Lost Passport
Declare the loss, theft, or destruction of your United States passport. This sworn statement supports your application for a replacement passport through the U.S. Department of State and should be filed alongside Form DS-64 (Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card).
Prefer to fill in by hand?
Download a blank PDF template to print and complete manually.
Download Blank TemplateLost Passport Affidavit — Frequently Asked Questions
How do I make a lost passport affidavit legally valid?
Fill in the lost passport affidavit, print it, and sign it in front of a Notary Public — do not sign beforehand. Bring a valid government-issued photo ID. Notaries are available at UPS Stores, banks, law offices, courthouses, and through online notarization services, and fees typically range from $2 to $25 per signature depending on your state.
Is this lost passport affidavit template free?
Yes. You can generate a completed lost passport affidavit PDF or download a blank printable template completely free, with no sign-up required. Your information is used only to generate the document and is not stored after the PDF is created.