Fill online, printable, fillable, blank form ds3053 statement of consent issuance of passport to a minor under age 16 form. Instructions application for consular report of birth abroad of a citizen of the united states of america a consular report of birth abroad may be issued for any u. Fillable ds 3053 8 20 form description passport services bureau of consular. Department of state in adjudicating passport applications and for law. Printable and fillable statement of consent or special. The information solicited on this form is requested pursuant to 22 u. 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 can be used as the statement of consent. This form is used if the parent or guardian cannot be with the child at the time of application. 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. Fill online, printable, fillable, blank form ds4083 20 certificate of loss of nationality pdf form.
If a parent or guardian has sole custody of the child, then this form is not necessary. Ds3053 form free download, create, edit, fill, print pdf. Us passport application form for minor respond to a letter or email passport paal consent form ds 3053 eforms free fillable forms ds 3053 form free create edit fill print pdf travel. Complete item 4a, statement of consent, only if you are a nonapplying parent or guardian consenting to the issuance of a. Do i need to fill out ds5507 if im not physically present. Department of state j1 visa waiver recommendation application instructions the response time is an estimated average including the time needed to look for, get, and provide the information. State department form ds 3053 statement of consent. Jan 18, 2019 use form ds 3053 when one of the parent or guardian is not present with the child. Collection of the information solicited on this form is authorized by titles 8, 22, and 26 of the united. Notaries in states where the certificate wording printed on the 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.
You can also find a lot of really unique templates here that you simply cant find in other places. Passport renewal application for eligible individuals. Box apartmentunit city state zip code phone number relationship. Edit, fill, sign, download statement of consent or special circumstances. In certain countries, a ds 3053 must be notarized at a u. Statement of consent or special circumstance for minor passport pdf. 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. Ds3053 statement of consent 583k ds3053 statement of consent. Ds 3053 08 20 date of notarization date mmddyyyy page 2 of 2 u. To use this application, you will have to download the ds 3053, in pdf form. Dec, 2018 us passport application form for minor respond to a letter or email passport paal consent form ds 3053 eforms free fillable forms ds 3053 form free create edit fill print pdf travel state gov passport forms ds 3053 brilliant us. Open the pdf file from your desktop or adobe acrobat.
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 ds 3053 can be used as the statement of consent. The pdf form ds3053 must be printed and filled out using black ink. Statement of consent to be completed by the nonapplying parent or. Ds 3053 fillable pdf pdf ds 82 fillable pdf ds 11 fillable pdf pdf fillable pdf free pdf fillable acord 125 pdf fillable 5500 pdf. Fill free fillable form ds3053 statement of consent. To use this application, you will have to download the ds3053, in pdf form. Statement of consent for issuing a passport to a child ds3053 you should complete this. The passport parental consent, or statement of consent form ds3053, is used in the event a minor person. Department of state j1 visa waiver recommendation application instructions the response time is an estimated average. Start a free trial now to save yourself time and money. Follow the instructions on form ds82 and send your application and supporting documents to one of the addresses marked for routine service.
Passport parental consent form ds3053 eforms free fillable. Follow the steps below to download and view the form on a desktop pc or mac. Fillable form ds3053 20 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 has sole custody of the. Application to determine returning resident status. Printable and fillable statement of consent or special circumstances. Mar 09, 2020 down load printable variety ds3053 in just pdf the newest variation suitable for 2019. Ds5520 0620 page 1 of 3 public reporting burden for this collection of information is estimated to average 45 minutes per response, including the time required for searching existing data sources. 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. If your most recent passport is valid and needs additional pages, you can submit your passport, form ds 4085, and the current fee. Ds 11 c 09 20 2 pc of id ds 3053 ds 64 ds 55ds5520 citz ws ds 10 ds 86 ds 71 irl cis ver 20. Failure to provide the information requested on this form may result in the refusal or denial of a u. Fill out form ds3053 sections 14, including minors name, minors. This form is used if the parent or guardian cannot be with the child.
Read warning and form instructions on omb expiration date. Ds 3053 printable form that are declarative suzannes blog. Please select the documents for which you are applying. Fill free fillable form ds4083 20 certificate of loss. Sign, fax and printable from pc, ipad, tablet or mobile. Please submit this form w ith your minor childs new ds11 passport application to any designat ed acceptance facility, u. The parent or guardian should submit this special form in addition to their childs application ds11.
Links to external websites are provided as a convenience and should not be construed as an endorsement by the u. 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. Download the beautiful formulario ds 3053, free collection of business forms, business plan, business documents, and others business templates. 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. The state department requires that parents or guardians fill out the ds3053 statement of consent application form. Pport towards a minimal beneath age 16 online and print it out for costfree. A clear photocopy of the front and back of the identification you presented to the notary is required with this form. Second parents notarized written statement or ds3053 including the childs full name and date of birth consenting to the passport.
