A ds3053 form is for parental consent that is filled out by. This form is used if the parent or guardian cannot be with the child. Department of state statement of exigentspecial family circumstances for issuance of a u. One should give all the necessary supporting documents in order for the statement to be approved. Application for consular report of birth abroad of a citizen of the united states of america pdf 103 kb ds 3053. Submit a photocopy of the front and back side of your id valid u. Passport parental consent form ds 3053 eforms free. Ds3053 department of state forms us department of state. Ds 3053 122010 page 1 of 2 please visit our website at travel. Form ds3053 may be notarized at a kep office or before. The passport parental consent, or statement of consent form ds 3053, is used in the event a minor person under 16 years of age is applying for a passport and only one of the parentsguardians can be present. You should complete this form if you lost your passport or it has been stolen. If you are eligible to renew, you can complete the process by yourself and should not go to an acceptance facility.
Form ds82 may be submitted by mail to the address on the form. Should you locate the passport after reporting it lost or stolen, submit it for cancellation to the consular lost and stolen passport unit clasp. The required documents depend on the age of the applicant and whether or not the passport is being renewed or corrected. In the ds 3053 fillable form you will see tables 1 and 2, the person. Once completed you can sign your fillable form or send for signing. You are a nonapplying parent or guardian consenting to passport issuance for your child, or. Get more information about filing a ds3053 form granting statement of. The information collected on this form is used in conjunction wi th the ds 11, application for a u.
This form should be submitted, along with the ds11. For foreign citizens who want to live permanently in the united states. Click on save click the link to open the form in pdf format. Fill online, printable, fillable, blank form ds3053 statement of consent issuance of passport to a minor under age 16 form. Collection of the information solicited on this form is authorized by titles 8, 22. External links to other internet sites should not be construed as an endorsement of the views or privacy policies contained therein. This consent form should be used if one of the minors parents or guardians cannot be present at the time that the passport. Fill out, securely sign, print or email your form ds 3053 fillable instantly with signnow. When a minor under age of 16 applies for a passport and one of the minors parent or legal guardians is unavailable at the time the passport is executed, a completed and notarized ds 3053. Proper completion of this form includes signing it in front of a notary as well as having the document notarized.
Issuance of a passport to a minor under age 16 form ds 3053 form. The state department requires that parents or guardians fill out the ds 3053 statement of consent application form. Application for consular report of birth abroad of a citizen of the united states of america pdf 103 kb ds3053. Ds 3053 form fill out and sign printable pdf template. This form should be submitted with a ds11 application to any designated acceptance facility of u. Form ds 3053 is a supporting document that often must be completed if a minor under the age of 16 years is applying for a us passport. Passport, you are required to fill out and submit a ds 64 with this application. During the filing process, filling out the form ds 3053 should be taken care of accurately. The child passport is one of false statements made knowingly and willfully on passport.
Make an appointment to submit your passport application. Statement of consent for issuing a passport to a child ds3053 you should complete this form if one parent or guardian cannot go with the child to apply in person for the childs passport. You must submit the original completed consent form with the childs passport. The office of website management, bureau of public affairs, manages this site as a portal for information from the u. The ds3053 form is a onepage form consent statement, mainly for children under the age of 16. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship. We are aware forms ds11, ds3053, and ds5525 are expired. Statement of consent for issuing a passport to a child ds 3053 you should complete this form if one parent or guardian cannot go with the child to apply in person for the childs passport. Passport form ds 3053 is a federal document that you may need to know about if you or your child is applying for travel documents. Statement of consent for issuing a passport to a child ds 3053 you should complete this form.
The advanced tools of the editor will lead you through the editable pdf template. Can i send a copy of the notarized form ds3053 through. The most secure digital platform to get legally binding, electronically signed documents in just a few. Form ds3053 statement of consent pdf 51 kb completed by the absent parent must be notarized before a u. Both parentsguardians must authorize the issuance of a minors passport. Form ds11 fill online, printable, fillable blank ds11. Statement of consent issuance of a passport to a minor under age 16 ds3053 pdf 42 kb this form should be submitted, along with the ds11 application for passport, for minors under age 16 as evidence of parental permission if. Date and sign the ds 3053 parental consent passport form in the presence of a certified notary public and submit a photocopy of the front and back of the same identification shown at the notary public with the ds 3053 form. Applicants must apply in person at an acceptance facility. Statement of consent issuance of a passport to a minor under age 16 ds 3053 pdf 42 kb this form should be submitted, along with the ds 11 application for passport, for minors under age 16 as evidence of parental permission if.
