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FS Form 1048                   Department of the Treasury | Bureau of the Fiscal Service 1
OMB No. 1530-0021  FS Form 1048 (Revised March 2026) 
IMPORTANT:  Follow instructions in filling out this form.  Making any false, fictitious, or fraudulent claim or statement to the United States is a crime and 
may be prosecuted.  Print in 
ink or type all information. 
        If this form is being completed as part of a savings bond debt, please check this box.
1. DESCRIPTION OF BONDS
Describe the missing bonds in the spaces below.
ISSUE DATE 
(Exact date or a 
range of dates) 
FACE 
AMOUNT 
BOND 
SERIAL NUMBER 
INSCRIPTION 
(Provide complete Social Security Number [for example, 123-45-6789], names, including 
middle names or initials, and addresses [street, city, state] on the bonds. 
If a bond was received as a gift, provide the purchaser's Social Security Number.) 
(If you need more space, attach either a list or FS Form 3500 (see www.treasurydirect.gov/forms/sav3500.pdf) 
2. DETAILS OF THE LOSS – Mark the appropriate boxes and provide complete details of the loss.
The bonds were:
       Lost         Stolen ⇒ Date of Theft: __________________        Destroyed ⇒ Send any remaining pieces with this form. 
     Was a police report filed?    Yes        No  If Yes, attach copy of the report. 
When was the loss discovered?       _____________________________________________________________________  
Who had the bonds last and why?    _____________________________________________________________________  
Where were the bonds last placed?  ________________________________________ _____________________________ 
When were the bonds last seen?      _____________________________________________________________________  
Were any identification documents also lost or stolen?  Yes          No 
If Yes, please list them:  ________________________________________________________________________  
3. AUTHORITY – Provide details regarding your authority to complete a claim for the missing bonds.
Are you named on the bonds?  Yes        No     If Yes, skip to Item 4.  If No, provide the following information:
Describe your authority: _______________________________________________________________________________
(Show authority: i.e., parent, guardian, conservator, legal representative, administrator, executor, etc.) 
Are you court appointed?  Yes        No    (If Yes, see “LEGAL REPRESENTATIVE” in the instructions.) 
4. MINORS – Provide details regarding any registran
ts who are currently minors.  (See "MINORS" in the instructions.)
Is there a minor named on the bonds?        Yes No If No, skip to Item 5.  If Yes, fully complete the following: 
What is the minor’s:
Name: ______________________________________________________  DOB? _________________________  
Social Security Number? _________________________________
________ 
 
Claim for Lost, Stolen, or Destroyed 
United States Savings Bonds

FS Form 1048    Department of the Treasury | Bureau of the Fiscal Service 2
What is your relationship to the minor? ____________________________________________________________ _______ 
Does the minor live with you?           Yes No 
If No, with whom? _____________________________________________________________________________
(Name) (Relationship to Minor) 
    _____________________________________________________________________________
(Address) 
Who provides the minor’s chief support? 
    _____________________________________________________________________________
(Name) (Relationship to Minor) 
    _____________________________________________________________________________
(Address) 
Are both parents able to sign the application for relief?         Yes No 
If Yes, skip to Item 5. If No, fully complete the following: 
Why are you unable to obtain the signature? ________________________________________________________  
Did that parent have access to the bonds? Yes          No 
Could that parent have possession of the bonds? Yes  No 
5. RELIEF REQUESTED – Indicate whether you want substitute bonds or payment. NOTE: Substitute bonds can’t be issued
in some cases, including all HH savings bonds and  if any bond is within one full calendar month of its final maturity.
I/We hereb
y request
*When we reissue a Series EE or Series I savings bond, we no longer provide a paper bond.  The reissued bond is in
electronic form, i
n our online system TreasuryDirect.  NOTE: All series HH bonds have reached final maturity and can no
longer be reissued. For information on opening an account in TreasuryDirect, go to www.treasurydirect.gov.
6. DELIVERY INSTRUCTIONS
A. For Electronic Substitute Bonds - Series EE or I
TreasuryDirect account number  ________________________________
Account name ________________________________________________________________
Social
 Security Number or Employer Identification Number _______________________________
NOTE:  You may add a secondary owner or beneficiary once bonds have been replaced in electronic form within your 
TreasuryDirect account. 
 For more information, access your account and click on “How do I” at the top of the page to find 
instructions on how to add a secondary owner or beneficiary. 
