Customer service representatives are available mondayfriday, 8. Passport parental consent form ds3053 eforms free fillable. Notaries in states where the certificate wording printed on the ds 3053. This form requires you to come to the consulate in person, at all times. Because of public health measures to prevent the spread of covid19, we have extremely limited u. You will need to get a witness and have the document notarized. Ds 3053 statement of consent 583k ds 3053 statement of consent. There is a long list of errors and elements of low quality in fillable fedforms. Intelligent form recognition makes your pdf form fillable free download free download. The form is handed to the carrier assigned to provide the assistance, who will complete the bottom time entries. In the ds 3053 fillable form you will see tables 1 and 2, the person.
This identification must be photocopied front and back and submitted along with the parental consent form. Fill free fillable form ds3053 statement of consent. The information collected on this form is used in conjunction with the ds11, application for a u. Ds 3053 pdf fillable fill online, printable, fillable. Downloadable applications and forms the following table provides you with a quick and comprehensive summary of the downloadable applications and forms that you might need to successfully get your passportvisa expedited as quickly as possible. Once completed you can sign your fillable form or send for. Follow the steps below to download and view the form on a desktop pc or mac. Is the fillable form ds 3053 accompanied by other forms. There is a place to attach your passport photo and input date about your most recent passport book or passport card. J1 visa waiver recommendation application instructions omb no. Nonappropriated fund instrumentality employment inquiry for. Select the box that applies to the type of authorization being validated under section 3.
Statement of consent or special circumstance for minor passport pdf. This written consent to be valid must not be more than 90 days old. The ds 3053 statement of consent is a passport form that is used for the child passport if one of the parents or guardians cannot be present at the acceptance agent. 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. Ds3053 online application form for statement of consent.
How to complete the ds3053 parental consent passport form. In the ds 3053 fillable form you will see tables 1 and 2, the person applying should fill out these ds 3053 fillable tables accordingly and as much as possible refer to the childs birth certificate so all the information in these tables will be unified with the other supporting documents and will become an accurate detail. Open the pdf file from your desktop or adobe acrobat reader dc. If you need more information or help filling out this form, call the ndss infoline on 0 6 588, or visit the website at. Links to external websites are provided as a convenience and should not be construed as an endorsement by the u.
Dealing with notary errors on government documents nna. The state department requires that parents or guardians fill out the ds3053 statement of consent application form. 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. 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. On page 2, enter the following information into sections 1 and 2. Copy of the data page of the exchange visitors current passport containing name and birth date. This section is completed by the carrier providing the assistance and the delivery manager. Notice of entry of appearance as attorney or representative g28 form, if the exchange visitor is represented by an attorney. Most fillable fedform are not savable locally in acrobat reader. More information on the routine uses for the system can be found in system of records notice state31, human resource records and state36, security records.
One should give all the necessary supporting documents in order for the statement to be approved. If a child is under the age of 16 it is always a new passport even if they have already had a passport issued. Passport to a minor under the age 16 ds3053 0820 rev. Statement of consent to be completed by the nonapplying parent or guardian using hisher information when not present at the time the applying parent or guardian submits the minors application. A photocopy of the nonapplying parents governmentissued identification is required with this written consent. 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. Abn 47 008 528 461, quality management system iso 9001. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship and guardianship. The state department requires that parents or guardians fill out the ds 3053 statement of consent application form. Read warning and form instructions on page 1 signature of parent or guardian date mmddyyyy oath.
Proper completion of this form includes signing it in front of a notary as well as having the document notarized. 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. When a m inor 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 execu ted, a completed. If the form is hard to read, the application may be denied. Sign, fax and printable from pc, ipad, tablet or mobile. Fillable forms cannot be viewed on mobile or tablet devices.
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. Use of this form ds 3053 082016 page 1 of 2 for passport and travel information, please visit our website at travel. Complete the form using black ink and write legibly. The nonapplying parentguardian must sign form 3053 in front of a notary and present a piece of governmentissued photo identification. A clear photocopy of the front and back of the identification you presented to the notary is required with this form. 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. Free download ds64 form pdfelement pdf editor software. Notary public, orevidence of the appearing parents sole authority to apply for the passport in the form of one of the following. During the filing process, filling out the form ds 3053 should be taken care of accurately. This form is used if the parent or guardian cannot be with the child at the time of application. Step 2 read page 1 of the consent form before continuing to page 2. 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. Your signature must be witnessed and notarized in item 4b.
Form 3053, notification of rights and responsibilities. Register to vote and request your absentee ballot at fvap. Statement of consent issuance of a passport to a minor under age 16 ds3053 pdf 42 kb. See page 2 of the instructions for detailed information on the completion and submission of this form. Ds 3053 fillable online fill online, printable, fillable. Ds3053 form free download, create, edit, fill, print pdf. Statement of consent view information collection ic form and instruction, ds3053, statement of consent. 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. The information collected on this form is used in conjunction with the ds 11, application for a u. Complete item 4a if you are a nonapplying parent or guardian consenting to passport issuance for your minor child. Only a relatively small number of pdf forms posted on the u. Collection of the information solicited on this form is authorized by titles 8, 22, and 26 of the united states code.
You do not have to provide the information requested if the omb approval has expired. Issuance of a passport to a minor requires a notary to perform a jurat or verification upon oath or affirmation for a document signer. Department of state of the views or products contained therein. I declare under penalty of perjury that all statements made in this supporting document are true and correct. Pdf 100 kb fill the ds 11 form out online and print it. If you are thinking about applying for or renewing a u. Select the service you need to get to the fillable ds82 form. 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 data.
As a result, an average user is unable to fillin even the fillable fedforms. Ds3053 child passport application passports and visas. Jan 18, 2019 to use this application, you will have to download the ds3053, in pdf form. Do not click on the downloaded file at the bottom of the browser since it will not open the. Any additional pages needed to full respond to the questions in this form. Passport renewal application for eligible individuals. The information collected on this form is used in conjunction wi th the ds 11, application for a u.
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