U.S. Department of State · 2 pages

Statement Regarding a Lost or Stolen Passport

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Opens the real DS-64 in the editor — 2 pages. It is read in your browser and never uploaded. Published by the U.S. Department of State; forms are revised, so check the official page if you must be certain you have the current one.

First page of the DS-64 form
Page 1 of 2
FormDS-64
Issued byU.S. Department of State
CategoryGovernment
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What this form is for

Statement Regarding a Lost or Stolen Passport (DS-64). Reports a passport lost or stolen. It invalidates the book immediately so it cannot be used by anyone else.

Who needs it

Anyone whose passport has gone missing.

How to fill it in

Open the file in the Quire editor. Existing form fields become editable straight away; on a flat scan you can drop your own text boxes, checkboxes and dates exactly where they belong. Sign it with the Sign tool — draw, type or upload your signature — then export.

Everything happens in your browser. A tax or immigration form carries enough personal information that it has no business sitting on somebody else's server, and here it never does.

What goes wrong

  1. Once reported, the passport is dead. If it turns up afterwards it cannot be used and must be sent in.
  2. File it with a DS-11, because a lost passport can only be replaced in person.

Where it goes

Submit it to the address or online portal named in the agency’s current instructions. Sending an application to a superseded address is one of the most common causes of delay.

This page explains the document and helps you fill it in. It is not legal or tax advice, and it is not affiliated with any government agency.