Ds11 passport form 2020 fill online form ds11 for u. Sign and date form ds 3053 in the presence of a certified notary public, and. Links to external websites are provided as a convenience and should not be construed as an endorsement by the u. Form ds3053 pdf 41 kb statement of consent completed by the absent parent and notarized before a u. If one custodial parent is not able to attend, she must submit a notarized form ds 3053 statement of consent. You must submit the completed form with the childs passport application. Form ds 3053 statement of consent pdf 51 kb completed by the absent parent must be notarized before a u. This consent form should be used if one of the minors parents or guardians cannot be present at the time that the passport is being executed.
Though form ds 11 is the application for a childs passport, form ds 3053 must be included as part of that application. If one parent cannot be present, the applying parent must present an original, notarized form ds3053 statement of consent pdf 28 kb from. The passport parental consent form, otherwise known as form ds3053, is used when a minor under the age of sixteen 16 is applying for a passport. Ds3053 form free download, create, edit, fill, print pdf. When they are applying for a us passport, they need the. Department of state, bureau of consular affairs, passport services, office of legal affairs and law enforcement liaison, attn. Though form ds11 is the application for a childs passport, form ds3053. Applicants must apply in person at a passport agency.
The information collected on this form is used in conjunction wi th the ds11, application for a u. Everyone must file this form to become a fully rightful us citizen. Turn them into templates for multiple use, add fillable fields to collect recipients. Statement of consent issuance of a passport to a minor under age 16 ds3053 pdf 42 kb. The information solicited on this form may be available made as a routine use to other government agencies to assist the u. Specifically, this form is a passport parent consent form that you may need to submit if you cannot be present when your child applies for his or her travel documents.
When a m inor under the age of 16 applies for a passport and one of the minors parents or legal guardians is unavailable at the time the passport is execu ted, a completed. Submit a photocopy of the front and back side of the id that they present to the notary public with form ds 3053. Fill online, printable, fillable, blank form ds 3053 statement of consent issuance of passport to a minor under age 16 form. Download the ds 3053 statement of consent application form this fillable pdf document is used when parents would not be able to present the child passport application to the acceptance agent. You must submit the original completed consent form with the childs passport application. Jan 18, 2019 use form ds 3053 when one of the parent or guardian is not present with the child. Passport applications and forms due to public health measures to prevent the spread of covid19, we suspended offering expedited service on march 19, 2020. Note, the approval of special circumstance is at the discretion of official passport agents. All payments are made at the consular section of the u. A scanned copy of ds3053 will not be accepted unless there is an emergency need to travel if one parentguardian cannot go with the child to apply for the passport, they can give permission by completing form ds3053 statement of consent.
Adults passport issued more than 15 years ago proof of citizenship and identity your u. Fill online, printable, fillable, blank statement of consent or special circumstances. You are a nonapplying parent or guardian consenting to passport. Ds 11 fillable form is a federal document that every citizen uses to apply for a us passport. Us passport applications where only one parent can appear. Children under 16 bureau of consular affairs us department of. Download the ds3053 statement of consent application form this fillable pdf document is used when parents would not be able to present the child passport application to the acceptance agent.
Ds3053 application form for child passport travel visa pro. Issuance of a passport to a minor under age 16 pdf 42 kb ds5504. Use form ds 3053 when one of the parent or guardian is not present with the child. Name change, data correction, and limited passport book replacement pdf.
If one custodial parent is not able to attend, she must submit a notarized form ds3053 statement of consent. Use this stepbystep guide to fill out the form ds 3053 fillable promptly and with excellent accuracy. Both parents or legal guardians must authorize the us department of state to issue their childs passport by appearing in person with the child at a regional passport. Passport parental consent form ds3053 eforms free fillable.
The information collected on this form is used in conjunction with the ds 11, application for a u. Department of state adjudicating in passport applications and requests related for services, and for law enforcement and administrative purposes. For travel to the united states on a temporary basis, including tourism, temporary employment, study and exchange. Form ds3053 is a supporting document that often must be completed if a minor under the age of 16 years is applying for a us passport.
May 28, 2019 ds 3053 fillable pdf download the ds statement of consent application form this fillable pdf document is used when parents would not be able to present the child passport. Form ds 3053 pdf 41 kb statement of consent completed by the absent parent and notarized before a u. The passport parental consent, or statement of consent form ds3053. At the time the ds3053 form is presented, a copy of the same identity document used to notarize the form must also be provided. When a minor under age of 16 applies for a passport and one of the minors parent or legal guardians is unavailable at the time the passport is executed, a completed and notarized ds3053 can be used as the statement of consent.
