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The DS-3053 form, officially known as the "Statement of Consent for Issuance of a U.S. Passport to a Minor," plays a crucial role in the passport application process for minors under the age of 16. This form is primarily used when one parent or legal guardian is unable to be present during the application process, thereby requiring the consent of the absent parent or guardian. It is essential to ensure that both parents or guardians are aware of and agree to the issuance of a passport for the child, preventing potential disputes and safeguarding the child’s welfare. The form must be completed accurately and submitted along with the minor's passport application. Notably, the DS-3053 requires the signature of the consenting parent or guardian and must be notarized, adding an extra layer of verification. Understanding the requirements and procedures associated with the DS-3053 is vital for parents seeking to travel internationally with their children, as failure to comply with these guidelines can result in delays or denials of passport issuance.

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U.S. Department of State

STATEMENT OF CONSENT:

U.S. PASSPORT ISSUANCE TO A CHILD

Print legibly or type using black ink only. If you make an error, complete a new form. Do not correct.

OMB Control No. 1405-0129

Expiration Date: 10-31-2027

Estimated Burden: 20 Minutes

USE OF THIS FORM

This form is used with a U.S. passport application (Form DS-11) when one or both legal parents and/or legal guardians cannot appear in person with their minor child to apply for their child’s U.S. passport. Both legal parents/legal guardians may also use this form to authorize a third party to apply for a child's passport on the parents/guardians’ behalf. A separate notarized written statement with all details in this form may be submitted in lieu of this form.

Children Under Age 16: Both legal parents/legal guardians must appear in person with their minor child to apply for a U.S. passport. If one or both parent/guardian(s) cannot appear in person with their child, they must submit this form or a separate statement consenting to passport issuance which must be signed and sworn under oath before a passport authorizing officer or notary.

Children Ages 16 and 17: Parental awareness is required by one legal parent/legal guardian to issue the child a U.S. passport. In many cases, the passport authorizing officer may be able to ascertain parental awareness of the passport application. However, the passport authorizing officer retains discretion to request the legal parent/legal guardian’s written consent to passport issuance. Visit travel.state.gov for more details.

Institutions or Entities Granted Guardianship to Child: Submit the documents below with this form or a separate statement and ensure the documents have no conditions placed on the passport’s validity period and where the child may travel. If there are conditions in the consent, new consent is required.

1.A certified court order granting guardianship to the institution/entity. Photocopies are not acceptable.

2.A signed statement on the institution's/entity's letterhead authorizing a specific person to apply for the child’s passport on the child's behalf. The statement must include the child's name and the name of the individual(s) authorized to apply for the passport.

3.The authorized individual’s photocopied employee photo identification verifying employment with the institution/entity.

NOTE: Consent may not be required if the legal parent/legal guardian submits evidence of sole authority to apply for the child’s passport such as the other parent’s death certificate (if said parent is deceased), court order granting sole legal custody, or birth certificate listing only one parent. The parent may also submit for consideration Form DS-5525 or written statement (made under penalty of perjury) explaining, in detail, why the second parent cannot be reached. Visit www.travel.state.gov for more details.

HOW TO COMPLETE THIS FORM

Sections 1, 2, and 3 are completed by the child’s non-applying legal parent(s)/legal guardian(s) also known as the “affiant(s)”. Consent is valid for both passport book and card unless specified by writing “issue passport book only” or “issue passport card only” in Section 3.

Stop at Section 4. The affiant(s) must wait to sign in front of a passport authorizing officer or notary. The signed date of the affiant(s) and passport authorizing officer or notary must match. The passport authorizing officer or notary must not be related to the affiant(s).

The affiant(s) must attach with this form a photocopy of the front and back of the valid government-issued photo identification presented and notated on this form or statement by the passport authorizing officer or notary.

Consent is valid for 90 days from the passport authorizing officer or notary’s signed date. If this consent expires before submitting the U.S. passport application for the said-named child, new consent is required.

