EMBASSY OF THE UNITED STATES OF AMERICA
LOST OR STOLEN PASSPORT WITH A VISA TO THE UNITED STATES

If your passport with your visa to the United States was lost or stolen, please report it to the Embassy of the United States immediately to avoid potential problems with immigration.

If your visa was lost or stolen please fill out the following form, send it us via e-mail at: montevideovisas@state.gov, and follow all the instructions detailed at the end of the form if you want to apply for a new visa.

STOLEN OR LOST VISA FORM

If your valid visa to the United States has been stolen or you have lost it, please complete this form with the information requested below and send it via e-mail to montevideovisas.@state.gov. The embassy must cancel the visa to prevent someone from trying to impersonate you.

COMPLETE GIVEN NAME: ______________________________________________

SURNAMES: __________________________________________________________

DATE OF BIRTH: ______________________________________________________

PASSPORT NUMBER: __________________________________________________

NATIONALITY: _________________________________________________________

VISA CLASS: _________________________________________________________

PLACE OF VISA ISSUANCE: ____________________________________________

VISA ISSUANCE DATE: _________________________________________________

VISA EXPIRATION DATE: _______________________________________________

WHEN AND WHERE WAS IT STOLEN OR LOST: ___________________________

_____________________________________________________________________

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If you want to apply for a new visa you must bring all the required documentation found at: Instructions on how to apply for a Non-Immigrant Visa. In addition, you must also present your Entries and Exits report from the Uruguayan National Immigration Service at Missiones 1513, along with a copy of your Lost/Stolen police report. You will NOT be issued another visa without this documentation.

>Return to Instructions on how to apply for a Non-Immigrant Visa