Fillable Form DS-64

Form DS-64 is a statement submitted when a passport is reported as lost or stolen. Once the form is processed, the passport that was reported will be unusable even if retrieved.

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What is Form DS-64? 

 

Officially the Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card, Form DS-64 is a legal document that U.S. passport holders complete and submit to the U.S. Department of State to report a lost or stolen passport book and card and to start the replacement process. 
By reporting to the U.S. Department of State that your passport got lost or stolen using Form DS-64, it will create a record in the Consular Lost and Stolen Passport System, making your lost passport invalid. This will protect you from fraud and avoid unlawful border crossing using your identity; thus, if your passport gets lost or stolen, it is your obligation to notify the designated authorities immediately. 

 

How to Fill Out DS-64? 

 

Form DS-64 is a single-page document that requires your identifying information, lost or stolen U.S. passport book or card information, and validation. 

Before completing the sections, you need to select first if you reporting a lost or stolen U.S. passport book or card or both. 

 


Section 1 

 

For the Identifying Information section, you need to provide the following personal information: 

 
  • Last name, first name, and middle name 
    •  
  • Information on a change in your legal name if applicable 
    •  
  • Sex 
    •  
  • Date of birth 
    •  
  • Place of birth 
    •  
  • Social Security Number (SSN) 
    •  
  • Telephone number 
    •  
  • Alternative telephone number 
    •  
  • Email address 
    •  


    Section 2 

     

    For the Lost or Stolen U.S. Passport Book/Card Information section, you need to provide useful information regarding your lost or stolen passport. You need to answer all questions as honest, accurate, and complete as possible. This section would help the U.S. Department of State to alert appropriate government offices and people to reduce the risk of identity theft. 
    You will also need to provide details about your lost U.S. passport book or passport card, including the official document number and issue date. 

    Section 3 

     

    For the Signature and Date section, sign and date the application to validate all the information you have provided. For applicants who are under 16 years old, the signatures of both parents are required. 

     

    What are the requirements? 

     

    If you are requesting a new passport document aside from reporting your lost or stolen passport book or card, also submit a completed Form DS-11. 
    If you are only reporting a lost or stolen passport document and not requesting a new passport book or card, attach a government-issued photo identification. 
    For minors who only have one guardian, submit the form with a court order certifying the fact. 

     

    Where to submit DS-64?

     

    Mail the completed DS-64 to: 
    ATTN: CLASP 
    U.S. Department of State 
    CA/PPT/S/L/LE 
    4th Floor 
    1150 Passport Services PL 
    Dulles, VA 20189-1150

    Table of Contents
    Fillable Form DS-64