Login

Fillable Printable LS01 Lost or stolen passport notification

Fillable Printable LS01 Lost or stolen passport notification

LS01 Lost or stolen passport notification

LS01 Lost or stolen passport notification

Lost or Stolen
Passport Notification
Official passport office use only
Lost or Stolen Reference
Application number
Use this form to report the loss or theft of a passport. Please write only within the white boxes.
IMPORTANT: Completing this form will not provide you with a replacement passport. To
replace your passport you will need to submit this form, a passport application form, supporting
documents and fee.
A replacement passport will not be issued if this form has not been completed correctly. As
applications to replace lost or stolen passports require additional checks please note you cannot
replace a lost or stolen passport using the Premium service. Please call our Passport
Adviceline on 0300 222 0000 or visit www.direct.gov.uk/passports for further information.
Help safeguard your identity by returning this form without delay.
Please fill in all sections that apply to you
Please complete in CAPITAL LETTERS and BLACK INK only.
01
Details of the
lost/stolen
passport
Title
Surname on passport
Forename(s) on passport
D D M M Y Y Y Y
Date of birth
Town of birth
Country of birth
Passport number Was the passport issued in the UK?
Yes
D D M M Y Y Y Y
No
Date of issue
Indicate by crossing
either the Lost,
Stolen or Other box.
Lost
Stolen Other
If Other please supply details
02
Current details -
only fill in if different
to Section 01
Current title
Current surname
D D M M Y Y Y Y
Current forename(s)
03
Details of
where and when
lost/stolen
passport last seen
Date of loss/theft
Place of loss/theft (e.g. name of airport or name and town of hotel)
Country of loss/theft
Postcode of loss/theft
Circumstances of loss/theft
LS01 10.08
Please turn over
Y Y Y Y
04
Police Report
The police must be notified
of passport theft in the UK.
Passports stolen abroad
must be reported to local
police of that country.
Has the theft been reported to the police? Yes No
D D M M Y Y Y Y
Date reported to police
If it has been reported to the police
then fill in the details below
Police station
Police report number
05
Name of person
reporting the
loss/theft.
Complete this section
only if you are not the
passport holder.
A person with parental responsibility must complete Section 05 if the passport holder is aged under 16 (this
form should not be used where there is a parental dispute over the possession of a child's passport). If you are
completing this form on behalf of an adult passport holder please enclose a covering letter explaining clearly
why the passport holder cannot complete this form him/herself.
Title
Surname
Forename(s)
Relationship to passport holder
06
Contact details of
person reporting
the loss/theft.
Complete this section
only if this form is not
accompanying an
application for a
replacement passport.
Present address (house number, street name, town)
Country
Postcode Daytime telephone number
Evening telephone number
Mobile telephone number
E-mail address
07
Declaration
Note all unsigned
forms will be
returned
I understand that completing and returning this form will result in the related passport being cancelled, that it may
never be used again and, if subsequently found, it should be returned to the Identity and Passport Service (IPS)
immediately. I also understand that I will need to make a separate application on a passport application form if I wish
to replace the passport declared lost or stolen.
The information on this form is true to the best of my knowledge and belief and I understand that I shall be liable to
prosecution and could face a prison sentence if I include anything that I know to be false or do not believe to be true.
I also understand that the IPS holds and uses data for purposes notified to the Information Commissioner under the
Data Protection Act 1998 (which may be consulted at www.informationcommissioner.gov.uk). Information about the
lost or stolen passport may be shared with appropriate public and private sector authorities who can assist in
locating and recovering the missing passport.
Print name here
Failure to keep your
signature within
the border will
invalidate the form.
Remember to enter
the date of signing in
the box provided.
Signature (sign within box) Date
D D M M
Enclose this form with your passport application form. If this form
is not accompanying an application form for a replacement
passport please send to: PO Box 654, Peterborough PE1 1WP.
If outside the mainland UK this form should be sent to the nearest
British Embassy or High Commission Consular Section, British
Consulate or Passport Issuing Office.
Office Use Only
This section should be
completed by the
submitting authority.
DATE STAMP
Source Authority (This is the unique code that represents the authority and how they report, e.g. 'FCOC' for FCO Compass).
LSR Submission Post (The specific post or office within the submitting organisation making the report).
Source Authority Source System Reference (The unique system reference ID for the LS report).
Source Contact Details (The Contact name or telephone number where report is made).
Login to HandyPDF
Tips: Editig or filling the file you need via PC is much more easier!
By logging in, you indicate that you have read and agree our Terms and Privacy Policy.