Lost or Stolen Passport Application

Complete this form to report your lost or stolen U.S. Passport and to apply for a new replacement.

Information About The Lost or Theft

U.S. Passport Holder Information



Contact information

Mailing Address

Permanent address (PO BOX not allowed)


Marital status

Passport Holder Mother Information

Passport Holder Father Information

Travel Plans

Emergency Contact

The terms should be accepted