded will be subject to
a $55 application correction fee.
-Wan..
-
3
rc •
..ims; item:
••••••••.•••••
On the second page of the online questionnaire, you will be asked "Where should
your passport be mailed?" Fill in your permanent home address. G3 will retrieve
your passport in person from the US Passport Agency and will return it via Federal
Express to the delivery address listed on your G3 Passport Order Form.
On the screen labeled "Travel Plans," fill in the information about your trip. The trip
date and destination should match the trip information listed on your proof of
intended travel. If you have more than one international departure, list the details
of your first trip.
a
On the "Your Most Recent Passport" screen:
• If you have never had a second valid oassocrt. fill in the details of
a
your valid primary (10 year) passport.
•
If you are renewing your second valid passport fit in the details of
your current second valid passport.
ect
Tks.•I Films
I-
n
Vet flaCtexen Pooped
REV 7t15 - PAGE 6
EFTA00296337
C
0
ONLINE APPLICATION GUIDE
SECOND VALID PASSPORT
You will have a chance to review your information before your application is
completed.
On the "Passport Products and Fees" screen, select the
following options:
• Passport Book (S110)
• Expedited at Agency Service (S60)
• Standard Delivery
These government fees are not paid online. The fees will
be included in your payment to G3.
0.1 .
taltoileleeti•OPOWel/a
Mai
On the final page of the online questionnaire, scroll to the bottom of the page
and click the box that says "I have read and acknowledge the steps and
information contained above" and then click the "Create Form" button. Your
passport application will open in another window as a PDF form for you to print.
You may also save a copy of your completed application onto your computer.
felLeetepette.
fesepse0
•••••••••ip••••••••••••••••••••••••••••
lanAelean
m•••••••••••••••0m
completed application will contain six pages. Print the last two
pages (pages 5 and 6). These pages must be printed single-sided.
double-sided applications are not accepted by the US Department
of State. Sign your application on the signature line in blue or
black nk and fill in the date that you have signed your application.
Passport applications must be submitted to the US Passport
Agency within 30 days of the date the application is signed.
a
If you would like to have one of G3's passport experts fill out the online application for you, select G3's Concierge Serve. Please
email ConcieraeDesk@o3visas.com to initiate your passport service.
REV 7/16 - PAGE 6
EFTA00296338
United States Department of State
TO: U.S. Department of State
San Francisco Passport Agency
RE: Request for issuance of a second 2 year passport
I, the undersigned, am the bearer of valid U.S. passport
number
issued on
(number)
(date)
In view of the restrictive entry policies of one of the countries that I will be
visiting, or prolonged processing delays required to obtain visas for my
current travel, it is impossible for me to complete my trip utilizing my
current passport.
Consequently, I am requesting the issuance of a second passport to facilitate
my travel to the countries provided on my passport application.
I
understand that one passport will be limited for two years and that I may
reapply at the end of that period if my need to travel to the aforementioned
countries continues.
Should either passport be lost or stolen, I will report the circumstances
immediately to the Passport Office or the nearest U.S. Embassy/Consulate.
NAME:
(Please Print•Name Legibly)
SIGNATURE:
DATE:
EFTA00296339
GO TO RUSSIA
877-898-1203
Letter of Authorization
Please carefully read the information below before completing this Letter of Authorization.
An individual's personal information cannot be released by the U.S. government to another party without
the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a
result, an employee at a U.S. passport agency cannot discuss the details of your passport application with
a third party without your written consent.
Please check all that apply:
Check this box U
I authorize the company stated below to submit my passport application to a passport agency and
pick up the passport from a U.S. passport agency on my behalf.
Check this box U
I authorize the passport agency to disclose to the company listed below any requests for further
documentation and/or information that that may arise in connection with my passport application,
and I authorize the company to respond to such requests under my direction.
I do not authorize the passport agency to disclose to the company listed below any requests for
further documentation and/or information that may arise with my passport application. I want the
passport agency to contact me directly should an issue arise with my passport application that
concerns matters other than the date on which the passport will be ready for pick-up from the
passport agency.
