The information collected on this form is used in conjunction with the ds11, application for a u. You can request a non standard 52page when renewing your passport. Ds3053 122010 page 1 of 2 please visit our website at travel. Proper completion of this form includes signing it in front of a notary as well as having the document notarized. Providing your social security number and the other information on this form is voluntary, but failure to provide the information on this form may, given the forms purpose of verification of your identity or entitlement, result in processing delays or denial of your passport application. Ds3053 department of state forms us department of state. Statement of consent issuance of a passport to a minor under age 16 ds3053 pdf 42 kb this form should be submitted, along with the ds11 application for passport, for minors under age 16 as evidence of parental permission if.
The state department requires that parents or guardians fill out the ds 3053 statement of consent application form. Medical history and examination for foreign service for children 11 years and under. 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 ds3053 form. Section of country, united says government departments kinds and prison. The form filler works best if you are in the united states or renewing by mail from. External links to other internet sites should not be construed as an endorsement of. The information solicited on this form may be available made as a routine use to other government agencies to assist the u. Use form ds3053 when one of the parent or guardian is not present with the child.
This form is used if the parent or guardian cannot be with the child at the time of application. Either item 4a or item 5 must be filled out on this form. Passport, for obtaining a passport of the united states by an underage person in a situation where a. Reap the benefits of a electronic solution to develop, edit and sign contracts in pdf or word format on the web. Pdf editor allows you to make modifications on your 2016 2019 ds3053 fill online from any internet. The nonapplying parent or guardian providing written consent for your minor child to apply for a u. You will now need to renew you passport in lieu of this service if you run out of blank visa pages.
Item 4a, statement of consent, must be filled out by ds 3053 fillable parent giving express written consent to issue a passport to a minor child. Fill consent form eforms instantly, download blank or editable online. There is a place to attach your passport photo and input date about your most recent passport book or passport card. If you are adding pages to your passport you will need to complete a ds4085 form. You can also complete this form online and print out the completed form. Pdfelement edit, annotate, fill and sign pdf documents. Collection of the information solicited on this form is authorized by titles 8, 22. Ds3053 application form for child passport travel visa pro. We can expedite your childs passport as quickly as. Ds3053 2016 2019 form complete and download in pdf. The passport parental consent, or statement of consent form ds3053, is used.
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. Report your lost or stolen passport online print pdf of form ds 64. Ds3053 online application form for statement of consent. Ds 3053 form fill out and sign printable pdf template signnow. Passport parental consent form ds3053 eforms free fillable. Ds5504 2016 2019 fillable and printable template in pdf. Free download the best passport form templates in the internet and edit, fill, print, sign. Ds3053 form free download, create, edit, fill and print. Ds 3053 form fill out and sign printable pdf template. If the form is hard to read, the application may be denied.
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. Fill online, printable, fillable, blank form ds3053 statement of consent issuance of passport to a minor under age 16 form. The state department requires that parents or guardians fill out the ds3053 statement of. Applicants who are renewing their passport, changing their legal name or correcting information on a previous passport issued may use the form ds 82 if all of the following are true. 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. You are a nonapplying parent or guardian consenting to passport issuance for your child, or.
To replace a lost or stolen passport, you must apply in person and submit form ds11 in addition to form ds64. The state department requires that parents or guardians fill out the ds3053 statement of consent application form. 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. Statement of consentformds3053 is used when applying for a child passport and have a special circumstance. Nonimmigrant treaty trader investor application use with form ds156i129.
The information provided by ds 3053 form statement of consent. 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 you apply or renew now, you will experience significant delays of several months to receive your u. A statement of consent from a nonapplying parent or guardian must be submitted with the minors passport. If you are thinking about applying for or renewing a u. 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. The us department of state dos or the state department, is the government official division that advises the president and performs international relations. Pport towards a minimal beneath age 16 online and print it out for costfree. To replace a lost or stolen passport, you must apply in person and submit form ds 11 in addition to form ds 64. You can print this form from online as well as obtaining it from an acceptance facility.
Department of state adjudicating in passport applications and requests related for services, and for law enforcement and administrative purposes. 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. Ds3053 form free download, create, edit, fill, print pdf. If you need your passport fast, call us today and a professional passport specialist can help make sure you complete the forms correctly. When they are applying for a us passport, they need the permission of their parents or guardian. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship. 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. Jan 18, 2019 use form ds 3053 when one of the parent or guardian is not present with the child. 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. Both parentsguardians must authorize the issuance of a minors passport. Ds 3053 printable form that are declarative brad website. In addition, contact the national passport information center npic tollfree at. Passport and required supporting documents at an application acceptance facility or, in cases of urgent travel needs, a regional passport agency. The second page of form ds 5504 has spaces for you to include your height, hair color, eye color, occupation, employer or school, additional contact phone number, permanent address, emergency contact and travel plans.
Put an electronic signature on the 2016 2019 ds3053 printable while using the help of sign tool. The ds3053 form is a onepage form consent statement, mainly for children under the age of 16. 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. Both parents or guardians should appear with the child applying for a us passport. 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. Transform them into templates for numerous use, include fillable fields to collect recipients. Ds3053 child passport application passports and visas. The way to complete the online ds 3053 form on the internet. Down load printable variety ds3053 in just pdf the newest variation suitable for 2019. 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. Apr 22, 2020 ds 3053 fillable pdf posted on april 22, 2020 by admin 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. Passport form ds 3053 travel state gov forms inspirational 11 application for a us identity document information city of casa grande photo services cuyahoga county public library edit krish renew nov15 212239 by tropicana jewelers issuu tips getting child in the toddling instructions fastport applying an infant step guide saverocity.
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. We are aware forms ds11, ds82, ds5504, ds3053, and ds5525 are expired. Ds 3053 form is used as a statement of consent where the absent parent. Fill online, printable, fillable, blank form ds3053 statement of. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship and guardianship. A clear photocopy of the front and back of the identification you presented to the notary is required with this form.
Fill free fillable form ds3053 statement of consent. 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. Notary public, orevidence of the appearing parents sole authority to apply for the passport in the form of one of the following. Jul 04, 2019 ds 3053 fillable pdf posted on july 4, 2019 by admin 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. Passport renewal application for eligible individuals. How to complete the ds3053 parental consent passport form. This form is very simple to fill out you just need to make sure you use black ink and write legibly. The second page of form ds5504 has spaces for you to include your height, hair color, eye color, occupation, employer or school, additional contact phone number, permanent address, emergency contact and travel plans. Consular report of birth abroad form fs240 listing only applying parent, orchilds birth certificate listing only applying parent, oradoption decree if. In all cases, form ds3053 must be submitted along with form ds11. Use our library of forms to quickly fill and sign your department of state forms online. Services records state05 and passport records state26 published in the federal register. Note, the approval of special circumstance is at the discretion of official passport agents.
The advanced tools of the editor will lead you through the editable pdf template. Complete the form using black ink and write legibly. Distribute the prepared form by using electronic mail or fax, print it out or download on your device. A ds3053 form is for parental consent that is filled out by. Though form ds11 is the application for a childs passport, form ds3053.
Expedited processing options are available for additional fees. Passport to a minor under age 16 is used in conjunction with the ds11, application for a u. It is a conjunction of the passport application form which is normally given first and what usually were handled to adults. 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. Use this stepbystep guide to fill out the form ds 3053 fillable promptly and with excellent accuracy.
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