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It also describes the purposes and routine uses of provided information, including identity verification and passport misuse prevention, and includes the public reporting burden estimated at five minutes.",{"@graph":14,"@context":65},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/statement-regarding-a-valid-lost-or-stolen-us-passport-book-andor-card-form-ds-64/197023/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/statement-regarding-a-valid-lost-or-stolen-us-passport-book-andor-card-form-ds-64/197023.png","ImageObject",442,249,{"name":42,"@type":43},"Riley","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-09","2026-09-03",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59],{"name":60,"@type":61,"acceptedAnswer":62},"How is the information on the DS-64 form used?","Question",{"text":63,"@type":64},"The information is used to ensure only one valid passport book and one valid passport card exist at a time (when applicable), to combat passport fraud and misuse, and to verify the identity of the reporter and identify the reported lost or stolen passport.","Answer","https://schema.org",{"og:url":32,"og:type":67,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":69,"canonical":32},"index,follow",{"doc_id":71,"site_id":7},197023,1788464308,{"code":4,"msg":74,"data":75},"success",[76,81,86,91,96,101,105,110,115],{"id":77,"doc_module":22,"doc_module_name":25,"category_name":78,"show_sort_weight":79,"slug":80},11,"Presentations",90,"presentations",{"id":82,"doc_module":22,"doc_module_name":25,"category_name":83,"show_sort_weight":84,"slug":85},12,"Resumes",80,"resumes",{"id":87,"doc_module":22,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},14,"Invoices",70,"invoices",{"id":92,"doc_module":22,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},15,"Posters",60,"posters",{"id":97,"doc_module":22,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},16,"Social Media",50,"social-media",{"id":102,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":103,"slug":104},17,40,"forms",{"id":106,"doc_module":22,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},18,"Letters",30,"letters",{"id":111,"doc_module":22,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},21,"Paper Templates",5,"papers-templates",{"id":116,"doc_module":22,"doc_module_name":25,"category_name":117,"show_sort_weight":4,"slug":118},158,"General","general-158",{"code":4,"msg":74,"data":120},{"doc_id":71,"user_id":121,"nickname":42,"user_avatar":122,"doc_module":22,"category_id":102,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":123,"file_id":124,"file_url":125,"file_type":126,"file_size":127,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":128,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":129,"faqs":130,"seo_title":131,"seo_description":12,"update_tm":72,"read_time":22},1374391975076,"https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051","| | U.S. Department of State OMB Control No. 1405-0014\u003Cbr>Expiration Date: 9-30􀀐􀀕􀀓􀀕6\u003Cbr>Estimated Burden: 5 Minutes\u003Cbr>STATEMENT REGARDING A VALID LOST OR STOLEN U.S. PASSPORT BOOK AND/OR CARD\u003Cbr>,I \\ RXU PRVW UHFHQWORVW RU VWROHQSDVVSRUWLV H[SLUHG􀀏 LW LV QR ORQJHUYDOLGDQG \\RX GR QRWQHHGWR VXEPLWWKLV IRUP |\n| --- | --- |\n| +2: 72 5(3257 $ 9$/,' /267 25 672/(1 3$663257 %22. $1'􀀒25 &$5' To report a valid lost or stolen passport ERRN DQG􀀒RU FDUG􀀏 please choose ONE of the following options:\u003Cbr>1. ONLINE: Visit our website at [travel.state.gov](travel.state.gov)\u003Cbr>OR\u003Cbr>\u003Cbr>2. WHILE APPLYING FOR A NEW U.S. PASSPORT: Submit this form with a new DS-11, Application for D U.S. Passport along ZLWK required documentation to any designated acceptance facility, U.S. passport agency, U.S. embassy, or U.S. consulate abroad.