DS-3053: Statement of Consent - Issuance of a Passport to a Minor Under Age 16. This website contains PDF documents that require Adobe Acrobat for viewing. Statement of Consent or Special Circumstance for Minor Passport What is the form DS 3053. Form this fillable PDF. To fill out a DS 3053 form.

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 parents/guardians can be present. Both parents/guardians must authorize the issuance of a minor’s passport and must provide the proper documentation of citizenship and guardianship. If one of them isn’t able to appear for the application process, the non-applying guardian must grant permission by completing a statement of consent and submitting it with the child’s. The non-applying parent/guardian must sign Form 3053 in front of a notary and present a piece of government-issued photo identification. This identification must be photocopied (front and back) and submitted along with the parental consent form.

How to Write Step 1 – Download Form 3053 in. The Australian Earth Building Handbook Pdf. Step 2 – Read page 1 of the consent form before continuing to page 2.

On page 2, enter the following information into Sections (1) and (2): • Minor’s last name • Minor’s first name • Minor’s middle name • Minor’s date of birth Select the box that applies to the type of authorization being validated under Section (3). Step 3 – Under Section 4, “Statement Of Consent”, the non-applying guardian must include their name and the name of the minor applying for a passport. They must also provide their physical address, telephone number, and email address. The bottom part of Section 4 can only be completed in the presence of a notary public.

This part must include the non-applying parent/guardian’s signature and the date. Step 4 – Section 5 is to be completed by the notary public.

DS-3053 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. The State Department requires that parents or guardians fill out the DS-3053 Statement of Consent Application Form. You will need to get a witness and have the document notarized. Requirements for DS-3053 Statement of Consent • You are a non applying parent or guardian providing a written consent for a minor U.S. Citizan child to apply for a United States passport because you are unable to apply in person with your child (Statement of Consent) or • You are applying parent or guardian, and the written consent of a non applying parent or guardian The PDF form DS-3053 must be printed and filled out using black ink.

The instructions are included in the PDF file. It is recommended that the form be filled out completely and legibly, as incomplete forms or illegible writing can cause delays in application processing times.

Either Item 4a or Item 5 must be filled out on this form. Item 4a, Statement of Consent, must be filled out by the parent giving express written consent to issue a passport to a minor child. Item 5, Statement of Special Circumstances, must be filled out by the applying parent if the written consent of the non-applying parent can not be obtained. If item 4a was filled out, this form must be signed, dated and notarized, If item 5 was filled out, this form must be signed and dated; no notarization is necessary. Form DS-3053 must be submitted along with form DS-11 at an approved passport agency or acceptance facility within 3 months of the date it was notarized.

Any future Statement of Consent from the non-applying parent must be notarized as well. Processing time for passports is approximately four to six weeks. Expedited processing options are available for additional fees.