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