____________________
Date
Houston Passport
Agency
1919 Smith Street
Suite 1100
Houston, Texas
77002
Dear Passport Representative,
Please be advised, I______________________________, was
issued a valid US Passport
(your full name here)
on day:_____________, month:__________________,
year:_____________.
Please note, my passport has been lost or stolen and I
can not locate it. Please be advised that I now have an urgent immediate
international departure from the USA and I need to apply for a new passport. I
will be departing from the USA on:________________________.
I am now requesting that you please issue another passport
to me, so I can use it for my trip. If in the event while traveling overseas I
misplace my passport I will immediately contact the closest US Embassy. If in
the event while traveling domestically I misplace my passport I will contact the
closest US Passport Office or the US State Department.
Thank you for your assistance in this urgent
matter.
Sincerely,
_____________________________________
Signature
_______________________
Date