Statement of Non-Receipt of a U.S. Passport

OMB 1405-0146

OMB 1405-0146

The Statement of Non-Receipt of a U.S. Passport, Form DS-86 is used by the U.S. Department of State to collect information for the purpose of issuing a replacement passport to customers who have not received the passport for which they originally applied.

The latest form for Statement of Non-Receipt of a U.S. Passport expires 2023-10-31 and can be found here.


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