Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities

OMB 1530-0021

The information is necessary to apply for relief on account of the loss, theft, or destruction of United States Savings Bonds or the non-receipt of United States Securities.

The latest form for Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities expires 2021-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FS Form 2243 Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities Form and Instruction
1530-0021 Supporting Statement 2021.docx Supporting Statement A
Claim For Lost, Stolen or Destroyed U.S. Savings Bonds and Supplemental Statement For U.S. Securities Form and Instruction

All Historical Document Collections

202108-1530-003 Approved without change	Extension without change of a currently approved collection	2021-12-29
201810-1530-002 Approved without change	Extension without change of a currently approved collection	2018-10-30
201507-1530-003 Approved without change	Revision of a currently approved collection	2015-08-31
201407-1530-023 Approved without change	Revision of a currently approved collection	2014-07-31