Ds 86 Passport Form PDF Details

A passport is a travel document that serves as proof of identity and nationality for the holder. It is issued by the government of the country in which the individual is a citizen. In order to obtain a passport, an application must be submitted to the appropriate agency along with all required documentation. The process for obtaining a passport can be lengthy, so it is important to start as soon as possible. There are several steps that must be taken in order to apply for a passport, and each step requires specific documentation. The following guide will outline the necessary steps and documents needed to obtain a passport for minors.

QuestionAnswer
Form NameDs 86 Passport Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namespassport application fillable, ds passport entered form, ds86 form passport, form ds 86

Form Preview Example

HOW TO USE THIS FORM

This form is used when you do not receive your U.S. passport in the mail. You have 90 days from the date that your U.S. passport book or card was issued to report that you have not received it in the mail. If you do not report within 90 days of the issue date, you will be required to reapply and submit the full passport fee(s). Unless you have immediate travel plans, it is recommended that you wait 14 days from the date your passport was issued before you submit this statement.

Before submitting this statement:

1.Check the status of your U.S. passport application by contacting the National Passport Information Center at 1-877-487-2778 (TDD/TTY: 1-888-874-7793) or NPIC@state.gov. If the passport was mailed to you, ask for the date the passport was issued,

tracking number, and the name and address of the passport agency that issued your passport.

2.Contact the shipping company or postal service, online or by phone, and use the tracking number to track the envelope.

3.Complete all sections of this statement except for the section titled “Issuing Office Only.” You must submit a clear photocopy of the

front and back of your valid government-issued photo identification, such as a driver’s license.

4. Mail this statement and photocopy of your photo identification to the passport agency that issued the passport you did not receive.

Once your statement is received, the U.S. passport book or card that was reported as not received will be cancelled and cannot be used for travel. If the U.S. passport book or card reported in this statement arrives at a later time, please call the National Passport Information Center for instructions on where to send your passport.

If you applied for your U.S. passport book or card while outside of the United States, please contact your local U.S. embassy or

consulate for instructions on where to send your passport.

PROTECT YOURSELF AGAINST IDENTITY THEFT - REPORT THE NON-RECEIPT OF YOUR PASSPORT BOOK OR CARD

A United States citizen or non-citizen national may not normally have more than one valid or potentially valid U.S. passport book or more than one valid or potentially valid U.S. passport card at a time. Therefore, when you do not receive your U.S. passport book or card in the mail, you must submit form DS-86, Statement of Non-receipt of a U.S. Passport.

The information that you provide on this form will be entered into the Consular Lost and Stolen Passport System. This system is designed to prevent the misuse of the U.S. passport book or card that you did not receive in the mail. Passport(s) reported as not received will be cancelled and cannot be used for travel. Anyone using the U.S. passport book or card reported on this form, including yourself, may be detained upon entry into the Unites States. If you find the U.S. passport book or card you reported as not received, report it as found, and submit it for cancellation. You may not use that passport book or card for travel.

WARNING

False statements made knowingly and willfully in passport applications, including affidavits or other supporting documents submitted to support this application, are punishable by fine and/or imprisonment under the provisions of 18 U.S.C. 1001, 18 U.S.C. 1542, and/or 18 U.S.C. 1621. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under the provisions of 18 U.S.C. 1543. The use of a passport in violation of the restrictions contained herein or of the passport regulations is punishable by fine and/or imprisonment under 18 U.S.C. 1544. All statements and documents are subject to verification. Failure to provide information requested on this form, including your Social Security number, may result in significant processing delays.

PRIVACY ACT STATEMENT

AUTHORITIES: Collection of this information is authorized by 22 U.S.C. 211a et seq.; 8 U.S.C. 1104; 22 U.S.C. 2714a(f); 26 U.S.C. 6039E, Executive Order 11295 (August 5, 1996); and 22 C.F.R. parts 50 and 51.

PURPOSE: We are requesting this information in order to determine whether to issue a replacement U.S. passport. The collection of the Social Security number will be used for identity/entitlement to a U.S. passport for verification only and no other purpose unless authorized by law.

ROUTINE USES: This information may be disclosed to another domestic government agency, a private contractor, a foreign government agency, or to a private person or private employer in accordance with certain approved routine uses. These routine

uses include, but are not limited to, law enforcement activities, employment verification, fraud prevention, border security, counterterrorism, litigation activities, and activities that meet the Secretary of State’s responsibility to protect U.S. citizens and non-

citizen nationals abroad. More information on the routine uses for the system can be found in System of Records Notices State-05, Overseas Citizen Services Records and Other Overseas Records and State-26, Passport Records.

