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. File this form for each person for whom you withheld and paid any foreign tax on interest or from whom you withheld and did not refund any federal income tax under the backup withholding rules regardless of the amount of the payment. If your most recent passport is valid and needs additional pages, you can submit your passport. Read warning and form instructions on page 1 signature of parent or guardian date mmddyyyy oath. What are the special circumstances that can be accepted. Both parents or guardians should appear with the child applying for a us passport. When youre filling out the form ds82 for a passport renewal youll be required to have a passport photo and some other personal details including your full name, date of birth, and address. The child passport application form is similar one that is used by adults who need to get a passport. Free download the best passport form templates in the internet and edit, fill, print, sign. Ds 3053 consent form information so you are traveling out of the country and your child under the age of 16 needs a new passport.
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. Free download ds82 form pdfelement pdf editor software. For more information regarding reporting a lost or stolen u. Generally, the more information you are able to provide, the faster we may be able to process your u. Statement of consent for issuing a passport to a child ds3053 you should. To renew your passport schedule an appointment and appear in person to the consular section of the u. A written s tatement or ds3053 made under penalty of perjury explaining in detail the second parents unavailability. Department of state statement of exigentspecial family.
This form, ds11, is used to get a new passport for the first time. Complete item 4a, statement of consent, only if you are a nonapplying parent or guardian consenting to the issuance of a passport for your minor child. Form ds3053 must have an original ink signature and must be notarized. The information collected on this form is used in conjunction wi th the ds11, application for a u. Jan 21, 2020 acceptable forms of photo id include an old passport, a drivers license, a military id, a certificate of naturalization or citizenship, or a government employee id. If a parent or guardian has sole custody of the child, then this form is not. The information collected on this form is used in conjunction wi th the ds 11, application for a u. This form is used if the parent or guardian cannot be. To replace a lost or stolen passport, you must apply in person and submit form ds11 in addition to form ds64. We are aware forms ds 11, ds 3053, and ds 5525 are expired. New passport application form ds11 filled out online at pptform. The nonapplying parentguardian must sign form 3053 in front of a notary and present a piece of governmentissued photo identification.
This form is used if the parent or guardian cannot be with the child at the time of application. Passport, for obtaining a passport of the united states by an underage person in a situation where a. Acceptable forms of photo id include an old passport, a drivers license, a military id, a certificate of naturalization or citizenship, or a government employee id. If a child is under the age of 16 it is always a new. Passport renewal application for eligible individuals. If your most recent passport is valid and needs additional pages, you can submit your passport, form ds 4085, and the current fee. Find other professionally designed templates in tidyform. A complete guide on using the fillable ds 11, ds 82, ds 64, ds 3053, ds 5504, ds 4085 application form for passport renewals with download links. 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. This identification must be photocopied front and back and submitted along with the parental consent form. To use this application, you will have to download the ds3053, in pdf form.
Jan 18, 2019 to use this application, you will have to download the ds3053, in pdf form. Passport application form ds11 is the application that should be submitted by u. T he minor passport application is the government form you will need to complete when applying for a us passport for a child under age 16. Follow the instructions on page 2 for detailed information to completion and submission of. Document checklist requirement for ds11 application form for a minor passport. Passport to a minor under the age 16 ds 3053 0820 rev.
When a minor under the age of 16 applies for a passport and one of the minors. Fill online, printable, fillable, blank form ds3053 statement of. Passport application form ds 11 is the application that should be submitted by u. Special circumstances are those facts which prevent, in your own. The form through which this is done is named form ds 11, the application for a u. Please submit this form with your minor childs new ds11 passport application to any designated acceptance facility, u. Ds3053 form free download, create, edit, fill and print. 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. When youre filling out the form ds82 for a passport renewal youll be required to have a passport. This form, ds 11, is used to get a new passport for the first time, passport renewal, or to replace a lost, stolen or damaged passport. Passport as is widely known, the first application for a passport for a minor should be completed by their parents. The information collected on this form is used in conjunction with the ds11, application for a u.
Document checklist requirements for ds11 application form for a minor passport proof of us citizenship birth certificate this must be an original or certified copy of a long form birth certificate showing both parents names. Passport to a minor under age 16 is used in conjunction with the ds11, application for a u. Ds3053 statement of consent 583k ds3053 statement of consent. 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 ds11 application form for new passport. Either item 4a or item 5 must be filled out on this form. Ds3053 child passport application passports and visas. A photocopy of the nonapplying parents governmentissued identification is required with this written consent. Based on your question i am assuming you are completing us state dept. Pdfelement edit, annotate, fill and sign pdf documents. Your signature must be witnessed and notarized in item 4b. Passport parental consent form ds3053 eforms free fillable. 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.
If a child is under the age of 16 it is always a new passport even if they have already had a passport issued. Pc of id ds 71 ds 3053 ds 64 ds 5520 ds 5525 paw npic irl citz ws report of birth filedplace. Name change, data correction, and limited passport book replacement pdf. Special circumstances are those facts which prevent, in your own case, you obtaining the other parents consent or documentation. Complete item 4a, statement of consent, only if you are a nonapplying parent or guardian consenting to the issuance of a passport for. Proper completion of this form includes signing it in front of a notary as well as having the document notarized. When a minor under age of 16 applies for a passport and one of the minors. Texas passport center is a private passport handcarry courier service. Minor passport application ds 11 passport application. The pdf form ds3053 must be printed and filled out using black ink. 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. Go to an approved location to get a passport photo taken.
The information collected on this form is used in conjunction with the ds 11, application for a 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. Click on save click the link to open the form in pdf format. The pdf form ds 3053 must be printed and filled out using black ink. The information provided by ds 3053 form statement of consent. See page 2 of the instructions for detailed information on the completion and submission of this form. The ds82 form is a fillable form which you can print out with 2d barcoded encryption. Ds 3053 statement of consent 583k ds 3053 statement of consent. Statement of parental consent for minors applying for a u. Ds3053 form free download, create, edit, fill, print pdf. To replace a lost or stolen passport, you must apply in person and submit form ds 11 in addition to form ds 64. Passport as is widely known, the first application for a passport for a minor should be. The passport parental consent, or statement of consent form ds3053, is used in the event a minor person.
A complete guide on using the fillable ds11, ds82, ds64, ds3053, ds5504, ds4085 application form for passport renewals with download links. Ds 3035 form fill online, printable, fillable, blank. Download a free form ds11 page 6 to make your document professional and perfect. The information solicited on this form is requested pursuant to 22 u. If one parent is not present due to extenuating circumstances. Please complete the questions on this form to the best of your knowledge. I declare under penalty of perjury that all statements made in this supporting document are true and correct. 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. Ds 3053 passport consent form, workplace safety and health wsh, rapids dol, version 16. The form is used by a minor or an adult to get a passport. Now this is one of the most sensitive parts of the passport form ds 3053.
It is recommended that the form be filled out completely and legibly, as. Generally, the more information you are able to provide, the faster we. 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. Pc of id ds71 ds3053 ds64 ds5520 ds5525 paw npic irl citz ws report of birth filedplace. Complete the part but it must be signed in front of a notary public. 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. If you are unsure of the answer to a question, please provide a response to the best of your knowledge. Ds3053 consent form information so you are traveling out of the country and your child under the age of 16 needs a new passport. The state department requires that parents or guardians fill out the ds 3053 statement of consent application form.
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