Once completed you can sign your fillable form or send for signing. I, give my consent to the issuance of a united states passport to my minor child named on this statement. Ds3053 0820 date of notarization date mmddyyyy page 2 of 2 u. Consular report of birth abroad form fs240 listing only applying parent, orchilds birth certificate listing only applying parent, oradoption decree if applying parent is sole. The passport parental consent, or statement of consent form ds3053, is used in the event a minor person.
Complete the part but it must be signed in front of a notary public. 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. Passport renewal application for eligible individuals. If one parentguardian cannot go with the child to apply for the passport, they can give permission by completing form ds3053 statement of consent. Consular report of birth abroad form fs240 listing only applying parent, orchilds birth certificate listing only applying parent, oradoption decree if applying parent is sole adopting parent, orcourt order granting sole custody to the applying parent. 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. Ds3053 form free download, create, edit, fill, print pdf. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship and guardianship. Application to determine returning resident status. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. If one parentguardian cannot appear with the child to apply for the passport, heshe can give a notarized statement of consent permission by completing form ds3053, along with a photocopy of parentguardian id at the time of application. Federal register notice of information collection under. Form ds3053 statement of consent pdf 51 kb completed by the absent parent must be notarized before a u. Issuance of a passport to a minor under age 16 online on.
Nonimmigrant treaty trader investor application use with. Ds 3053 form is used as a statement of consent where the absent parent agrees with the application for a passport of his minor child and confirms their personal data. A clear photocopy of the front and back of the identification you presented to the notary is required with this form. Sign and date form ds3053 in the presence of a certified notary public, and. 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. To use this application, you will have to download the ds3053, in pdf form. The state department requires that parents or guardians fill out the ds3053 statement of consent application form. The form can be downloaded here pdf 53kb 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. 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. Fill out, securely sign, print or email your form ds 3053 fillable instantly with signnow. Notary public, orevidence of the appearing parents sole authority to apply for the passport in the form of one of the following. In order to use this application you will have to download the ds3053 statement of consent application form this fillable pdf. Complete the form using black ink and write legibly.
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. You must submit the original completed consent form with the childs passport application. I declare under penalty of perjury that all statements made in this supporting document are true and correct. Ds 3053 form fill out and sign printable pdf template. Now this is one of the most sensitive parts of the passport form ds 3053. 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. Form ds82 may be submitted by mail to the address on the form. Ds3053 online application form for statement of consent. Issuance of a passport to a minor under age 16, omb control number 14050129 a notice by the state department on 102010. 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 ds3053 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. The ds3053 form is a onepage form consent statement, mainly for children under the age of 16. This form is used if the parent or guardian cannot be with the child at the time of application.
Statement of consent to be completed by the nonapplying parent or guardian using hisher information when not present at the time the applying parent or guardian submits the minors application. Statement of consent or special circumstance for minors passport. Us passport applications where only one parent can appear. Form ds3053 may be notarized at a kep office or before local police authorities. If the required sta tement is not s ubmitted, the minor may not be eligible to. Start a free trial now to save yourself time and money. Fill free fillable form ds3053 statement of consent. Form ds3053, statement of consent or special circumstances. Fill online, printable, fillable, blank statement of consent or special circumstances. 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. Statement of consent by nonapplying parent or guardian when he or she will not be. Statement of consent to be completed by the nonapplying parent or guardian when he or she will not be present at the time the applying parent or guardian submits the minors application.
Sign, fax and printable from pc, ipad, tablet or mobile. Fill consent form eforms instantly, download blank or editable online. Issuance of a passport to a minor under age 16 form ds3053 form. Statement of special circumstances to be completed by applying parent or guardian when the written consent of the nonapplying parent or guardian cannot be obtained. External links to other internet sites should not be construed as an endorsement of the views or privacy policies contained therein.
The information solicited on this form is requested pursuant to. Fill online, printable, fillable, blank form ds3053 statement of consent issuance of passport to a minor under age 16 form. If only one parent is able to appear they should furnish the following, in addition to forms and documents listed for the passport application. Statement of consent to be completed by the nonapplying parent or. Fill free fillable statement of consent or special. Statement of consent by nonapplying parent or guardian when he or she will not be present at the time the applying parent or guardian submits the childs application. Statement of consent forms, templates, charts free. 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. Form ds3053 pdf 41 kb statement of consent completed by the absent parent and notarized before a u. Is the fillable form ds3053 accompanied by other forms.
When they are applying for a us passport, they need the. Statement of special circumstances t obe c mpl e tdby applyi n gpar t r uar ian when the wr ten consent of the nonapplying parent or guardian cannot be obtained. If one custodial parent is not able to attend, she must submit a notarized form ds3053 statement of consent. Notary public, british notary public, or british solicitor. The parent or guardian should submit this special form in addition to their childs application ds11. The office of website management, bureau of public affairs, manages this site as a portal for information from the u. Passport parental consent form ds3053 eforms free fillable. If the required statement is not submitted, the minor may not be eligible to receive a u. It is like declaring and giving permit to the one who applies for the minors passport, so only the said parent should take care of this. Fill online, printable, fillable, blank form ds3053 statement of.
Statement of consent or special circumstance for minor passport is necessary when one parent is applying for a passport for a child without the other parent or has sole custody of the minor. Read warning and form instructions on omb expiration date. 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. Try now fill ds fillable, download blank or editable. The ds3053 fillable pdf you create here will be accessible from virtually any internetconnected device available.
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. Statement of consent to be completed by the nonapplying parent or guardian using hisher information when not. Printable and fillable statement of consent or special circumstances. Statement of consent issuance of a passport to a minor. The ds3053 statement of consent is a passport form that is used for the child passport if one of the parents or guardians cannot be present at the acceptance agent. 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. Fillable form ds3053 statement of consent or special circumstance for minor passport is when one parent is applying for a passport for a child without the other parent or. The information collected on this form is used in conjunction wi th the ds11, application for a u. Group informed consent and patient responsibilities form. Edit, fill, sign, download statement of consent or special circumstances.
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