ShareYourGroupShareYourGroupFormats

Application to police for lost documents or phone

Use this to report to the police station that you have lost a phone, wallet or documents. The stamped copy or report is often needed to get duplicates.

Tap a yellow blank and type your own details. What you type stays in your browser only.

To The Station House Officer, [Name of Police Station], [City] Date: [Date] Subject: Report of loss of [Item Lost, for example my mobile phone and wallet] Sir/Madam, I am [Your Name], [son/daughter/wife] of [Father's or Husband's Name], living at [Your Address]. On [Date of Loss] at about [Time of Loss], I lost the following while [What You Were Doing, for example travelling by bus from the railway station to Model Town]: 1. [Item 1 with Details, for example a Samsung mobile phone, IMEI number 35xxxxxxxxxxxxx, SIM number 98xxxxxxxx] 2. [Item 2 with Details, for example my driving licence, number XX00 00000000000] 3. [Item 3 with Details] I searched for them but could not find them. I request you to kindly record this report and give me a copy, as I need it to apply for duplicates. I declare that the above information is true. Yours faithfully, [Your Name] Mobile: [Alternate Mobile Number]

When to use this letter

Use this when something is lost, not stolen, and you need an official record of the loss to apply for a duplicate SIM, licence, certificate or card. Report it soon after you notice. Besides helping with duplicates, an early report protects you if the lost papers are misused.

Before you send it

What to attach

How to send or submit it

See first whether your state police takes lost-article reports online. Otherwise go to the police station for the area where the loss happened, with two copies and an identity proof. Get the stamp, date and entry number on your copy.

Mistakes that get it sent back

This is a general format, written by us, to save you time. If the office has its own printed form, use that form. Last checked: 11 November 2026.

More government and utility formats

All government and utility formats How to write an application