Applicant Information
(Note: All of the information below may ONLY be filled out by the applicant, parent, legal
guardian, or person legally acting in loco parentis)
Applicant Name:
(Last Name, First Name, Middle Name)
Applicant Phone No:
Date:
(Area Code-XXX-XXXX)
(MM/DD/YYYY)
Courier Company Name:
Please handwrite "Go To Russia" here.
Applicant Signature:
(If the applicant is under the age of 16, a parent, legal guardian, or person legally acting in loco parentis
must sign)
EFTA00296340
GO TO RUSSIA
877-898-1203
Letter of Authorization
Please carefully read the information below before completing this Letter of Authorization.
An individual's personal information cannot be released by the U.S. government to another party without
the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a
result, an employee at a U.S. passport agency cannot discuss the details of your passport application with
a third party without your written consent.
Please check all that apply:
Check this box L I authorize the company stated below to submit my passport application to a passport agency and
pick up the passport from a U.S. passport agency on my behalf.
Check this box U I authorize the passport agency to disclose to the company listed below any requests for further
documentation and/or information that that may arise in connection with my passport application,
and I authorize the company to respond to such requests under my direction.
U I do not authorize the passport agency to disclose to the company listed below any requests for
further documentation and/or information that may arise with my passport application. I want the
passport agency to contact me directly should an issue arise with my passport application that
concerns matters other than the date on which the passport will be ready for pick-up from the
passport agency.
Applicant Information
(Note: All of the information below may ONLY be filled out by the applicant, parent, legal
guardian, or person legally acting in loco parentis)
Applicant Name:
(Last Name, First Name, Middle Name)
Applicant Phone No:
Date:
(Area Code-XXX-XXXX)
(MM/DD/YYYY)
Courier Company Name:
Please handwrite "Go To Russia" here.
Applicant Signature:
(If the applicant is under the age of 16, a parent, legal guardian, or person legally acting in loco parentis
must sign)
EFTA00296341
G3 VISAS & PASSPORTS
Tel. 888.883.8472
passports@g3visas.com
Letter of Authorization
Please carefully read the information below before completing this Letter of Authorization.
An individual's personal information cannot be released by the U.S. government to another party without
the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a
result, an employee at a U.S. passport agency cannot discuss the details of your passport application with
a third party without your written consent.
Please check all that apply:
Check this box U I authorize the company stated below to submit my passport application to a passport agency and
pick up the passport from a U.S. passport agency on my behalf.
Check this box U I authorize the passport agency to disclose to the company listed below any requests for further
documentation and/or information that that may arise in connection with my passport application,
and I authorize the company to respond to such requests under my direction.
I do not authorize the passport agency to disclose to the company listed below any requests for
further documentation and/or information that may arise with my passport application. I want the
passport agency to contact me directly should an issue arise with my passport application that
concerns matters other than the date on which the passport will be ready for pick-up from the
passport agency.
Applicant Information
(Note: All of the information below may ONLY be filled out by the applicant, parent, legal
guardian, or person legally acting in loco parentis)
Applicant Name:
(Last Name, First Name, Middle Name)
Applicant Phone No:
Date:
(Area Code-XXX-XXXX)
(MM/DD/YYYY)
Courier Company Name:
Please handwrite "G3 Visas & Passports'. here.
Applicant Signature:
(If the applicant is under the age of 16, a parent, legal guardian, or person legally acting in loco parentis
must sign)
EFTA00296342
G3 VISAS& PASSPORTS
Tel. 888.883.8472
passports@g3visas.corn
Letter of Authorization
Please carefully read the information below before completing this Letter of Authorization.
An individual's personal information cannot be released by the U.S. government to another party without
the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a
result, an employee at a U.S. passport agency cannot discuss the details of your passport application with
a third party without your written consent.
Please check all that apply:
Check this box L:
I authorize the company stated below to submit my passport application to a passport agency and
pick up the passport from a U.S. passport agency on my behalf.
Check this box L:
I authorize the passport agency to disclose to the company listed below any requests for further
documentation and/or information that that may arise in connection with my passport application,
and I authorize the company to respond to such requests under my direction.