Notaries Outside the United States: In certain countries, this form or statement must be notarized at a U.S. embassy or consulate and cannot be notarized by a local notary public. Go to the U.S. embassy or consulate webpage for more information.

CONTACT INFORMATION FOR PASSPORT SERVICES AND INTERNATIONAL PARENTAL CHILD ABDUCTION

 

Website

Email

Phone

Passport Services

travel.state.gov

[email protected]

1-877-487-2778

National Passport Information Center (NPIC)

(TDD/TTY 1-888-874-7793)

 

 

International Parental Child Abduction

travel.state.gov/childabduction

[email protected]

1-888-407-4747

Office of Children's Issues

 

 

 

WARNING

False statements made knowingly and willfully on passport applications, including affidavits or other supporting documents submitted therewith, may be punishable by fine and/or imprisonment under U.S. law, including the provisions of 18 U.S.C. 1001, 18 U.S.C. 1542, and/or 18 U.S.C. 1621.

PRIVACY ACT STATEMENT

AUTHORITIES: We are authorized to collect this information by 22 U.S.C. 211a et seq.; 8 U.S.C. 1104; 26 U.S.C. 6039E; Executive Order 11295 (August 5, 1966); and 22 C.F.R. parts 50 and 51.

PURPOSE: The primary purpose for soliciting the information is to establish two-parent consent for applicants under the age of 16, or one-parent consent when requested by the Department for applicants ages 16 or 17, consistent with Public Law 106-113, Section 236.

ROUTINE USES: This information may be disclosed to another domestic government agency, a private contractor, a foreign government agency, or to a private person or private employer in accordance with certain approved routine uses. These routine uses include, but are not limited to, law enforcement activities, employment verification, fraud prevention, border security, counterterrorism, litigation activities, and activities that meet the Secretary of State's responsibility to protect U.S. citizens and non-citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State-26, Passport Records, and State-05, Overseas Citizen Services Records and Other Overseas Records.

DISCLOSURE: Providing information on this form is voluntary. Failure to provide the information requested on this form may cause delays in processing.

PAPERWORK REDUCTION ACT

Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time required for searching existing data sources, gathering the necessary data, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to U.S. Department of State, Bureau of Consular Affairs, Passport Services, Office of Program Management and Operational Support, Attn: Passport Forms Officer, 44132 Mercure Cir, PO Box 1199, Sterling, Virginia 20166-1199.

DS-3053 10-2024

Page 1 of 2

U.S. Department of State

STATEMENT OF CONSENT:

U.S. PASSPORT ISSUANCE TO A CHILD

OMB Control No. 1405-0129

Expiration Date: 10-31-2027

Estimated Burden: 20 Minutes

Print legibly or type using black ink only. If you make an error, complete a new form. Do not correct.

Reset

SECTION 1. CHILD APPLYING FOR A U.S. PASSPORT

Print your child’s name as it appears on the passport application (Form DS-11) and child’s birthdate.

a.Child’s Name (LAST, FIRST MIDDLE) Example: SMITH, JOHN ROBERT

b.Child’s Birthdate (MM-DD-YYYY)

Check box if age 16 or 17

SECTION 2. ADULT APPLYING IN PERSON WITH CHILD UNDER AGE 16

Print name of adult appearing in person to apply for a U.S. passport and relationship to the above-named child.

a. Applying Adult’s Name (LAST, FIRST MIDDLE)

b. Applying Adult’s Relationship to Child (Check one)

 

Legal Parent

Legal Guardian

Third Party

 

 

 

 

SECTION 3. STATEMENT OF CONSENT FOR PASSPORT ISSUANCE TO THE CHILD

In blank space 1 (and blank space 2, if applicable) below, print the full name(s) of the legal parent/legal guardian(s) who cannot appear in-person with the minor child to apply for the passport. Then complete the address and contact details in the boxes below.

