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DS-3053 12-2020 USE OF THIS FORM This form is used when one or both legal parents and/or legal guardians cannot apply in person with the child for that child's passport. The legal parent/legal guardian who cannot apply with the child can give consent using this form or a written statement that includes all of the information on this form.
Form Finder -- Passport Forms. If you are applying for a U.S. passport, use the Passport Form Filler to fill out our primary forms (DS-11, DS-82, DS-5504, and DS-64) online and print them. The Form Filler will save you time and reduce the chance of errors on your form.
Submit Form DS-3053 and other notarized statements within three months of signing them. In some countries, you may need to get Form DS-3053 notarized at the U.S. embassy or consulate. Go to the frequently asked questions section below on this page to get the list of countries.
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Download form DS-3053 for statement of consent or special circumstances when applying for a passport for a minor.
Statement of Consent for Issuing a Passport to a Child (DS-3053) Use if one parent or guardian cannot go with the child to apply in person for the child's passport. The parent or guardian should submit this special form with Form DS-11.
Based on the information provided, you need to complete the DS-11 form. Please see the Local Information section to determine if need to submit an online form or complete the downloadable PDF form. Step 1: Complete and print the DS-11 form.
Form Property Value; Name: DS-3053: Description (PDF) Statement of Consent or Special Circumstances: Issuance of a Passport to a Minor Under Age 16: Version: 02/2008: Category: DS: File Format.PDF: External Link: Keywords:
Below is a list of documents you must submit with your DS-3053: 1. A certified order of a court of competent jurisdiction granting guardianship to the institution/entity.
DS-3053 12-2010 Page 1 of 2 Please visit our website at travel.state.gov. In addition, contact the National Passport Information Center (NPIC) toll-free at 1-877-487-2778 (TDD 1-888-874-7793) or by e-mail at NPIC@state.gov. Customer Service Representatives are available Monday-Friday, 8:00a.m.-10:00p.m. Eastern Time (excluding federal holidays).