DS-64 2011 free printable template

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OMB No. 1405-0014 Expires: 07-31-2013 Estimated Burden: 5 Minutes* U.S. Department of State STATEMENT REGARDING A LOST OR STOLEN PASSPORT BOOK AND/OR CARD IMPORTANT NOTICE A U.S. citizen may not

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DS-64 Form Versions

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DS-64 2022

4.8 Satisfied (43 Votes)

DS-64 2018

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DS-64 2015

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DS-64 2013

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DS-64 2011

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DS-64 2009

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DS-64 2008

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How to fill out DS-64

01

Obtain a blank DS-64 form from the official U.S. State Department website or a local passport acceptance facility.

02

Fill in your personal information, including your name, date of birth, and place of birth.

03

Indicate the type of passport, if applicable, and provide your passport number.

04

Specify the date the passport was lost or stolen and provide details about how it was lost.

05

Make sure to sign and date the form where indicated.

06

If necessary, provide any additional information in the space provided.

07

Submit the completed form to the address listed in the instructions, along with any applicable fees.

Who needs DS-64?

01

Anyone who has lost or had their U.S. passport stolen needs to fill out the DS-64 form.

Who needs a DS-64 form?
What is the DS-64 passport form for?
Is the DS-64 fillable form accompanied by other forms?

Who needs a DS-64 form?

If you have lost your passport of a US citizen, you must fill out this form immediately. Your passport will be declared null and void from the time of submitting this form to avoid identity theft. Even if you find a lost passport later, it will not be valid after submitting this form.

What is the DS-64 passport form for?

This form reports to the competent authorities on the fact of the loss/theft of a US passport. The DS-64 form describes the details of the passport loss/theft, as well as provides the basic personal data about the applicant.

Is the DS-64 fillable form accompanied by other forms?

If you submit an application for issuance of a new passport of a US citizen, you should add the DS-11 to your DS-64 form. Government-issued photo identification (for example, driver’s license or a state-issued identification card) should be added in the case when you are not applying for the new passport.

When is form DS-64 due?

There is no deadline for the submission of this form. Try to submit this form as soon as the fact of passport theft/loss was realized.

How do I fill out DS-64 form online?

This form is quite small. It consists of a single page in which passport data and loss/theft details should be specified.

Where do I send the DS64 form?

Completed lost passport form should be directed to the following address: ATTN: CLASP, U.S. Department of State, CA/PPT/S/L/LE, 4th floor, 1150 Passport Services PL, Dulles, VA 20189-1150.

If you are applying for a new U.S. passport, you can submit your DS-64 and DS-11 forms to any designated acceptance facility, U.S. Passport Agency, U.S. Embassy, or U.S. consulate abroad.

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What is DS-64?

DS-64 is a form used by U.S. citizens to report the loss or theft of a U.S. passport.

Who is required to file DS-64?

Any U.S. citizen who has lost or had their passport stolen is required to file a DS-64 form.

How to fill out DS-64?

To fill out DS-64, you should provide personal information, details about the lost or stolen passport, and any relevant circumstances surrounding its loss.

What is the purpose of DS-64?

The purpose of DS-64 is to formally document the loss or theft of a passport to prevent fraudulent use and to assist in the issuance of a replacement passport.

What information must be reported on DS-64?

The information that must be reported includes the passport number, your personal information (name, date of birth), the date of loss, and the circumstances of the loss.

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