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. Sign, fax and printable from pc, ipad, tablet or mobile. This form is used if the parent or guardian cannot be with the child at the time of application. Department of state adjudicating in passport applications and requests related for services, and for law enforcement and administrative purposes. It is important to submit form ds 3053 with a childs passport application and to ensure that uscis form ds 3053 is correctly dated and notarized by a notary public. Download printable form ds3053 in pdf the latest version applicable for 2020. The way to complete the online ds 3053 form on the internet. 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. Ds 3053 form is used as a statement of consent where the absent parent. Ds 3053 122010 page 1 of 2 please visit our website at travel. The department of state instructions on pages one and two of forms ds 11 and ds 82 should be disregarded. In addition, contact the national passport information center npic tollfree at. Ds3053 department of state forms us department of state.
Form ds 3053 statement of consent pdf 51 kb completed by the absent parent must be notarized before a u. 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. Though form ds11 is the application for a childs passport, form ds3053. Form ds 3053 may be notarized at a kep office or before. The nonapplying parent or guardian providing written consent for your minor child to apply for a u. Fill online, printable, fillable, blank form ds 3053 statement of consent issuance of passport to a minor under age 16 form. Form ds82 is used when renewing a passport that was issued to an applicant age 16 or older. Statement of exigentspecial family circumstances form ds5525 this form is used for a minor passport service if one or both parents are not ready to go with the child to the passport acceptance office, and is it not possible for the nongoing parents to sign form ds3053, the statement of consent. Services records state05 and passport records state26 published in the federal register. We can expedite your childs passport as quickly as. 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. Put an electronic signature on the 2016 2019 ds3053 printable while using the help of sign tool.
Form ds82 may be submitted by mail to the address on the form. External links to other internet sites should not be construed as an endorsement of. 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. 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. False statements made knowingly and willfully in passport applications or in affidavits or other supporting documents submitted therewith are punishable by fine andor imprisonment under the provisions of 18 u. Ds form free download, create, edit, fill, print pdf wondershare pdfelement. In some situations, a ds3053 may also be necessary in order for a child to apply for and receive a us passport. Passport and required supporting documents at an application acceptance facility or, in cases of urgent travel needs, a regional passport agency.
Department of state, united states executive departments forms, legal, united states federal legal forms and united states legal forms. 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. Immigration form ds 3053 must be correctly filled out and properly filed in order for the minor to be issued a passport. The information solicited on this form may be available made as a routine use to other government agencies to assist the u. Check out as fillabel guest our system will cross reference your ds 3053 fillable and birthday and add this order to. Supplemental forms to process your passport application. 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. The information collected on this form is used in conjun ction wi th the ds11, application for a u. Please submit this form with your minor childs new ds11 passport application to any. Note, the approval of special circumstance is at the discretion of official passport agents. Please click sample 1 pdf 1mb and sample 2 pdf 1mb for an example of a correctly completed ds2029. Form ds3053 allows for one parent to appear in person with the child for their passport application, provided the other has completed the form giving their approval for a passport to be issue in their childs name in front of a notary public with their id. 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. The information collected on this form is used in conjun ction with the ds11, application for a u.
A ds 3053 form is for parental consent that is filled out by. The forms listed below are pdf files, which can be downloaded using adobe reader. May 28, 2019 ds 3053 fillable pdf admin may 28, 2019 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. Ds3053 form free download, create, edit, fill and print. Applicants must apply in person at an acceptance facility. Passport parental consent form ds3053 eforms free fillable. Adobe pdf 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. If you are thinking about applying for or renewing a u. This form can be used at any time during the validity of the passport or. The passport parental consent, or statement of consent form ds3053, is used. Statement can not be more than 3 months old and must come with a photocopy of the front and back side of the second parents identification, or. How to complete the ds3053 parental consent passport form. Fill free fillable form ds3053 statement of consent.
It is a conjunction of the passport application form which is normally given first and what usually were handled to adults. Pdf editor allows you to make modifications on your 2016 2019 ds3053 fill online from any internet. How form ds3053 prevents international child abduction us. Failure to use the correct form will result in a delay in the issuance of your passport. In all cases, form ds3053 must be submitted along with form ds11.
However, if parents have no way of contacting their childs other parent, they must fill out a ds 5525 form to notify the government that. 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. Either item 4a or item 5 must be filled out on this form. The advanced tools of the editor will lead you through the editable pdf template. When they are applying for a us passport, they need the permission of their parents or guardian. The ds3053 form is a onepage form consent statement, mainly for children under the age of 16. Passport application for child of usc born abroad ds5507. The information collected on this form is used in conjunction with the ds11, application for a u. Applicants who are renewing their passport, changing their legal name or correcting information on a previous passport issued may use the form ds82 if all of the following are true. Pdfelement edit, annotate, fill and sign pdf documents. If the form is hard to read, the application may be denied. Medical history and examination for foreign service for children 11 years and under.
Collection of the information solicited on this form is authorized by titles 8, 22. 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. The parent or guardian should submit this special form in addition to their childs application ds11. Ds64 is used when reporting your passport as lost or stolen once you submit an application ds64 this notify the government that your passport is lost or stolen. 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. Notary public, british notary public, or british solicitor.
