Easy NEXUS Pass

Service Type

Select Service

Have you ever applied for United States/Mexico FAST or United States/Canada FAST?

No

Yes

Have you ever applied for NEXUS before?

No

Yes

Membership / PassID Expiration Date

I don't know my Membership / PassID expiration date

Guardian's Information

Guardian's First Name

Guardian's Middle Name

I don't have a middle name

Guardian's Last Name

Guardian's Date of Birth

Guardian's Gender

Male

Female

Applicant's Basic Information

Gender

Male

Female

First Name As it appears on your passport

Middle Name As it appears on your passport

I don't have a middle name

Last Name As it appears on your passport

Any Other First Name (Optional)

Any Other Last Name (Optional)

Suffix (Optional)

Date of Birth

Country of Birth

City of Birth

Zip Code of Birth Place (Optional)

Eye Color

Height

Applicant's Address History

Please provide 5 years of continous address history (Since November 2019). Please enter addresses from newest to oldest, with current address first.

Country

Address

City

Zip Code

Lived Here From All locations combined must be 5 years continuous history

Country

Address

City

Zip Code

Lived Here From All locations combined must be 5 years continuous history

Country

Address

City

Zip Code

Lived Here From All locations combined must be 5 years continuous history

Country

Address

City

Zip Code

Lived Here From All locations combined must be 5 years continuous history

Country

Address

City

Zip Code

Lived Here From All locations combined must be 5 years continuous history

Mailing Address

Is your mailing address same as your current address?

Yes

No

Mailing Country

Address

City

Zip Code

Used This Mailing Address From

US Address

Because your current address is outside of United States, you need to provide a contact person and address in United States.

Full Name of Contact Person

State

Street

City

Zip Code

Phone Number

Used This Address Since

Employment History

Please provide 5 years of employment history (Since November 2019). Please enter employers from newest to oldest, with current employer first.

Employment Status

Occupation

Employer

Country

Address

City

Zip Code

Phone Number

Started This From All employers combined must be 5 years continuous history

Employment Status

Occupation

Employer

Country

Started This From All employers combined must be 5 years continuous history

Employment Status

Occupation

Employer

Country

Started This From All employers combined must be 5 years continuous history

Employment Status

Occupation

Employer

Country

Started This From All employers combined must be 5 years continuous history

Employment Status

Occupation

Employer

Country

Started This From All employers combined must be 5 years continuous history

Passport Documentation

Please enter the information exactly as it appears on your passport. If you are required to come in for an interview, please bring this document with you.

Citizenship Country

Passport Number

Exact First Name on Passport

Exact First Middle Name on Passport

I don't have a middle name

Exact Last Name on Passport

Expiration Date on Passport

Date of Issue on Passport

Permanent Residence

Please enter the information below since you specified that you are not a US or Canadian citizen.

Country of Permanent Residency

PR Card Number (Should be 9 Digits)

PR Country of Issue

First Name on PR Card

Middle Name on PR Card

I don't have a middle name

Last Name on PR Card

Does Your PR Card Have a Machine Readable Zone?
What is a Machine Readable Zone?

Yes

No

PR Card Expiration Date

Driver's License

Do you have a valid driver's license?

No

Yes

Driver's License Number

Exact First Name on Driver's License

Exact Middle Name on Driver's License

I don't have a middle name

Exact Last Name on Driver's License

Country of Issuance

Driver's License Expiration Date

Driver's License Date of Issue

Is this an enhanced driver's license (EDL)?

No

Yes

Is this a commercial driver's license (CDL)?

No

Yes

Is there a HAZMAT (hazardous material) endorsement on the CDL?

No

Yes

Agreement

By checking this box, I am electronically signing to authorize Easy NEXUS Pass to use the information I provided on this form to apply for NEXUS for me. I agree to receive sms, email and calls about my order and to the privacy policy and terms and conditions listed on this website. I also affirm the information listed above is accurate and truthful. I understand that the DHS provides forms and instructions for filings related to NEXUS on their website for a fee. However, I request to use the Easy NEXUS Pass service to prepare and submit my application based on the information I have provided. I understand and agree that I will be charged $149.95 for this service in addition to $120 charged by DHS. Easy NEXUS Pass is a third party company and is not associated with any government agency.

Phone Number

Phone Type

Email

Re-enter Email