I/We, 1)___________________________________________ and 2)______________________________________________,

consent to the issuance of a United States passport to the minor child. I/We consent for the adult named in Section 2 to accompany the minor child and to execute the passport application if the minor child is under age 16. This consent is unconditional regarding passport validity and travel. This consent is valid for the issuance of a U.S. passport book and card

unless otherwise stated in writing here

_____________________________________________________________

 

Example: “Issue passport book only” or “Issue passport card only”

1) Non-Applying Legal Parent/Guardian Address and Contact Details

 

2) Non-Applying Legal Parent/Guardian Address and Contact Details

 

 

 

 

Check box if same as 1

Street Address: _____________________________________

Street Address: _____________________________________

City, State/Country, Zip Code: __________________________

City, State/Country, ZipCode: __________________________

Phone: ____________________________________________

Phone: ____________________________________________

Email: ____________________________________________

Email:_____________________________________________

SECTION 4. OATH/AFFIRMATION. STOP HERE! Do not sign this form until requested to do so by a Passport Authorizing Officer or Notary. This section must be signed by the affiant(s) named in Section 3 of this form.

OATH: I solemnly swear (or affirm) that the above information given by me is true and correct to the best of my knowledge and

belief.

 

 

 

 

______________________________________________

______________________________________________

 

1) Non-Applying Legal Parent/Legal Guardian Signature

 

2) Non-Applying Legal Parent/Legal Guardian Signature

_______________________________

 

_______________________________

 

 

 

Date

 

 

 

 

Date

 

 

1) Non-Applying Legal Parent/Guardian Identifying Documents:

2) Non-Applying Legal Parent/Guardian Identifying Documents:

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver’s License

Passport

Military

Other______

 

Driver’s License

Passport

Military

Other________

Name: ___________________________________________

Name: ____________________________________________

ID Number: ______________________________________

ID Number: ________________________________________

Place of Issue: ____________________________________

Place of Issue: ______________________________________

Issue Date: ______________

Expire Date: _____________

Issue Date: ______________

Expire Date: _____________

On the date specified above and below, the affiant(s) listed above who is/are not related to me, personally appeared before me and executed this consent for the uses and purposes therein contained. I have properly verified the identity of the affiant(s) by personally viewing the above-notated identification document(s) and matching photocopy(ies).

SEAL

 

 

 

 

 

 

Passport Authorizing Officer or Notary Signature

Date

 

Location

 

 

(Agency or City, State)

 

 

 

 

 

Attach a clear photocopy of the front and back of the valid government-issued photo identification presented to the passport authorizing officer or notary. This consent is valid for 90 days from the passport authorizing officer or notary’s signed date. If this consent expires before submitting the U.S. passport application for the above-named child, new consent is required.

DS-3053 10-2024

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Form Specifications

Fact Name Description
Purpose The DS-3053 form is used for applying for a U.S. passport for a child under 16 when one parent or guardian cannot appear in person.
Eligibility Only parents or legal guardians can fill out the DS-3053 form on behalf of the child. The absent parent must sign the form.
Signature Requirement The form must be signed in the presence of a notary public, ensuring that the absent parent's consent is verified.
Supporting Documents Applicants must provide a photocopy of the absent parent's ID and proof of the child's relationship to both parents.
Governing Law The form is governed by U.S. federal law regarding passport issuance, specifically under Title 22 of the Code of Federal Regulations.
Submission Method The completed DS-3053 form must be submitted along with the passport application and can be sent by mail or presented in person at a passport acceptance facility.

DS-3053: Usage Guidelines

After obtaining the DS-3053 form, you will need to complete it accurately to ensure it meets the requirements for submission. Follow these steps carefully to fill out the form correctly.

  1. Begin by downloading the DS-3053 form from the official website or obtaining a hard copy from a passport acceptance facility.
  2. Read the instructions provided on the form to understand what information is required.
  3. In the first section, enter the child’s full name as it appears on their birth certificate.
  4. Provide the child’s date of birth in the specified format.
  5. Fill in the child’s place of birth, including the city and state or country.
  6. In the next section, enter your full name as the parent or legal guardian.
  7. Provide your relationship to the child, such as mother or father.
  8. Complete the address section with your current residential address.
  9. Indicate your phone number and email address for contact purposes.
  10. Sign and date the form in the designated area. Make sure your signature matches the one on your identification.
  11. If applicable, have the form notarized by a certified notary public.