If only one parent is able to appear they should furnish the following, in addition to forms and documents listed for the passport application. There are two forms you must choose from when filing for a passport name change, please choose the appropriate form based ds 3053 fillable your condition. You are a nonapplying parent or guardian consenting to passport issuance for your child, or. 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.
The nonapplying parent must sign and date form ds3053 in the presence of the certified notary public. 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. Ds3053 2016 2019 form complete and download in pdf. Statement of consent, form ds3053 pdf 53 kb, notarized by a notary public in the u. Passport applicants can either download the ds3053 from the internet or obtain one from an acceptance facilitypassport agency. This form should be submitted with a ds11 application to any designated acceptance facility of u. If you need your passport fast, call us today and a professional passport specialist can help make sure you complete the forms correctly. Pages 3 and 4 of this form must be presented and signed in person in the presence of a consular officer.
Distribute the prepared form by using electronic mail or fax, print it out or download on your device. 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. If you do not have adobe reader, download the latest version of adobe acrobat reader from here. Ds3053 form free download, create, edit, fill, print pdf. A clear photocopy of the front and back of the identification you presented to the notary is required with this form. Stolen passport form ds 64 ds 64 is used when reporting your passport as lost or stolen once you submit an application ds 64 this notify the government that your passport is lost or stolen. If one of the parents cannot be present at the same time, the applying parent should present an original signed and notarized ds3053pdf 51kb along with a copy of the nonpresent parents identification used in the ds3053. The information collected on this form is used in conjunction wi th the ds 11, application for a u. Second parents notarized written statement or ds3053 including the childs full name and date of birth consenting to the passport issuance for the child.
It is recommended that the form be filled out completely and legibly, as incomplete forms or illegible writing can cause delays in application processing times. Passport renewal application for eligible individuals. If the parents or guardian cannot be present for the appointment of the application personally, they will need to fill out the ds 3053 form, in which. 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. To replace a lost or stolen passport, you must apply in person and submit form ds11 in addition to form ds64. The parent who is applying should submit this special form in addition to their childs application ds11. The form must be completed, signed, and submitted along with the applicants ds11, application for a u. 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.
Application for passport form ds82 use if you currently hold a valid or recently. I declare under penalty of perjury that all statements made in this supporting document are true and correct. Applicants must apply in person at a passport agency. Use this stepbystep guide to fill out the form ds 3053 fillable promptly and with excellent accuracy. Ds3053 application form for child passport travel visa pro. Form ds3053 statement of consent pdf 51 kb completed by the absent parent must be notarized before a u. The required documents depend on the age of the applicant and whether or not the passport is being renewed or corrected. 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. Please click sample parental consent pdf 246kb for an example of. I, give my consent to the issuance of a united states passport to my minor child named on this statement. Nonimmigrant treaty trader investor application use with form ds 156i129. 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.
If one of the guardians cannot attend, he or she must fill out ds3053, the statement of consent for issuing a passport to a child form. Statement of consentformds3053 is used when applying for a child passport and have a special circumstance. Department of state in adjudicating passport applications and requests for related services, and for law enforcement and administrative purposes. Use form ds3053 when one of the parent or guardian is not present with the child. In the case of a child under 14 years of age, both parents must be present. Ds 3053 form fill out and sign printable pdf template. Statement of exigentspecial family circumstances for issuance of a passport to a minor under age 16 pdf 48 kb ss5fs. 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. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship and guardianship. The pdf form ds3053 must be printed and filled out using black ink. This must be notarized by a licensed notary public in the united states or at a u. Because of public health measures to prevent the spread of covid19, we have extremely limited u.
The state department requires that parents or guardians fill out the ds3053 statement of. If one custodial parent is not able to attend, she must submit a notarized form ds 3053 statement of consent. Fill consent form eforms instantly, download blank or editable online. Both parentsguardians must authorize the issuance of a minors passport. Ds3053 122010 page 1 of 2 please visit our website at travel. Ds3053pdf 29kb notarized statement of consent and a certified copy of the other nonapplying parents id document if a parent cannot be present for the appointment.
Try now fill ds fillable, download blank or editable. Original birth certificate with english translation if applicable applicants most recent passport parents valid passports or governmentissued photo ids ds 11 passport form pdf 100 kb with form ds 11 please bring primary proof. You will be able to apply using the ds application form without the ds because you are the legal parent of the child. Issuance of a passport to a minor under age 16 pdf 42 kb ds 5504. Ds3053 child passport application passports and visas. If the parents or guardian cannot be present for the appointment of the application personally, they will need to fill out the ds 3053 form, in which the complete instructons on how to fill out the form is included. Passport to a minor under age 16 online and print it out for free. The information solicited on this form may be made available as a routine use to other government agencies to assist the u. Us passport applications where only one parent can appear. Issuance of a passport to a minor under age 16 ds3053 pdf 42 kb. To use this application, you will have to download the ds3053, in pdf form. Jan 21, 2020 statement of consent form ds 3053 is used when applying for a child passport and have a special circumstance. Application for a consular report of birth abroad crba, form ds2029 pdf file.
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