You can use pdf, docx, odt and html format of your document. This form must be submitted with ds 11, application form for a new passport. We ask for information on this form, in the case of applicants for immigrant visas, to determine medical eligibility under ina sections 212a and 221d, and, in the case of refugees, as required under ina section 412b4 and 5. Both parentsguardians must authorize the issuance of a minors passport and must provide the proper documentation of citizenship. The envelope is then forwarded on to uscis where it will be consolidated with the i485 submission, once received. To replace a lost or stolen passport, you must apply in person and submit form ds 11 in addition to form ds 64. According to the us department of state, anyone under the age of 16 is classified as a child and only qualifies to receive a. Minors under 16 years must have either both parents present or have a notarized statement of consent form ds 3053 and a photocopy of the nonapplying parents id front and back. 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. This form is to be submitted, along with the ds 11 application for passport, for minors under age 16 as evidence of. Aug 26, 2015 notaries in states where the certificate wording printed on the ds 3053 meets state law requirements may notarize the document. Rent or buy movies, download your favorite tv shows, and more.
The required documents depend on the age of the applicant and whether or not the passport is being renewed or corrected. Complete item 4a, statement of consent, only if you are a nonapplying parent or guardian. Statement of consent to be completed by the nonapplying parent or guardian using hisher information when not. Notaries in states where the certificate wording printed on the ds 3053 meets state law requirements may notarize the document. The information solicited on this form may be made available as a routine use to other government agencies to assist the u. The information collected on this form is used in conjunction with the ds 11, application for a u. Nonimmigrant treaty trader investor application use with form ds 156i129. Your signature must be witnessed and notarized in item 4b. 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. 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. 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.
For a child under the age of 16 years old to obtain a united states passport, parental consent is required. Download form ds 5504 and apply for a passport name change, data correction or limited passport book replacement. How to edit ds 3053 form free download free download. Sep 19, 2014 use this form to strike off a company from the register. Tips for filling the template during the filing process, filling out the form ds 3053. If an immigrant visa is issued or refugee status granted, you will convey this 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 notarized form ds 3053. Download the ds 64 passport application form ds 3053 us passport application form form ds 3053, statement of consent or special circumstance for minor passport is used if one parent is applying for a passport for a child without the other parent being present. Passport, you are required to fill out and submit a ds 64 with this application. The state department requires that parents or guardians fill out the ds 3053 statement of consent application form. Jan 18, 2019 to use this application, you will have to download the ds3053, in pdf form. Ds4085 instruction page 2 of 3 022010 section 6039e of the internal revenue code 26 u.
Ds3053 application form for child passport travel visa pro. The ds 3053 is valid for 90 days from the date of notarization. Department of state j1 visa waiver recommendation application instructions the response time is an estimated average. Ds82 form free download, create, edit, fill and print. Department of state of the views or products contained therein. If one parent or guardian has sole custody, the ds 3053 form is not needed. Statement of consent, form ds 3053 pdf 53 kb, notarized by a notary public in the u. See instruction page 2 for detailed information on the completion and submission of this form. Application to determine returning resident status. The absent parents must also provide a photocopy of the front and back side of the photo i. Ds 64 072018 page 1 of 2 protect yourself against identity theft. This form is used if the parent or guardian cannot be with the child at the time of application. Best of all, this app is completely free to download for anyone with an iphone, android device, or amazon kindle.
To begin, you will have to download the mobile passport app from itunes. 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. Form ds 3053 is required when one parent or guardian who does not have sole legal custody applies for a minors. Although furnishing this information is voluntary, failure to provide this information may delay or prevent the processing of an individual visa application. Tips for filling the template during the filing process, filling out the form ds 3053 should be taken care of accurately. Fill out form ds3053 sections 14, including minors name, minors date of birth, authorization validity for passport book andor card, and. 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 and must provide the proper documentation of citizenship and guardianship. You must complete both the ds 11 and ds 64 statement regarding lost or stolen passport forms.
Links to external websites are provided as a convenience and should not be construed as an endorsement by the u. Links to external websites are provided as a convenience and should not be. 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. What is ds 3053 form parents must be always there during many kinds of events in our lives, especially into our kids. It is also possible to provide the equivalent of the form ds 3053 in russian, accompanied by a professional english translation, and a photocopy. Department of state j1 visa waiver recommendation application instructions omb no. The passport parental consent form, otherwise known as form ds 3053, is used when a minor under the age of sixteen 16 is applying for a passport. This consent form should be used if one of the minors. For passport and travel information, please visit our website at travel. Read warning and form instructions on page 1 signature of parent or guardian date mmddyyyy oath. The absent parent must sign the ds 3053 and get it notarized by a u.