Once you have completed the form, review it for accuracy. Make sure all required fields are filled in correctly before submitting it along with any additional documents needed for your application.

Your Questions, Answered

What is the DS-3053 form?

The DS-3053 form, also known as the "Statement of Consent for Issuance of a U.S. Passport to a Minor," is a document required when a minor is applying for a U.S. passport. This form is specifically used to obtain consent from a non-applying parent or legal guardian when only one parent is present during the application process. It ensures that both parents are aware of and agree to the passport application, helping to prevent potential custody disputes.

Who needs to sign the DS-3053 form?

The DS-3053 form must be signed by the non-applying parent or legal guardian. If one parent is applying for the passport and the other parent is not present, the absent parent must complete and sign the DS-3053 to provide their consent. In cases where the parents are divorced or separated, both parents need to be involved in the process, unless one parent has sole legal custody, in which case they may not need consent from the other parent.

How do I fill out the DS-3053 form?

Filling out the DS-3053 form is straightforward. Begin by providing the minor's information, including their full name, date of birth, and any relevant passport details. Next, the non-applying parent should complete their section, which includes their name, signature, and contact information. It's essential to ensure that all information is accurate and complete. Once filled out, the form must be printed, signed in front of a notary public, and then submitted along with the minor's passport application.

What if the non-applying parent cannot be located?

If the non-applying parent cannot be located, or if there are concerns about their ability to provide consent, it is crucial to seek legal advice. In some situations, it may be necessary to provide documentation proving sole custody or to obtain a court order that allows the passport to be issued without the other parent's consent. Each case is unique, so understanding your rights and responsibilities in these circumstances is vital.

Common mistakes

  1. Incomplete Information: Many individuals fail to provide all required details. Ensure that every section is filled out accurately, including names, addresses, and contact information.

  2. Signature Issues: The form must be signed by the appropriate parent or guardian. Some people neglect to obtain the necessary signature, leading to delays in processing.

  3. Incorrect Notarization: The DS-3053 requires notarization. Failing to have the document properly notarized or using an unrecognized notary can result in rejection.

  4. Outdated Information: Applicants sometimes submit forms with outdated information, such as an old address or phone number. Always double-check that the information is current.

  5. Missing Supporting Documents: The form often requires additional documents, like proof of identity or custody. Omitting these can lead to significant delays or denials.

Documents used along the form

The DS-3053 form is a crucial document for applying for a U.S. passport for a minor when one parent or guardian is unable to be present. Along with this form, several other documents may be required to ensure a smooth application process. Here are some commonly used forms and documents that accompany the DS-3053.

  • DS-11 Form: This is the application for a U.S. passport. It is used for first-time applicants, including minors. Both parents or guardians typically need to sign this form.
  • Proof of Relationship: Documents such as a birth certificate or adoption decree may be needed to establish the relationship between the minor and the applying parent or guardian.
  • Parental Consent Letter: If one parent is not present, a letter stating their consent for the passport application may be required. This letter should include their contact information and signature.
  • Identification: A valid form of ID, such as a driver's license or passport, must be provided by the applying parent or guardian to verify their identity.
  • Passport Photo: A recent passport-sized photo of the minor is necessary. This photo must meet specific requirements regarding size and background.
  • Payment: The application fee must be paid at the time of submission. Payment methods can vary, so check the specific requirements of the passport acceptance facility.

Gathering these documents in advance can help streamline the application process. Ensure that all forms are completed accurately and that you have the necessary supporting materials to avoid delays.

