Report/Application for Relief on Account of Loss, Theft or Destruction of U.S. Bearer Securities (Organizations)

OMB 1530-0034

The information is requested to establish ownership and support a request for relief due to the loss, theft, or destruction of United States Bearer Securities.

The latest form for Report/Application for Relief on Account of Loss, Theft or Destruction of U.S. Bearer Securities (Organizations) expires 2023-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form FS Form 1022 Report/Appl. for relief of loss, theft or destruction of U.S. Bearer Securities Form and Instruction
1530-0034 Supporting Statement 2019.docx Supporting Statement A
Report/Appl. for relief of loss, theft or destruction of U.S. Bearer Securities Form and Instruction

All Historical Document Collections

201904-1530-006 Approved without change	Reinstatement with change of a previously approved collection	2019-12-03
201511-1530-006 Approved without change	Extension without change of a currently approved collection	2015-11-30
201407-1530-036 Approved without change	Extension without change of a currently approved collection	2014-07-31