\u003Cbr>OR\u003Cbr>3. BY PHONE: Call 1-877-487-2778 (TDD: 1-888-874-7793) and follow the representative's instructions. This option is not available for customers abroad.\u003Cbr>OR\u003Cbr>4. BY MAIL: Submit this form AND a front and back photocopy of a valid government-issued photo identification (such as adriver's license or state-issued identification) to the following address ONLY IF you are NOT applying for a new U.S. passport book and/or card􀀍 :\u003Cbr>ATTN: CLASP\u003Cbr>U.S. Department of State CA/PPT/S/50􀀒&/$63\u003Cbr>44132 Mercure Cir\u003Cbr>P.O. Box 1227 Sterling, VA 20166-1227\u003Cbr>* Only use this address to submit this form or other correspondence about lost/stolen passports. For general inquiries, call the National Passport Information Center at 1-877-487-2778 .\u003Cbr>Protect yourself against identity theft! Report a lost or stolen U.S. passport!\u003Cbr>For more information, please visit our website: [travel.state.gov](travel.state.gov) :$51,1* False statements made knowingly and willfully on this form, in U.S. passport applications, or in affidavits or other supporting documents submitted therewith are punishable [by fine and/or imprisonment under U.S. law](by fine and/or imprisonment under U.S. law), including the provisions of 18 U.S.C. 1001 and/or 18 U.S.C. 1542. Alteration or mutilation of a U.S. passport is punishable by fine and/or imprisonment under the provisions of 18 U.S.C. 1543. The use of a U.S. passport in violation of the restrictions contained therein or of passport regulations is punishable by fine and/or imprisonment under 18 U.S.C. 1544. All statements and documents submitted are subject to verification. 35,9$&\u003C $&7 67$7(0(17 AUTHORITIES: The information is sought pursuant to 22 U.S.C. 211a et seq. ; 8 U.S.C. 1104; 8 U.S.C. 1737; Executive Order 11295 (August 5, 1966); and 22 C. F. R. Parts 50 and 51.\u003Cbr>PURPOSE: 7he information UHTXHVWHG RQ WKLV IRUP LV XVHG to ensure that no one has more than one valid U.S. passport book DQG RQH YDOLG 8􀀑6􀀑 passport card at any one time, except as authorized by the U.S. Department of State, and to combat passport IUDXG DQG PLVXVH􀀑 7he collection of the Social Security number will be used to verify the identity of the person reporting the lost RU VWROHQ SDVVSRUW DQG to identify the passport being reported lost or stolen. There is no other purpose unless authorized by law.\u003Cbr>5287,1( 86(6􀀝 7KLV LQIRUPDWLRQ PD\\ EH GLVFORVHG WR DQRWKHU GRPHVWLF JRYHUQPHQW DJHQF\\􀀏 D SULYDWH FRQWUDFWRU􀀏 D IRUHLJQ JRYHUQPHQW DJHQF\\􀀏 RU WR D SULYDWH SHUVRQ RU SULYDWH HPSOR\\HU LQ DFFRUGDQFH ZLWK FHUWDLQ DSSURYHG URXWLQH XVHV􀀑 7KHVH URXWLQH XVHV LQFOXGH􀀏 EXW DUHQRW OLPLWHG WR􀀏 ODZ HQIRUFHPHQW DFWLYLWLHV􀀏 HPSOR\\PHQW YHULILFDWLRQ􀀏 IUDXG SUHYHQWLRQ􀀏 ERUGHU VHFXULW\\􀀏 FRXQWHUWHUURULVP􀀏 OLWLJDWLRQ DFWLYLWLHV􀀏 DQG DFWLYLWLHV WKDW PHHW WKH 6HFUHWDU\\ RI 6WDWH􀀊V UHVSRQVLELOLW\\ WR SURWHFW 8􀀑6􀀑 FLWL]HQV DQG QRQ􀀐FLWL]HQ QDWLRQDOV DEURDG􀀑 )RU D PRUH GHWDLOHGOLVWLQJ RI WKH URXWLQH XVHV WR ZKLFK WKLV LQIRUPDWLRQ PD\\ EH SXW􀀏 SOHDVH VHH WKH 'HSDUWPHQW RI 6WDWH􀀊V 3UHIDWRU\\ 6WDWHPHQW RI 5RXWLQH 8VHV 􀀋3XEOLF 1RWLFH 􀀙􀀕􀀜􀀓 RI-XO\\ 􀀔􀀘􀀏 􀀕􀀓􀀓􀀛􀀌 DQG WKH OLVWLQJ RI URXWLQH XVHV VHW IRUWK LQ WKH 6\\VWHP RI 5HFRUGV 1RWLFHV IRU 2YHUVHDV &LWL]HQ 6HUYLFHV 5HFRU","cbCaibl73677ivbV","https://ap.wps.com/l/cbCaibl73677ivbV","pdf",3253511,"English","# Important Notice\n## Reporting options\n## Criminal penalties and verification\n## Authorities, purpose, and routine uses\n## Disclosure and public reporting burden","[{\"question\":\"How is the information on the DS-64 form used?\",\"answer\":\"The information is used to ensure only one valid passport book and one valid passport card exist at a time (when applicable), to combat passport fraud and misuse, and to verify the identity of the reporter and identify the reported lost or stolen passport.\"}]","Statement Regarding a Valid Lost or Stolen U.S. Passport Book and/or Card - Form DS-64 | PDF"]