Notary public, british notary public, or british solicitor. Services records state05 and passport records state26 published in the federal register. If only one parent is able to appear they should furnish the following, in addition to forms and documents listed for the passport application. The form filler works best if you are in the united states or renewing by mail from canada. All minor applicants must be present with both parents when the passport application is submitted. Failure to provide the information requested on this form may result in passport services refusal to accept your application or result in the denial of a u. The information collected on this form is used in conjun ction wi th the ds11, application for a u. When a m inor under the age of 16 applies for a passport and one of the minors parents or legal guardians is unavailable at the time the passport. Department of state of the views or products contained therein.
Specifically, this form is a passport parent consent form that you may. Failure to provide the information requested on this form may also result in the denial of a united states passport, related document, or service to the individual seeking such passport, document, or service. Download the ds 3053 statement of consent application form this fillable pdf document is used when parents would not be able to present the child passport. Public reporting burden for this collection of information is estimated to average 5 minutes per response, including. While applying for a new passport, you will have to fill out a detailed sample child passport application form. Notary public, orevidence of the appearing parents sole authority to apply for the passport in the form of one of the following. Form ds 3053 is required when one parent or guardian who does not have sole legal custody applies for a minors passport since the general rule requires the signature of both parents. This document is officially called a statement of exigentspecial family circumstances for issuance of a u. Both parents or legal guardians must authorize the us department of state to issue their childs passport by appearing in person with the child at a regional passport office. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship and guardianship. You may learn that you need to fill out passport form ds 5525 if you are helping your child to complete a passport card or book application. The nonapplying parent or guardian providing written consent for your minor child to apply for a u. The passport parental consent, or statement of consent form ds3053, is used in the event a minor person under 16 years of age is applying for a passport and only one of the parentsguardians can be present. Form ds 3053 is required when one parent or guardian who does not have sole legal custody applies for a minors passport.
Passport renewal application for eligible individuals. Before filing the form, you must make sure that you have reached the right age, and you havent received a passport. To fill out a passport application online, how to complete the ds 3053 parental consent passport form. The information collected on this form is used in conjunction with the ds11, application for a u. My consent is unconditional in regards to p assport validity and travel. Issuance of a passport to a minor under age 16 pdf 42 kb ds 5504. Passport forms bureau of consular affairs us department of state. You should expect significant delays if you applied for or renewed your passport. The parent or guardian should submit this special form in addition to their childs application ds11. You may still use all these forms when applying for your.
Due to public health measures to prevent the spread of covid19, we suspended offering expedited service on march 19, 2020. Government id or alien resident card that you presented to the notary public with form ds3053. Fill free fillable form ds3053 statement of consent. Department of state statement of exigentspecial family circumstances. Ds5525 statement of exigent special family circumstances. In addition, contact the national passport information center npic tollfree at. Ds3053 statement of consent for minors passport us passport. The passport parental consent form, otherwise known as form ds 3053, is used when a minor under the age of sixteen 16 is applying for a passport.
A scanned copy of ds 3053 will not be accepted unless there is an emergency need to travel if one parentguardian cannot go with the child to apply for the passport, they can give permission by completing form ds 3053 statement of consent. The way to complete the online ds 3053 form on the internet. This form is used if the parent or guardian cannot be with the child at the time of application. You should expect significant delays if you applied for or renewed your passport and requested routine service.
Reap the benefits of a digital solution to create, edit and sign contracts in pdf or word format online. Ds3053 online application form for statement of consent. Statement of consent or special circumstance for minors passport. Ds 3053 form fill out and sign printable pdf template signnow. The information collected on this form is used in conjun ction wi th the ds 11, application for a u. The notary section of this form does not include a normal notarial certificate or venue. At the time the ds 3053 form is presented, a copy of the same identity document used to notarize the form must also be provided. To replace a lost or stolen passport, you must apply in person and submit form ds 11 in addition to form ds 64. The state department requires that parents or guardians fill out the ds3053 statement of consent application form. When a minor under the age of 16 applies for a passport and one of the minors parents or legal guardians is unavailable at the time the passport is executed, a completed and notarized ds3053 can be used as the statement of consent. Consular report of birth abroad form fs240 listing only applying parent, orchilds birth certificate listing only applying parent, oradoption decree if. Original birth certificate with english translation if applicable applicants most recent passport parents valid passports or governmentissued photo ids ds11 passport form pdf 100 kb with form ds11 please bring primary proof.
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