Similar forms

The DS-3053 form, also known as the Statement of Consent, is used in the context of applying for a U.S. passport for a minor. It is essential for obtaining consent from a non-applying parent or guardian. Here are eight documents that are similar to the DS-3053 form in purpose or function:

  • Form DS-11: This is the application for a U.S. passport. Like the DS-3053, it is necessary for minors and requires parental consent.
  • Form DS-160: This is the online application for a non-immigrant visa. It also requires parental information if the applicant is a minor, similar to the consent needed in the DS-3053.
  • Form DS-2029: This form is for applying for a passport for a child under age 16. It requires both parents’ consent, mirroring the consent aspect of the DS-3053.
  • Form I-131: This is the application for a re-entry permit. If a minor is involved, parental consent is necessary, akin to the requirements of the DS-3053.
  • Form I-130: This is a petition for an alien relative. When minors are involved, the form may require documentation similar to that of the DS-3053 to establish parental relationships.
  • Form N-400: This is the application for naturalization. If a minor is included, parental consent and documentation are needed, reflecting the consent requirements seen in the DS-3053.
  • Form I-485: This form is used for applying for a green card. If the applicant is a minor, consent from parents or guardians is required, similar to the DS-3053.
  • Form DS-5504: This is the application for a U.S. passport name change, replacement, or amendment. If the applicant is a minor, consent from both parents is needed, paralleling the DS-3053's consent requirement.

Dos and Don'ts

When filling out the DS-3053 form, it is important to follow specific guidelines to ensure the process goes smoothly. Below is a list of things you should and shouldn't do.

  • Do read the instructions carefully before starting the form.
  • Do provide accurate information to avoid delays.
  • Do sign the form in the appropriate section.
  • Do use black or blue ink when filling out the form.
  • Don't leave any required fields blank.
  • Don't submit the form without a witness signature if required.
  • Don't use correction fluid or tape on the form.
  • Don't forget to keep a copy of the completed form for your records.

Following these guidelines will help ensure that your DS-3053 form is completed correctly and processed without unnecessary issues.

Misconceptions

The DS-3053 form is essential for certain passport applications, particularly when one parent or guardian is unavailable to provide consent. However, several misconceptions surround this form. Here are seven common misunderstandings:

  • It is only for minor children. Many believe the DS-3053 is exclusively for minors. In reality, it can also apply to adults who are unable to provide consent due to various reasons.
  • Only one parent needs to sign. Some think that if one parent signs the form, the other’s consent is not necessary. In most cases, both parents must provide consent unless one parent has sole custody.
  • It can be submitted without notarization. A common myth is that the form can be submitted without being notarized. This is incorrect; notarization is a crucial step for the form to be valid.
  • The form is only needed for passport renewals. Many assume the DS-3053 is only for renewals. However, it is also required for first-time applications when one parent cannot be present.
  • It can be filled out online. Some believe the DS-3053 can be completed online. In fact, it must be printed, signed, and notarized before submission.
  • There is no deadline for submission. Many think they can submit the form at any time. However, it should be submitted alongside the passport application, so timing is important.
  • All notaries can notarize the form. Some people think any notary can notarize the DS-3053. It is essential to ensure that the notary is authorized to notarize documents for passport applications.

Understanding these misconceptions can help streamline the passport application process and ensure compliance with all necessary requirements.

Key takeaways

When filling out and using the DS-3053 form, keep the following key points in mind:

  • The DS-3053 form is used to apply for a passport for a minor when one parent or guardian is unable to provide consent in person.
  • Ensure that the form is completed in black ink to maintain clarity and readability.
  • Both parents or guardians must provide their information, including names, addresses, and contact details.
  • A notary public must witness the signing of the form to validate the consent.
  • Include a copy of the identification of the parent or guardian who is not present during the application process.
  • Submit the DS-3053 form along with the minor's passport application and any required documents.
  • Double-check all information for accuracy before submission to avoid delays.
  • Keep a copy of the completed DS-3053 form for your records.
  • Be aware of processing times, as they may vary based on the application method and location.