Eyðublað V-906P, Útg.1
1. Passport holder
2. Information about the passport and its loss
3. Cause of loss
4. When was passport lost?
5. Where and how was the passport lost?
6. Signature of person reporting loss


7. Signature of official employee and stamp
8. Note
  1. Passports that are reported lost are recorded in the Schengen and Interpol information systems and are thereby unusable. The loss of a passport shall be reported without delay to police, Registers Iceland or Iceland foreign service representatives abroad, with a specific account being provided of the details of its loss (Act No. 136/1998, on Passports).