TAX LIABILITY: 
If the name of a living owner or principal coowner of the bonds is eliminated from the registration, the owner or principal 
coowner must include the interest earned and previously unreported on the bonds to the date of the transaction on his  or her Federal 
income tax r
eturn for the year of the reissue. (Both registrants are considered to be coowners when bonds are registered in the form: "A" 
or "B.") T
he principal coowner is the coowner who (1) purchased the bonds with his or her own funds, or (2) received them as a gift, 
inheritance, or l
egacy, or as a result of judicial proceedings, and had them reissued in coownership form, provided he or she has 
received no contribution in 
money or money's worth for designating the other coowner on the bonds. If the r eissue is a reportable event, 
the interest 
earned on the bonds to the date of the reissue will be reported to the Internal Revenue Service (IRS) by a Federal Reserve 
Bank or Branch or the Bureau of the Fiscal Service under the Tax Equity and Fiscal Responsibility Act of 1982. THE OBLIGATION TO 
REPORT THE INTEREST CANNOT BE 
TRANSFERRED TO SOMEONE ELSE THROUGH A REISSUE TRANSACTION. If you have 
questions concerning the tax
 consequences, consult the IRS, or write to the Commissioner  of Internal Revenue, Washington, DC 20224. 
Unless we are otherwise informed,
 the first-named coowner will  be considered the principal coowner for the purpose of this transaction. 
*Substitute Electronic Bonds  Payment by Direct Deposit Apply to my savings bond debt to the Treasury

FS Form 1048    Department of the Treasury | Bureau of the Fiscal Service 3
B. For Direct Deposit Payment--Any Series of Bonds
Payee must pro
vide a Social Security Number or Employer Identification Number:  
______________________________________   OR __________________________________________
(Social Security Number of Payee) (Employer Identification Number of Payee) 
__________________________________ ______________________________________________________
(Name/Names on the Account) 
Bank Routing No. (nine digits and begins with 0, 1, 2, or 3): _______________________________ 
__________________________________
_______ Type of Account Checking Savings
 (Depositor’s Account No.) 
__________________________________ _________________ ______________________________
  (Financial Institution’s Name)   (Financial Instit ution’s Phone No.) 
7. Signatures and Certification
I/We severally petition the Secretary of the Treasury for relief as authorized by law and, if relief is granted, acknowledge that the original 
securities will become the property of the United States.  Upon the gr anting of relief, I/we assign all our right, title, and interest in the 
original securities to the United States and hereby bind myself/ourselves, my/our heirs, executors, administrators, successors and 
assigns, jointly and severally: (1) to surrender the original securities to the Department of the Treasury should they come into my/our 
possession; (
2) to hold the United States harmless on account of any claim by any other parties having, or  claiming to have, interests in 
these securities; a
nd (3) upon demand by the Department of the Treasury, to indemnify unconditionally the United States and repay to 
the Department of the Treasury all sums of money which the Department may pay due to the redemption of these original s ecurities, 
including 
any interest, administrative costs and penalties, and any other liability or losses incurred as a result of such redemption. I/We 
consent to the release of any information in this form or regarding the securities described to any party having an ownership or 
entitlement
 interest in these securities. 
I/We certify, under penalty of perjury, and severally affirm and say that the securities described on this form have been lost, stolen, or 
destroyed, an
d that the information given is true to the best of my/our knowledge and belief. 
 Sign in ink in the presence of a notary or certifying officer and provide the requested information.  
Sign  
Here:___________________________________________________________________________________________________ 
_____________________________________________________ ______________________________________________ 
(Print Name)   (Social Security Number) 
Mailing Address ________________________________________ ______________________________________________ 
(Number and Street or Rural Route)     (Daytime Telephone Number) 
_____________________________________________________ ______________________________________________ 
(City)       (State)              (ZIP Code)  (Email Address) 
Sign  
Here:___________________________________________________________________________________________________
_____________________________________________________ ______________________________________________
(Print Name)  (Social Security Number) 
Mailing Address ________________________________________ ______________________________________________
(Number and Street or Rural Route)   (Daytime Telephone Number) 
_____________________________________________________ 
(City)       (State)              (ZIP C ode) 
______________________________________________ 
 (Email Address) 
C. To be applied to my savings bond debt to the Treasury, Invoice # __________________________________

FS Form 1048    Department of the Treasury | Bureau of the Fiscal Service 4
Instructions t
o Notary or Certifying Officer:  1. Name(s) of the person(s) who appeared and date of appearance MUST be completed.  