DISCLOSURE: Providing information on this form is voluntary. Be advised, however, that failure to provide your Social Security number on your passport application may result in the denial of your application (consistent with 22 U.S.C. 2714a(f)).

PAPERWORK REDUCTION ACT STATEMENT

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time required for searching existing data sources, gathering the necessary data, providing the information and/or documentation required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: Passport Forms Officer, U.S. Department of State, Bureau of Consular Affairs, Passport Services, Office of Program Management and Operational Support, 44132 Mercure Cir, PO Box 1199, Sterling, Virginia, 20166-1199.

DS-86 10-2020

Page 1 of 2

U.S. Department of State

STATEMENT OF NON-RECEIPT OF A U.S. PASSPORT

OMB Approval No. 1405-0146

Expiration Date: 10-31-2023

Use black ink only. If you make an error, complete a new form. Do not correct.

Estimated Burden: 15 Minutes

 

Select the product(s) which you are reporting as not received.

U.S. Passport Book and Card

Book Only

Card Only

Last Name

First Name

Middle Name

Social Security Number

Date of Birth (mm-dd-yyyy)

Telephone Number

 

 

 

 

Travel Date (mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (as listed on original application)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

Apartment /Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

 

 

ZIP Code

Please explain what you have done to find the passport book or card. (Attach a separate sheet of paper if more space is needed.)

Were the supporting documents that you submitted with your original passport application returned to you?

 

Yes

 

No

If no, please describe which document(s) was not received (Example: birth certificate, naturalization certificate, adoption decree, etc.)

YOU MUST SIGN AND DATE THE APPLICATION BELOW

I, the undersigned, certify that I have not received the U.S. passport book and/or U.S. passport card for which I applied. I declare under penalty of perjury that the statements made on this form are true and correct. I request that a new U.S. passport book and/or U.S. passport card be issued to me, and certify that if I receive the U.S.

passport book and/or U.S. passport card I reported as not received, I will immediately contact the National Passport Information Center at 1-877-487-2778 (TDD/TTY: 1-888-874-7793) or my local U.S. embassy or consulate if I applied outside of the United States and return the recovered passport to the U.S. Department of

State.

 

Applicant's Signature (age 16 and older)

 

 

 

Mother/Father/Parent/Legal Guardian's Signature (if applicant is under age 16)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date (mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ISSUING OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

Was the passport mailed to the correct mailing address?

 

Yes

 

 

No

Was delivery confirmed?

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fed Ex

 

 

 

 

Tracking Number:

 

 

 

 

 

 

 

Vendor:

 

USPS

 

UPS

 

 

DHL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous U.S. Passport Book Number

 

 

 

 

 

 

 

 

Date Issued (mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuing Agency

 

 

Date Mailed (mm-dd-yyyy)

 

Special Postage, if used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous U.S. Passport Card Number

 

 

 

 

 

 

 

 

Date Issued (mm-dd-yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issuing Agency

 

 

Date Mailed (mm-dd-yyyy)

 

Special Postage, if used

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DS-86 10-2020

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2 of 2

How to Edit Ds 86 Passport Form Online for Free

Handling PDF forms online is always quite easy with this PDF editor. You can fill out non recipet of passport here without trouble. Our tool is constantly evolving to present the very best user experience possible, and that is because of our commitment to continual development and listening closely to user comments. To start your journey, take these basic steps:

Step 1: Hit the "Get Form" button above. It is going to open up our tool so that you can start filling in your form.

Step 2: With this handy PDF editing tool, you could accomplish more than simply fill out forms. Try each of the functions and make your documents appear sublime with custom textual content incorporated, or fine-tune the original content to perfection - all comes with an ability to add any kind of graphics and sign the document off.

It's simple to finish the pdf following this helpful guide! This is what you want to do:

1. To begin with, when filling in the non recipet of passport, beging with the form section with the next blanks:

Step number 1 of completing travel state gov ds 86 form

2. After the previous section is complete, you need to add the required specifics in Were the supporting documents that, Yes, If no please describe which, YOU MUST SIGN AND DATE THE, I the undersigned certify that I, Applicants Signature age and older, MotherFatherParentLegal Guardians, Date mmddyyyy, ISSUING OFFICE USE ONLY, Was the passport mailed to the, Yes, Was delivery confirmed, Yes, Tracking Number, and Vendor so that you can progress to the third step.

Guidelines on how to fill out travel state gov ds 86 form portion 2

It is possible to get it wrong while filling out the Yes, and so ensure that you reread it prior to when you finalize the form.

Step 3: Be certain that your details are accurate and click on "Done" to continue further. Right after creating afree trial account at FormsPal, you will be able to download non recipet of passport or email it without delay. The form will also be at your disposal via your personal account with all of your edits. We do not share any details that you provide when completing forms at our site.