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Replacement of a Lost or Stolen U.S. Passport

If you purchased a Replacement for a Lost or Stolen Passport from PassportMax.com, we'dlike to help you get started in the right direction with the following requirements. Don't beoverwhelmed. We are here to assist you each step of the way.

Even though you made your purchase online for a Replacement for a Lost or Stolen Passport,your work is not done. We still need your help in order to efficiently expedite your order.

First, you will need to gather all of the required information (listed here) and then take them toyour nearest acceptance agent to seal your documents and then send your package to us viaFederal Express. There is one government form (called the DS-11) you will need to complete,as well as what we call an LOA (stands for Letter Of Authorization... it authorizes us to processyour passport paperwork).

When you send in your package, go ahead and use this document as your cover page. Let’sget started now by going ahead and filling out the following questions. You’ve already orderedOnline, but completing these questions will help us match your order in our database.

 Your Information

First and Last Name

Your Date of Birth

Email Address

Contact Phone Number

Street Address

City, State & Zip

Travel Destination

Any Connecting Countries(if applicable)

Flight Departure Date

continued...

Referral ID: ___________________

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 Your Package Checklist:

  First thing, complete “Your Information” (above). Simple enough!

  Second, complete, download & print 2 copies of the DS-11 Form from the

government website. Here is the link: https://pptform.state.gov/FraudAbuseNotice.aspx?form  After you submit that you have read the disclaimers on the first page, the second page willhave 3 sections.* Click “Continue” beneath the option that reads “Apply for a Passport Book”.

 NOTE: Do NOT sign the application form until a Passport Acceptance agent instructs you todo so. One copy of this form will go inside the envelope from the Acceptance Agent and the

 second copy will go outside of the sealed envelope.

This Form is needed if you had a Passport, but it was lost or stolen; or

If you have a Passport, but now it is damaged or mutilated.

   A Statement regarding Lost, Stolen or Damaged Passport - Form DS-64. This formmust be fully completed and signed. It is needed to prove to the U.S. State Department that

you have had your Passport either lost or stolen. It must be completed in detail. Click here toget the form.

  LOA (Letter Of Authorization). You will find the LOA attached to this document (page 4). NOTE: Leave the second blank empty -- it’s where you are authorizing us to handle the submission and pick-up of your passport documents (after they’ve been issued by the passport  agency).

  We need a proof of your U.S. citizenship. This would be one of the following:ORIGINAL certified copy of U.S. Birth Certificate; or a previous valid U.S. passport; or Reportof Birth Abroad (Form FS-240); or Certification of Birth Abroad (Form DS-1350); or Certificate ofCitizenship or Naturalization from USCIS. NOTE: A certified birth certificate has a registrar’s

 raised, embossed, impressed or multicolored seal, registrar’s signature and the date the

certificate was filed with the registrar’s office; which must be within 1 year of your birth. Please note that some short (abstract) versions of birth certificates may not be acceptable for passport  purposes.

  We need ONE form of primary identification. This would be either: previously issued & undamaged U.S. passport; Naturalization Certificate; Valid Driver’s License; CurrentGovernment ID (city, state or federal) or Current Military ID (for military applicants anddependents).

  We need 2 passport photographs. Must be less than 6 months old, identical and 2x2inches.

  We need a copy of your travel itinerary. A copy of either your airline ticket(s) or flightitinerary will serve as the required proof regarding your departure date.

  We need your $135 check made payable to the U.S. Dept. of State, as well as a $25execution fee to the Acceptance Agent. These are government fees. Your payment toPassportMax was for the expediting of your passport processing, but the Federal Governmentstill requires their standard fees for a Replacement for a Lost or Stolen Passport. NOTE: Please

 indicate your Date of Birth in the memo field of your check.

  Take all of these documents to your nearest Acceptance Agent. While at the Agent,inform them that you will be using a courier service (that’s us!). The Acceptance Agent willstamp the envelope before you send it to us. Do not open the envelope after the Agent seals

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PASSPORT COURIERLetter of Authorization (LOA)

Dear Sirs,

I, _____________________________________________ authorize

______________________________________________, and its couriers to act

In the capacity to resolve and answer any problems that may arise, to submit my

passport application and to pick up my passport (and any related documents) when it

has been issued by the Houston Passport Agency.

_____________________ _____________________Signature Date

_____________________Date of Birth