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. Fill free fillable statement of consent or special. If there are issues of one parent being incarcerated, subject to a restraining order, or any other form of custody order which. Statement of consent issuance of a passport to a minor under age 16. It is possible for an individual parentguardian to apply for a child passport for a minor child, but the nonapplying parent must give their consent via a ds 3053 parental consent form, for the application to be made. Once completed you can sign your fillable form or send for signing. Us passport applications where only one parent can appear. The absent parentguardian must complete the ds 3053 form and signed it in front of a notary public. If one parent has sole custody, then the ds 3053 consent form is not necessary.
One parent appears and signs, and has a form ds 3053 statement of consent. Ds3053 statement of consent or special circumstances for minors under age 16. Department of state has put a process in place for families with special circumstances. One parent appears and signs, and has a form ds3053 statement of consent. 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.
You must submit the original completed consent form with the childs passport application. 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 ds 3053, statement of consent or special circumstances. Edit, fill, sign, download statement of consent or special circumstances. Issuance of a passport to a minor under age 16 online on. If you or the other parent cant or wont go with your. A ds3053 form, also known as statement of consent or parental. Proper completion of this form includes signing it in front of a notary as well as having the document notarized. It is possible for an individual parentguardian to apply for a child passport for a minor child, but the nonapplying parent. This form is available online for download and printing. Statement of exigentspecial family circumstances issuing a. Form ds3053 should be used by a parent or guardian who needs to provide written consent for a.
The information collected on this form is used in conjunction with the ds11, application for a u. Issuance of a passport to a minor under age 16 needed if both biological parents are on the birth certificate and only one is available for signature. You can submit form ds5525 statement of special family circumstances passport form if you are the. All passport applicants under 16 must apply in person using form ds11. The statement must explain in detail the nonapplying parents unavailability and recent efforts made to contact the nonapplying parent. Ds3053 department of state form finder us department of. Sign and date form ds3053 in the presence of a certified notary public, and.
What is ds3053 form parents must be always there during many kinds of events in our lives, especially into our kids. Statement of consent or special circumstance for minor passport is necessary when one parent is applying for a passport for a child without the. Evidence should be given, which may include custody orders, incarceration orders, or a restraining order. Get a passport for your child under special family circumstances. The required statement may be submitted in other formats provided they meet statutory and regulatory requirements. External links to other internet sites should not be construed as an endorsement of the views or privacy policies contained therein. If only one parent is able to appear they should furnish the following, in addition to forms and documents listed for the passport application. Requirements for passport form ds 3053 statement of consent.
If the required statement is not submitted, the minor may not be eligible to receive a u. Instead, 52page passport books will be issued at no extra cost to u. Completion of the ds3053 by the nonapplying parent. Both parents must appear together and sign or one parent appears, signs, and submits second parents notarized statement of consent authorizing passport issuance for the child a notarized form ds 3053, statement of consent.
Mar 02, 2020 ds5504 name change, data correction, and limited passport book replacement other forms. Statement of consent or special circumstance for minors passport. Department of state statement of exigentspecial family. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship and guardianship. Lost or stolen passport statement if your passport is lost and still valid or potentially still valid. In certain countries, a ds3053 must be notarized at a u. Ds3053 application form for child passport travel visa pro. We are aware forms ds11, ds3053, and ds5525 are expired.
Issues of a passport to a minor under age 16 can be completed online or by hand or a notarized written. Statement of exigent special family circumstances to be approved. Issuance of a passport to a minor under age 16, is used when only one parent can be present at the time of application execution. Statement of exigentspecial family circumstances for issuance of a passport to a minor under age 16. Your statement in the form must explain the reason why you cannot obtain the notarized statement of consent. If there are conditions in the statement, a new statement of unequivocal consent is required. Complete item, statement 5 of special circumstances,only if you are an applying parent or guardian and the written. Ds5504name change, data correction, and limited passport book replacement. Item 5, statement of special circumstances, must be filled out by the applying parent if the written consent of the nonapplying parent can not be obtained. Issues of a passport to a minor under age 16 can be completed online or by hand or a notarized written statement with the same information that is on the ds 3053. Statement of consent or special circumstance for minor. Form ds 3053 is required when one parent or guardian who does not have sole legal custody applies for a minors passport since the general rule requires the signature of both parents. Ds5504 name change, data correction, and limited passport book replacement other forms.
The state department requires that parents or guardians fill out the ds 3053 statement of consent application form. Issuance of a passport to a minor under age 16 along with a copy of the nonapplying parents id card. Statement of exigentspecial family circumstances issuing a passport to a minor under age 16. Statement of special circumstances by applying parent or guardian when the written consent of the nonapplying parent or guardian cannot be obtained. Statement of consent issuance of a passport to a minor. Download form ds3053 for statement of consent or special circumstances when applying for a passport for a minor. 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 must justify that there are exigent or special family circumstances that make two parentguardian consent unobtainable. 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. If one parent or guardian is not available to give consent at the acceptance agency, you will need to use the ds 5525 special circumstances form.