2. Original signature is required if a Medallion stamp is used.  3. Person(s) must sign in your presence.
Sign  
Here:___________________________________________________________________________________________________ 
______________________________________________
_______ ______________________________________________ 
(Print Name)   (Social Security Number) 
Mailing Address ________________________________________ ______________________________________________ 
(Number and Street or Rural Route)     (Daytime Telephone Number) 
______________________________________________
_______ ______________________________________________ 
(City)       (State)              (ZIP Code)  (Email Address) 
I CERTIFY that  _________________________________________________________________________ , whose identity(ies) 
  (Names of Persons Who App eared) 
is/are known or proven t
o me, personally appeared before me this _______________ day of _______________     __________ 
(Month)                      (Year) 
at  ___________________________________________________  and signed this form. 
(City, State) 
________________________________________________________ 
  (Signature and Ti
tle of Notary or Certifying Officer) 
________________________________________________________ 
(Name of Financ
ial Institution) 
________________________________________________________ 
(Address)  
________________________________________________________ 
 (City, S
tate, ZIP code) 
________________________________________________________ SEE INSTRUCTI
ONS FOR ACCEPTABLE CERTIFICATION 
(Telephone) 
I CERTIFY that  _________________________________________________________________________ , whose identity(ies) 
  (Names of Persons Who App eared) 
is/are known or proven to me, personally appeared before me this _______________ day of _______________     __________ 
(Month)                      (Year) 
at  ___________________________________________________  and signed this form. 
(City, State) 
________________________________________________________ 
  (Signature and Ti
tle of Notary or Certifying Officer) 
________________________________________________________ 
(Name of Financ
ial Institution) 
________________________________________________________ 
(Address)  
________________________________________________________ 
 (City, S
tate, ZIP code) 
________________________________________________________ SEE INSTRUCTI
ONS FOR ACCEPTABLE CERTIFICATION 
(Telephone) 

FS Form 1048    Department of the Treasury | Bureau of the Fiscal Service 5
INSTRUCTIONS 
IF YOU LIVE IN A DECLARED DISASTER AREA:  You need to complete only parts 1, 5, 6B, and 7.  Write the word “DISASTER” on 
the top of the first page of the form and on the front of the envelope. 
PURPOSE OF FORM – Us
e this form to apply for relief on account of the loss, theft, or destruction of United States Savings Bonds. 
"Bonds," as used on this form, refers to Savings Bonds, Savings Notes, Retirement Plan Bonds, or Individual Retirement Bonds. 
WHO MAY APPLY – This f
orm must be completed and signed by all persons named on the bonds, or by an authorized representative. 
PROOF OF DEATH – If
 a registrant is deceased, you must submit a certified copy of his or her official death certificate with this form. 
LEGAL REPRESENTATIVE – If
 you were appointed as legal representative because: 
• the owner is deceased (with no surviving coowner or beneficiary named on the bonds), or
• the owner or coowner is a minor, or
• the owner or coowner is incapacitated, 
complete the form and submit a court certificate or c ertified copy of your letters of appointment, under court seal and dated within one 
year of submission, showing the appointment is still in full force.  If your name and official capac ity are shown in the registration of the 
bonds, evidence of your appointment is not n ecessary. 
If no legal representative has been appointed for a deceased or incompetent owner, advise the Bureau of the Fiscal Service and 
additional instructions will be provided. 
AMOUNT OF BONDS EXCEEDS $5,000 – If the amount of the bonds inv olved exceeds $5,000 and an inv estigation was made by a 
law enforcement agency or an insurance, transportation, or similar business organization, provide a copy of the report. 
COMPLETION OF FORM – Print clearly in ink or type all information requested. 
ITEM 1. Describe the missing bonds by bond serial number. State the total number of missing bonds. If you need more space to list 
bonds, attach either a  plain sheet of paper or attach a “Continuation Sheet for Listing Securities” (FS Form 3500), available at            
http://www.treasurydirect.gov/forms/sav3500.pdf. 
ITEM 2. M ark the appropriate boxes and provide complete details of the loss, theft, or destruction.  
ITEM 3. Provid e details regarding your authority to complete a claim for the missing bonds.  If you have been court-appointed, see 
"LEGAL REPRESENTATIVE" above. 
I CERTIFY that  _________________________________________________________________________ , whose identity(ies) 
  (Names of Persons Who Appeared ) 
is/are known or proven to me,
 personally appeared before me this _______________ day of _______________     __________ 
(Month)                      (Year) 
at  ___________________________________________________  and signed this form. 
