FS Form 1048: Claim for Lost, Stolen, or Destroyed United States Savings Bonds

Under 1. DESCRIPTION OF BONDS, describe the missing bonds by bond serial number.

State the total number of missing bonds.

Under INSCRIPTION, provide complete Social Security Number [for example, 123-45-6789], names, including middle names or initials, and addresses [street, city, state] on the bonds. If a bond was received as a gift, provide the purchaser's Social Security Number.

ISSUE DATE: Exact date or a range of dates.

If you need more space to list bonds, attach either a plain sheet of paper or attach a “Continuation Sheet for Listing Securities” (FS Form 3500), available at http://www.treasurydirect.gov/forms/sav3500.pdf.

Under 2. DETAILS OF THE LOSS, mark the appropriate boxes and provide complete details of the loss. The bonds were Lost, Stolen or Destroyed. If Stolen, provide the Date of Theft. If Destroyed, send any remaining pieces with this form.

Was a police report filed? Yes or No. If Yes, attach copy of the report.

When was the loss discovered? Who had the bonds last and why? Where were the bonds last placed? When were the bonds last seen?

Were any identification documents also lost or stolen? Yes or No. If Yes, please list them.

Under 3. AUTHORITY, provide details regarding your authority to complete a claim for the missing bonds. Are you named on the bonds? If Yes, skip to Item 4. If No, provide the following information: Describe your authority.

Show authority: i.e., parent, guardian, conservator, legal representative, administrator, executor, etc.

Are you court appointed? Yes or No. If Yes, see “LEGAL REPRESENTATIVE” in the instructions.

If you were appointed as legal representative because the owner is deceased (with no surviving coowner or beneficiary named on the bonds), or the owner or coowner is a minor, or the owner or coowner is incapacitated, complete the form and submit a court certificate or certified copy of your letters of appointment, under court seal and dated within one year of submission, showing the appointment is still in full force.

Under 4. MINORS, provide details regarding any registrants who are currently minors. Is there a minor named on the bonds? If No, skip to Item 5. If Yes, fully complete the following:

If Yes, provide the minor's name, date of birth, Social Security Number, and all other requested information.

The parents or parent with whom the minor resides must complete this item if a minor is named on the bonds and he or she is not of sufficient competency and understanding to complete the form on his or her own behalf, or is requesting electronic substitute bonds for Series EE or Series I.

Under 5. RELIEF REQUESTED, indicate whether you want substitute bonds or payment. Request Substitute Electronic Bonds, Payment by Direct Deposit or Apply to my savings bond debt to the Treasury. For Substitute Electronic Bonds, a Series EE or Series I savings bond is reissued in electronic form, in TreasuryDirect, and a paper bond is no longer provided.

Substitute bonds can't be issued in some cases, including all HH savings bonds and if any bond is within one full calendar month of its final maturity. All series HH bonds have reached final maturity and can no longer be reissued.

If you want substitute Series EE bonds or substitute Series I bonds, provide the TreasuryDirect account number. If you don't have an account, you may open one at www.treasurydirect.gov.

Under 6. DELIVERY INSTRUCTIONS, complete either section A, B, or C. Which section is appropriate for you depends on whether you want substitute bonds, payment, or to be applied to your savings bond debt.

A. For Electronic Substitute Bonds - Series EE or I: enter the TreasuryDirect account number, the Account name and the Social Security Number or Employer Identification Number.

B. For Direct Deposit Payment--Any Series of Bonds: the payee must provide a Social Security Number or Employer Identification Number.

Enter the Name/Names on the Account, the Bank Routing No. (nine digits and begins with 0, 1, 2, or 3), the Depositor's Account No., the Type of Account (Checking or Savings) and the Financial Institution's Name and Phone No.

C. To be applied to my savings bond debt to the Treasury, enter the Invoice #.

Each person whose signature is required must appear before and establish identification to the satisfaction of a notary or authorized certifying officer. The signatures to the form must be signed in the presence of the notary or officer.

Some forms require a certified signature. If your form says you need that, wait to sign it until you are with the person who will certify your signature.

Certify, under penalty of perjury, and severally affirm and say that the securities described on this form have been lost, stolen, or destroyed, and that the information given is true to the best of my knowledge and belief.

Sign Here and enter the Print Name, Social Security Number, Mailing Address (Number and Street or Rural Route, City, State, ZIP Code), Daytime Telephone Number and Email Address.

Instructions to Notary or Certifying Officer: Name(s) of the person(s) who appeared and date of appearance MUST be completed. Original signature is required if a Medallion stamp is used. Person(s) must sign in your presence.⁠^[2]

If you live in a declared disaster area, you need to complete only parts 1, 5, 6B, and 7 of FS Form 1048. Write the word “DISASTER” on the top of the first page of the form and on the front of the envelope.

If a registrant is deceased, you must submit a certified copy of his or her official death certificate with this form.

If this form is being completed as part of a savings bond debt, please check this box.

This form must be completed and signed by all persons named on the bonds, or by an authorized representative.

Send this form and any additional information to Treasury Retail Securities Services, P.O. Box 9150, Minneapolis, MN 55480-9150.

Making any false, fictitious, or fraudulent claim or statement to the United States is a crime and may be prosecuted.