Ds5525 statement of exigent special family circumstances. Or, provide a notarized ds3053 statement of consent or special circumstances. You may learn that you need to fill out passport form ds 5525 if you are helping your child to complete a passport card or book application. How to complete the ds5525 passport form fastport passport. Complete item 5, statement of special circumstances, only if you are an applying parent or guardian and the written. 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. The department has determined that splitting the old ds3053 into two separate for. Issuance of a passport to a minor under age 16 form ds3053 form. Form ds3053 is required when one parent or guardian who does not have sole legal custody applies for. If there are issues of one parent being incarcerated, subject to a restraining order, or any other form of custody order which leaves them unable to sign ds3053, then form ds5525 may be used for a statement of exigentspecial family circumstances. Ds3053 statement of consent 583k ds3053 statement of consent. I, give my consent to the issuance of a united states passport to my minor child named on this statement. Your signature must be witnessed and notarized in item 4b.
The passport parental consent, or statement of consent form ds 3053, 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. 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. Issuance of a passport to a minor under age 16, or a notarized written statement with the same information on a sheet of. Statement of consent for issuing a passport to a child ds3053. If either parent who is listed by name on the birth certificate is not presenting identification, it will be a no go.
You must submit the completed form with the childs passport application. Fill out form ds3053 sections 14, including minors name, minors date of birth, authorization validity for passport book andor card, and statement of consent, appear in person before a certified notary public, sign and date form ds3053 only when instructed to do so by the certified notary public. What if one of the parents cant go to the application center. Ds3053statement of consent or special circumstances for minors under age. Frequently asked questions regarding the new ds5525 statement of exigentspecial family circumstances.
The ds 5525 passport form is not a guarantee, so the more information you have, the better. The forms below are required for your passport and visa application. You should only submit the forms listed below for special situations. You can submit form ds5525 statement of special family circumstances passport form if you are the applying parent and you want to explain why the nonapplying parentguardians. Issuance of a passport to a minor under age 16 pdf 42kb. Printable and fillable statement of consent or special circumstances. How will the completed passport book andor passport card be sent to me.
If you or the other parent cant or wont go with your child to apply for the passport, the parent who cant go needs to fill out form ds3053. Evidence should be given, which may include custody orders, incarceration orders, or a. Ds3053 online application form for statement of consent. Police or military police report obtained from police. Ds3053statement of consent or special circumstances for minors under age 16. How to get a passport for your child under exigent or special family circumstances. Please note completion of this form does not guarantee passport issuance. The ds5525 passport form is not a guarantee, so the more information you have, the better. What is the form ds 3053 statement of consent, and when do you use this application form. Issuance of a passport to a minor under age 16 form ds 3053 form. Statement of special circumstances by applying parent or guardian when the. The statement must explain in detail the nonapplying parents unavailability and recent efforts made to. Include a photocopy of both sides of an identification card along with the form. This document is officially called a statement of exigentspecial family circumstances for issuance of a u.
Looking after information on the ds 3053 child passport application visit travel. Get a passport for your child under special family. If one parentguardian cannot go with the child to apply for the passport, they can give permission by completing form ds3053 statement of consent. 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. The only exception is presenting notarized form ds3053, statement of consent, from the nonapplying.
Ds 3053 statement of consent or special circumstances. What is ds 3053 form parents must be always there during many kinds of events in our lives, especially into our kids. Form ds3053 is one special case, but there are many others. Issuance of a passport to a minor under age 16 pdf 42 kb ds5504. 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. Name change, data correction and limited passport book replacement. This form is used if the parent or guardian cannot be. Frequently asked questions regarding the revised ds consent. Frequently asked questions regarding the revised ds3053 statement of consent. If none of the above documentation is available, the applying parentguardian should submit a form ds3053. Completion of the ds 3053 by the nonapplying parent. How to complete the ds3053 parental consent passport form. Both parents must appear together and sign or one parent appears, signs, and submits second parents notarized statement of consent authorizing passport issuance for the child a.
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. This document must be completed by the absent parent and signed and dated in front of a notary public. It should be completed by the nonapplying parent and notarized, or completed by the applying parent when written consent of the applying parent cannot. The parent or guardian should submit this special form in addition to their childs application ds 11. If there are issues of one parent being incarcerated, subject to a restraining order, or any other form of custody order which leaves them unable to sign ds3053, then form ds5525 may be used for a statement of exigent special family circumstances. Mar 20, 2020 ds5504name change, data correction, and limited passport book replacement. The office of website management, bureau of public affairs, manages this site as a portal for information from the u. Fill online, printable, fillable, blank statement of consent or special circumstances. Statement of consent to be completed by the nonapplying parent or guardian using hisher information. In this case, you will need to fill out the ds11 form which is specific to. The only exception is presenting notarized form ds 3053, statement of consent, from the nonapplying parent. If either parent is not able to attend the appointment, the applicants should also bring form ds 3053. Form ds3053 is required when one parent or guardian who does not have sole legal custody applies for a minors passport since the general rule requires the signature of both parents.
When to use the ds 3053 form the absence of a parentguardian. If you cant find the form you need, or require further assistance with the form, please give us a call at 310274. 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. This form is used if the parent or guardian cannot be with the child at the time of application. You must justify that there are exigent or special family circumstances. Jan 18, 2019 download the statement of consent or special circumstances. Please explain in detail the reason for your request to issue a u. 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. My consent is unconditional in regards to p assport validity and travel. 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. You must show that there are exigent or special family circumstances that make two parentguardian consent unobtainable. The ds3053 must be signed in front of a notary public and the original must be presented at the interview.
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