Mississippi Lost Passport

Declare the loss or theft of your U.S. passport. This sworn statement supports your replacement application through the U.S. Department of State and should accompany Form DS-64. Prepared for Mississippi residents.

Full Legal Name *

State ID / Driver's License Number *

US Passport Number *

Date of Issue *

Date Lost/Stolen/Damaged *

Circumstances *

Last Known Location *

Police Report Number (if you have one)

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Mississippi Lost Passport Affidavit — Frequently Asked Questions

How do I make a mississippi lost passport affidavit legally valid?

Fill in the mississippi 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 mississippi lost passport affidavit template free?

Yes. You can generate a completed mississippi 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.