Letter to Report Lost or Stolen Passport Template
[Your Full Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
Date: [Date]
To: [Passport Office / Embassy / Consulate / Government Agency Name]
[Department or Contact Name, if known]
[Address]
[City, State, ZIP Code]
Subject: Report of Lost or Stolen Passport
Dear [Recipient Name or Sir/Madam],
I am writing to report that my passport has been:
☐ lost
☐ stolen
My personal details are as follows:
Full Name: [Your Full Name]
Date of Birth: [Date of Birth]
Nationality: [Nationality]
Current Address: [Address]
The passport details, to the extent known, are:
Passport Number: [Passport Number, if known]
Date of Issue: [Date]
Place of Issue: [City / Country / Office]
Expiration Date: [Date]
If the passport number is not known, insert any identifying details here:
[Insert details]
3. Description of Loss or Theft
I discovered that my passport was missing on [Date].
The passport was:
☐ lost
☐ stolen from my possession
☐ missing after travel
☐ missing from my home, hotel, vehicle, or other location
☐ other: [Describe]
Location where the loss or theft occurred, if known:
[Insert location]
Description of the circumstances:
[Describe what happened]
4. Police Report or Incident Report
A police report or incident report was:
☐ filed
☐ not filed
☐ not available at this time
If filed, the details are:
Police Department / Agency: [Name]
Report Number: [Number]
Report Date: [Date]
5. Request for Action
I respectfully request that you:
record this passport as lost or stolen;
advise me of any next steps required;
inform me of any documents or forms needed for replacement;
provide confirmation of receipt of this notice, if available.
If further identity verification is required, please let me know.
If relevant, I am scheduled to travel on:
[Date]
Urgent travel details, if any:
7. Supporting Documents
I am including or can provide the following, if needed:
☐ copy of identification
☐ copy of passport, if available
☐ police report
☐ travel itinerary
☐ other: [Describe]
Please contact me regarding this matter at:
[Your Full Name]
[Phone Number]
[Email Address]
[Mailing Address]
9. Closing
Thank you for your prompt attention to this matter. I request that this report be noted in your records and that I be informed of any next steps required to resolve the issue.
10. Signature
Sincerely,
Signature: __________________________
Name: [Your Full Name]
Date: [Date]
