U.S. Department of State · United States

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Form DS-64: Statement Regarding a Lost or Stolen U.S. Passport

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JustFill is not affiliated with U.S. Department of State. This is an independent third-party tool to help you complete Form DS-64. Always download the current blank form from the official source and verify your completed copy before signing or submitting. Official Form DS-64 from U.S. Department of State

Quick answer

Form DS-64, Statement Regarding a Lost or Stolen U.S. Passport, reports a U.S. passport book or card that has been lost or stolen so the State Department can invalidate it and protect you from misuse. You describe the missing passport and how it was lost, then submit it — usually with Form DS-11 to apply for a replacement. With JustFill you upload the blank DS-64 PDF, the AI detects each field, and you complete and download it free.

Form
Form DS-64
Issued by
U.S. Department of State
Country
United States
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What is Form DS-64?

Form DS-64 officially notifies the U.S. Department of State that your passport book or card is lost or stolen. Reporting it immediately invalidates the document so it cannot be used by someone else, and is required before a replacement is issued. It is normally filed together with Form DS-11 (the application for a new passport). JustFill lets you complete the DS-64 online so the details and circumstances are legible and complete.

Download the Form DS-64 form PDF — free

The official Form DS-64 PDF is free from the U.S. Department of State at travel.state.gov. Print it, or open the blank PDF in JustFill to type the details of the lost or stolen passport on screen, then download the completed statement to submit with your DS-11 replacement application.

Get the official Form DS-64 PDF from U.S. Department of State

Who fills out Form DS-64?

  • U.S. citizens whose passport book or card was lost or stolen
  • Parents reporting a lost or stolen passport for a minor child
  • Travelers replacing a missing passport before an upcoming trip
  • Anyone who later finds a passport they previously reported (it stays invalid and must be returned)

Field-by-field breakdown

What each section of Form DS-64 asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.

Applicant identification

Full name, date of birth, place of birth, and Social Security number.

Contact information

Current mailing address, phone, and email.

Missing passport details

Passport book and/or card number if known, and the issue date.

Circumstances

A short description of when, where, and how the passport was lost or stolen.

Certification & signature

You sign under penalty of perjury that the statement is true.

Common mistakes to avoid

  • 1Filing only DS-64 when you also need DS-11 to get a replacement passport.
  • 2Continuing to use or travel on a passport after reporting it lost — once reported, it is permanently invalid.
  • 3Leaving the circumstances section blank or vague.

How JustFill helps you complete Form DS-64

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Ready to fill Form DS-64?

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Upload your form

Choose a PDF, a Word file or an image from your files, or photograph a paper form.

PDF, Word (.docx), JPG, PNG, WebP, HEIC, GIF and BMP. Free account required, no credit card.

Your first download is free, with no watermark. After that: a watermark, or a $7 one-time pack (5 clean PDF downloads + 25 AI credits). AI detection covers up to 15 pages per run.

By uploading, you confirm you have the legal right to use this document.

Not the form you need? Form DS-64 isn’t the only PDF we fill

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Frequently asked questions

Download the free PDF from travel.state.gov, then open it in JustFill to type your details — the AI detects each field. Submit the completed DS-64 with Form DS-11 to apply for a replacement.
You can report a lost or stolen passport with DS-64 alone, but to get a new one you submit it together with Form DS-11 (the passport application). JustFill can fill both.
Yes. Upload the official PDF to JustFill; it detects every field and lets you type or dictate your answers, then download the finished form to sign and submit.
It remains permanently invalid and cannot be used for travel. Return it to the U.S. Department of State as instructed; do not try to travel on it.

Official source: Form DS-64 on U.S. Department of State’s website

JustFill is an independent product and is not affiliated with, endorsed by, or sponsored by U.S. Department of State or any government agency. Always verify your completed form on the official version before signing or submitting.