LI
I do not authorize the passport agency to disclose to the company listed below any requests for
further documentation and/or information that may arise with my passport application. I want the
passport agency to contact me directly should an issue arise with my passport application that
concerns matters other than the date on which the passport will be ready for pick-up from the
passport agency.
Applicant Information
(Note: All of the information below may ONLY be filled out by the applicant, parent, legal
guardian, or person legally acting in loco parentis)
Applicant Name:
(Last Name, First Name, Middle Name)
Applicant Phone No:
Date:
(Area Code-XXX-XXXX)
(MM/DD/YYYY)
Courier Company Name:
Please handwrite "G3 Visas & Passports.' here.
Applicant Signature:
(If the applicant is under the age of 16, a parent, legal guardian, or person legally acting in loco parentis
must sign)
EFTA00296343
Sample Second Valid Passport
Letter of Request from Applicant
Please print your business letter on company stationery.
September 21, 2014
US Passport Agency
US Department of State
To Whom it May Concern:
I work for Sample Products, Inc. (insert the name of your company) as an International
Sales Director (insert your position), and travel internationally with great frequency. As a
consequence, my passport is with me when I travel abroad, and I cannot obtain visas
necessary for the trips that are planned while I am out of the country, which causes
undue hardships and much inconvenience.
I am currently traveling to Russia on October 15, 2014, and will be returning to the
United States on October 25, 2014. On November 1, 2014, I will be traveling to Vietnam
and China, and visas are necessary for this trip. (Please note that the dates of TWO
trips are required, within one week of another, the second trip requiring visas.]
Please issue me a second valid passport, so I can have the visas issued while I am on
the first trip. I understand that the passport will only be valid for a limited period. If you
have any questions, please feel free to call me at 555-555-1234 (insert your phone
number).
Should either my original 10 year passport or my limited validity (second valid) passport
be lost or stolen, I will report the circumstances immediately to the Passport Agency in
Washington, DC, or, if abroad, to the nearest US Embassy or Consulate.
Thank you for your assistance with this matter.
Sincerely,
Lucinda Albright
International Sales Director
Sample Products, Inc.
(The letter must have an original ink signature of the applicant)
EFTA00296344
m
Sample Second Valid Passport
Letter of Request from Employer
******Please print your business letter on company stationery******
September 21, 2014
US Passport Agency
US Department of State
To Whom it May Concern:
Lucinda Albright (insert applicant's name) is employed by Sample Products, Inc. (insert the
company name) as an International Sales Director (insert applicant's job title), and travels inter-
nationally with great frequency. As a consequence, her passport is with her when she travels
abroad, and she cannot obtain visas necessary for the trips that are planned while she is out of
the country, which causes undue hardships and much inconvenience.
She is currently traveling to Russia on October 15, 2014, and will be returning to the United
States on October 25, 2014. On November 1, 2014, she will be traveling to Vietnam and China,
and visas are necessary for this trip. (Please note that the dates of TWO trips are required,
within one week of another, the second trip requiring visas.]
Please issue Lucinda Albright (insert applicant's name) a second valid passport, so she can
have the visas issued while she is on the first trip. We understand that the passport will only be
valid for a limited period. If you have any questions, please feel free to call me at 555-555-1234
(insert your phone number).
Should either her original 10 year passport or her limited validity (second valid) passport
be lost or stolen, she will report the circumstances immediately to the Passport Agency in
Washington, DC, or, if abroad, to the nearest US Embassy or Consulate.
Thank you for your assistance with this matter.
Sincerely,
iciettited, %tarn -La
James Ventura
Senior Vice President, International Sales
Sample Products, Inc.
(The letter must have an original ink signature of a manager or officer other than the applicant.)
EFTA00296345
Document Preview
PDF source document
This document was extracted from a PDF. No image preview is available. The OCR text is shown on the left.
This document was extracted from a PDF. No image preview is available. The OCR text is shown on the left.
Extracted Information
Dates
Email Addresses
Document Details
| Filename | EFTA00296333.pdf |
| File Size | 1089.2 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 28,962 characters |
| Indexed | 2026-02-11T13:24:11.508477 |