Department of state of the views or products contained therein. If the parents or guardian cannot be present for the appointment of the application personally. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Getting a passport travel state gov passport forms ds 82 form resume examples if so we need more information from you in order to process your passport application learn how. Fillable form ds 3053 20 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 has sole custody of the minor. Read warning and form instructions on page 1 signature of parent or guardian date. Below is a list of documents you must submit with your ds3053. Signature of nonapplying parent or guardian date mmddyyyy note. The information collected on this form is used in conjunction wi th the ds11, application for a u. Customer service representatives are available mondayfriday. Second parents notarized written statement or ds3053 including the childs full name and date of birth consenting to the passport issuance for the child. Nonimmigrant treaty trader investor application use with form ds 156i129. What is ds3053 form parents must be always there during many kinds of events in our lives, especially into our kids.
Dealing with notary errors on government documents nna. 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. A clear photocopy of the front and back of the identification you presented to the notary is required with this. The information collected on this form is used in conjunction with the ds 11, application for a u. Ds5525 statement of exigentspecial family circumstances pdf. Emergency contact provide the information of a person not traveling with you to be contacted in. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship and guardianship. The information collected on this form is used in conjunction with the ds11, application for a u.
Section of country, united says government departments kinds and prison. 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. Form 3053, notification of rights and responsibilities, complaint procedures, and allegations of abuse, neglect or exploitation. Form 3053, notification of rights and responsibilities. When they are applying for a us passport, they need the permission of their parents or guardian. Department of state important notice changes in passport program february 1, 2008 passport services would like to make all. Ds 3053 form fill out and sign printable pdf template signnow. The ds3053 form is a onepage form consent statement, mainly for children under the age of 16. I declare under penalty of perjury that all statements made in this supporting document are true and correct. The information solicited on this form may be made available as a routine use to other government agencies to assist the u. Ds3053 national passport service paperwork reduction act statement. Fill out, securely sign, print or email your ds 3053 20 form instantly with signnow.
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. Read warning and form instructions on page 1 signature of parent or guardian date mmddyyyy oath. Down load printable variety ds3053 in just pdf the newest variation suitable for 2019. Issuance of a passport to a minor requires a notary to perform a jurat or verification upon oath or affirmation for a document signer. All statements and documents are subject to verification. Department of state ds and other nonuscis forms uscis. Dealing with notary errors on government documents. Fillable form ds4083 20 certificate of loss of nationality pdf.
The ds3053 form which is by the way a nationallyused formuniversal form used by a federal agency was sent to a philadelphia passport agency in sterling. Fill online, printable, fillable, blank form ds3053 statement of. Links to external websites are provided as a convenience and should not be. Ds 3053 form fill out and sign printable pdf template. Emergency contact provide the information of a person not traveling with you to be contacted in the event of an emergency. The child passport is for all applicants ages 15 or younger applying for a passport. How to complete the ds3053 parental consent passport form the child passport is one of the more difficult passports to apply for, so please follow the instructions carefully. If a parent or guardian has sole custody of the child, then this form is not necessary, and you would be able to apply for the childs passport without the other parent using the ds 11 application form for new passport. Fillable ds 3053 8 20 form description passport services bureau of consular affairs u. What is ds 3053 form parents must be always there during many kinds of events in our lives, especially into our kids. Issuance of a passport to a minor under age 16 online on.
Ds11 062016 instruction page 1 of 4 applicants born in the united states submit a previous ds 3053 20 form ds. 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. Notaries in states where the certificate wording printed on the ds3053 meets state law requirements may notarize the document. How to complete the ds3053 parental consent passport form. A ds 3053 form, also known as statement of consent or parental consent is one of the requirements that plays a big role upon getting a passport for a minor, and can be used during special circumstances. Department of state ds and other nonuscis forms certain forms relating to visas, passports and travel are available only from government agencies other than uscis. 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. Ds 11 c 09 20 2 pc of id ds3053 ds64 ds55ds5520 citz ws ds10 ds86 ds71 irl cis ver 20. Ds3053 online application form for statement of consent. A certified order of a court of competent jurisdiction granting guardianship to the institutionentity. When a minor under age of 16 applies for a passport and one of the minors parent or legal.
Form ds4083 20 certificate of loss of nationality pdf. For passport and travel information, please visit our website at travel. A ds3053 form, also known as statement of consent or parental consent is one of the. When a minor under the age of 16 applies for a passport and one of the minors parents or. To replace a lost or stolen passport, you must apply in person and submit form ds11 in addition to form ds64. To replace a lost or stolen passport, you must apply in person and submit form ds 11 in addition to form ds 64. Note that ds 3053 is valid for only ninety days from the time of notarization. Ds3053 0820 date of notarization date mmddyyyy page 2 of 2 u. Fillable forms cannot be viewed on mobile or tablet devices. New mandatory california notary certificate wording takes. Ds 11 062016 instruction page 1 of 4 applicants born in the united states submit a previous ds 3053 20 form ds 3053 08 20 page 1 of 2 omb control no.