(City, State) 
________________________________________________________ 
  (Signature and Titl
e of Notary or Certifying Officer) 
________________________________________________________ 
(Name of Financial
 Institution) 
________________________________________________________ 
(Address)  
________________________________________________________ 
 (City, Stat
e, ZIP code) 
________________________________________________________ SEE INSTRUCTIONS
 FOR ACCEPTABLE CERTIFICATION 
(Telephone) 

FS Form 1048    Department of the Treasury | Bureau of the Fiscal Service 6
ITEM 4. A minor (who does not have a court-a ppointed guardian) who is requesting payment or who is named on S eries HH bonds may 
complete and sign the form on his or her ow n behalf if, in the opinion of the notary or certifying officer, he or she is of sufficient competency 
and understanding t
o comprehend the nature of the transaction. The parents or parent w ith whom the minor resides must complete this 
item i
f a minor is named on the bonds and he or she is not of sufficient competency and understanding to complete the form on his or her 
own behalf, or is
 requesting electronic substitute bonds for Series EE or Series I.  Provide the minor’s name, date of birth, Social Security 
Number, and all other requested information. If the minor does not reside with either  parent, the form must be completed and signed by the 
individual w
ho furnishes the minor’s chief support. 
ITEM 5. Indicate whether you want substitute bonds , payment b y direct deposit, or to be applied to your savings bond debt to the Treasury 
• For Series EE and Series I bonds, we no longer issue substitute bonds in paper form. We issue those substitute bonds in
electronic form, in our online system TreasuryDirect.
• For Series HH 
bonds, we no longer issue substitute bonds. They have all reached final maturity and can only be paid by
direct deposit.
• If y
ou want substitute Series EE bonds or substitute Series I bonds, provide the TreasuryDirect account number.  If y ou
don’t
 have 
an account, you may open one at www.treasurydirect.gov.
• Series EE and Series I bonds issued February 2003 and later ar e not eligible for payment until one full year after issue; if
payment is
 requested and such bonds are less than one year  old, substitute bonds will be issued instead.
• If substitute
 bonds are requested and a bond is within less than one full calendar month of reaching its final maturity, or  has
reached final maturity,
 payment will be made instead.
ITEM 6.  Complete either section A, B, or C. Which section is appropriate for you depends on whether you want substitute bonds, 
payment, or to 
be applied to your savings bond debt.  
CERTIFICATION – 
Each person whose signature is required must appear before and establish identification to the satisfaction of a 
notary or
 authorized certifying officer.  The signatures to the form must be signed in the presence of the notary or officer.  The notary or 
certifying o
fficer must affix the seal or stamp which is used when certifying requests for payment.  Authorized certifyi ng officers are 
available at financ
ial institutions, including credit unions, in the United States.  Examples of acceptable seals and stamps: 
• The seal or stamp of a notary
• A financial institution’s official seal or stamp, including:  Signature Guaranteed seal or stamp; Endorsement Guaranteed seal or
stamp; Corporate seal or stamp (a corporate resolution isn’t required); or Issuing or paying agent seal or stamp (including name,
location, and four-digit identification number or nine-digit routing number)
• The seal or stamp of Treasury-recognized Signature Guarantee Programs or other Treasury-approved Medallion Programs
WHERE TO SEND – Send this form and any additional informati on to the address below.  Legal evidenc e or documentation you submit 
cannot
 be returned. 
Treasury Retail Securities Services, P.O. Box 9150, Minneapolis, MN 55480-9150 
NOTICE UNDER PRIVACY ACT AND PAPERWORK REDUCTION ACT 
The collection of the information you are requested to provide on this form is authorized by 31 U.S.C. CH. 31 relating to the public debt of 
the United States.  The furnishing of a Social Security Number, if requested, is also required by Section 6109 of the Internal Revenue Code 
(26 U.S.C. 6109). 
The purpose of requesting the information is to enable the Bureau of the Fiscal Service and its agents to issue securities, process 
transactions, make payments, identify owners and their accounts, and provide reports to the Internal Revenue Service.  Furnishing the 
information is voluntary; however, without the information, the Fiscal Service may be unable to process transactions. 
Information concerning securities holdings and transactions is considered confidential under Treasury regulations (31 CFR, Part 323) and 
the Privacy Act.  This information may be disclosed to a law enforcement agency for investigation purposes; courts and counsel for litigation 
purposes; others entitled to distribution or payment; agents and contractors to administer the public debt; agencies or entities for debt 
collection or to obtain current addresses for payment; agencies through approved computer matches; Congressional offices in response to 
an inquiry by the individual to whom the record pertains; as otherwise authorized by law or regulation. 
We estimate it will take you about 20 minutes to complete this form.  However, you are not required to provide information requested 
unless a valid OMB control number is displayed on the form.  Any comments or suggestions regarding this form should be sent to the 
Bureau of the Fiscal Service, Forms Management Officer, Parkersburg, WV 26106-1328.  DO NOT SEND completed form to this 
address; send to the address shown in "WHERE TO SEND" in the Instructions.