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DS-86 2017 free printable template

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Applicant s Signature age 16 and older Mother/Father/Parent/Legal Guardian s Signature if applicant is under age 16 Date mm-dd-yyyy ISSUING OFFICE USE ONLY Was the passport mailed to the correct mailing address Was delivery confirmed Tracking Number Vendor Previous U.S. Passport Book Number Issuing Agency DS-86 05-2017 UPS Fed Ex DHL Date Issued mm-dd-yyyy Date Mailed mm-dd-yyyy Special Postage if used Page 1 of 2 HOW TO USE THIS FORM To determine how and when to use and submit this form...
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How to fill out DS-86

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How to fill out DS-86

01
Obtain a DS-86 form from the U.S. Department of State website or a U.S. embassy/consulate.
02
Begin by filling out your personal information at the top of the form, including your full name, date of birth, and place of birth.
03
Provide your Social Security Number or, if you do not have one, indicate 'none.'
04
Next, fill out the details regarding the passport you are reporting lost or stolen, including the passport number if known.
05
Indicate the circumstances of the loss or theft in the designated section, providing any relevant details.
06
Sign and date the form at the bottom.
07
Finally, submit the completed form as instructed, either online or in-person, depending on the guidelines.

Who needs DS-86?

01
Individuals who have lost their passport or had it stolen need to fill out the DS-86 form to report the loss.
02
U.S. citizens applying for a replacement passport in the event of a lost or stolen passport.
03
Those traveling internationally who require documentation of a lost passport for visa or travel purposes.

Who needs a Statement for Non-Receipt of a Passport?

Any U.S. citizen has to fill out and send this statement or Form DS-86 if he applied for a passport book or a passport card and has not received it in the mail after the documents had been issued.

What is a Form DS-86 for?

If you want to protect your identity, you have to complete the Form DS-86, otherwise there is a chance your personal information might be stolen.

Is the Statement for Non-Receipt of a Passport, Form DS-86 accompanied by other forms?

It must be accompanied by a clear copy of identification with your photo.

When is the Statement for Non-Receipt of a Passport, DS86 Form due?

You must send the Statement within 90 days since the date your passport book or card was issued. You can check the issue date at travel.state.gov or call the National Passport Information Center.

How do I fill out the DS-86 Passport form?

In Form DS-86, you need to give your full name, mailing address, primary and secondary telephone numbers and sign the declaration that you request a new U.S. passport book/card. If you receive the document you previously applied for, you will need to contact the National Passport Information Center immediately and return the recovered passport to the U.S. Department of State.

Where do I send DS-86?

You should send this statement to the agency that originally proceeded your application. You can get the address at the National Passport Information Center.

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People Also Ask about

Renewal of regular U.S. passport for an adult (DS-82 form)
What forms do I use for passport renewal? If you are eligible, you may use form DS-82 and send in your renewal application by mail. If you are not eligible to send in the application by mail, you must use form DS-11 and apply in person. If you are making a change or correction, you may use form DS-5504.
Once you have reported your passport lost or stolen, the State Department invalidates it.How to report your lost or stolen passport Online: Use the online tool to submit Form DS-64 online. By phone: Call toll-free 1-877-487-2778 (TTY 1-888-874-7793). By mail: Use Form DS-64 and mail it to the address on the form.
This form is used when one or both legal parents and/or legal guardians cannot apply in person with the child for that child's passport. The legal parent/legal guardian who cannot apply with the child can give consent using this form or a written statement that includes all of the information on this form.
Abstract of proposed collection: The Statement of Non-Receipt of A Passport, Form DS-86, is used by the U.S. Department of State to collect information for the purpose of issuing a replacement passport to customers who have not received the passport for which they originally applied.
Statement You Did Not Receive Your U.S. Passport (DS-86) You should submit this form only if we mailed your passport and you did not receive it within two weeks of us mailing it. Call the National Passport Information Center and the customer service representatives will walk you through this form.

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The DS-86 is a form used by individuals to report the loss or theft of a U.S. passport.
Any individual who has lost or had their U.S. passport stolen is required to file DS-86 to report the incident.
To fill out the DS-86, you need to provide personal information such as your name, date of birth, the details of the lost or stolen passport, and sign the declaration.
The purpose of the DS-86 is to officially document the loss or theft of a passport, enabling the U.S. government to take necessary actions to prevent its misuse.
The information that must be reported on DS-86 includes your personal details, the passport number (if known), the date and circumstances of the loss, and a statement about the loss or theft.
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