Ds3053 online application form for statement of consent. 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 ds 3053 can be used as the statement of consent. Completion of the ds 3053 by the nonapplying parent. The ds82 form is a fillable form which you can print out with 2d barcoded encryption. 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. Dealing with notary errors on government documents. 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. A clear photocopy of the front and back of the identification you presented to the notary is required with this form. Form ds 3053 statement of consent issuance of a passport to a minor under age 16. 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.
The postal service does not receive an acceptance fee for handling form ds 82, because no acceptance is required. If one custodial parent is not able to attend, she must submit a notarized form ds 3053 statement of consent. Statement of consent or special circumstance for minors passport. Statement of consent for issuing a passport to a child ds 3053 you should complete this form. 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. At the end of the online application wizard you will see the subtitle. Oct 31, 20 where can i get form ds 3053 reporting birth abroad. How to complete the ds3053 parental consent passport 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 ds 11 application form. However, the california secretary of states office has confirmed that california notaries may not complete a form ds 3053. This new application form offers several benefits to our visa applicants. Complete the form using black ink and write legibly. Second parents notarized written statement or ds 3053 including the childs full name and date of birth consenting to the passport issuance for the child.
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. The information collected on this form is used in conjunction wi th the ds 11, application for a u. 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. Customers may purchase postage to mail form ds 82, application for passport by mail, which the customer has fully completed. The document is only valid for 90 days after the date of signature. However, the california secretary of states office has confirmed that california notaries may not complete a form ds 3053 without attaching a california jurat form. Signature of parent or guardian date mmddyyyy notary seal ds 3053 022006 page. 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. 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. Source document contributed to documentcloud by zack whittaker zdnet.
Statement of consent for issuing a passport to a child ds3053. One should give all the necessary supporting documents in order for the statement to be approved. Please note that ds 3053 forms must be notarized by a u. If the form is hard to read, the application may be denied. Scroll down to the bottom of the page, you will see an icon titled create form, click on this icon and the form will be generated on pdf for you to print. At the time the ds 3053 form is presented, a copy of the same identity document used to notarize the form must also be provided. Under this system, assuming the parents start traveling with their child early, someone can hold three. After that, there is a very simple fourstep process each traveler has to follow carefully. Department of state developed this new application with a view toward streamlining and simplifying the visa application process, as well as offering greater privacy protection for visa applicants. The full list of airports that currently accept this app include.
False statements made knowingly and willfully on passport applications, including affidavits or other supporting documents submitted therewith, may be punishable by fine andor imprisonment under u. Original birth certificate with english translation if applicable applicants most recent passport parents valid passports or governmentissued photo ids ds 11 passport form pdf 100 kb with form ds. Checklist for a consular report of birth abroad crba. The 411 on child passport renewal process mom life ds 3053 form free download fundraiser by steve peterson my volunteer trip to brazil how register your newborn pdf 114081176 ds3053 formularios edit. The 411 on child passport renewal process mom life ds 3053. Download and create your own document with form ds 82 73kb 6 pages for free. Dealing with notary errors on government documents nna. I declare under penalty of perjury that all statements. To use this application, you will have to download the ds 3053, in pdf form. Step 2 read page 1 of the consent form before continuing to page 2. This process involves a great deal more than just filling out a single form of.
When youre filling out the form ds82 for a passport renewal youll be required to have a passport photo and some other personal details including your full name, date of birth, and address. Passport name change if your passport is less than a year old, use the following form ds 5504. Form name instrument file url available electronically. Form ds2053, medical examination for immigrant applicant. This form is available online for download and printing.
Department of state approved omb 1405xxxx supplemental. The mobile passport app saving you time at customs. According to the us department of state, anyone under the age of 16 is classified as a child and only qualifies to receive a passport book or card valid for five years. 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. If you are unable to document your name change in this manner, you must apply on the ds 11 application form by making a. Meaning that if you have an iphone or an ipad without having a mac computer, you can still access itunes on your windows system. Your music, tv shows, movies, podcasts, and audiobooks will transfer automatically to the apple music, apple tv, apple podcasts, and apple books apps where youll still have access to your favorite itunes. Passport renewal application for eligible individuals.
Sign, fax and printable from pc, ipad, tablet or mobile. Download latest version of itunes for windows 10 6432 bit. Department of state in adjudicating passport applications and for law. You must submit a certified name change document such as a certified copy of your marriage certificate or a certified copy of a court order showing a seal and officiatejudge signature. Complete item 4a, statement of consent, only if you are a nonapplying parent or guardian consenting to the issuance of a. 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 ds 3053. If you answered no to any of the four statements above, stop you cannot use. Free download ds3053 form ds 3053 form free download. If you received a copy of the vaccination documentation worksheet form ds 3025 from your panel physician, you may include a copy of that form in your aos submission in place of form. Ds 3053 authorizes one parent to apply for the passport on behalf of the child, or a thirdparty agency like travel visa pro to do so if both parents are unable to appear.