Contents
The DS-3053 form plays a crucial role in the process of obtaining a U.S. passport for minors, particularly when one parent or guardian cannot be present during the application. This form is officially known as the "Statement of Consent" and is designed to ensure that both parents or legal guardians are aware of and agree to the issuance of a passport for the child. It requires the signature of the non-applying parent, thus safeguarding against potential abductions or unauthorized travel. Additionally, the form must be accompanied by proper identification from the signing parent, such as a passport or driver's license, to validate their identity. Filling out the DS-3053 correctly is essential, as any errors or omissions can lead to delays in processing the passport application. Furthermore, understanding the submission requirements, including where and how to submit the form, is vital for a smooth application experience. Overall, the DS-3053 serves as a protective measure, ensuring that the rights of both parents are respected while facilitating the travel needs of minors.
Preview - DS-3053 Form
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.
Page 1 of 2
DS-3053 10-2024
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:
Bo
th legal pa rents/legal guardians must appear in person with their minor child to apply fo r 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 b
elow with this form or a separate statement and ensure the documents have
no con ditions 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 be half. 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 le
gal parent(s)/legal g uardian(s) also known as the “affiant(s)”. Consent is valid for both
pas sport 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
off icer 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 no tary.
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 co untries, 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
National Passport Information Center (NPIC)
travel.state.gov
1-877-487-2778
(TDD/TTY 1-888-874-7793)
International Parental Child Abduction
Office of Children's Issues
travel.state.gov/childabduction
PreventAbducti[email protected]
1-888-407-4747
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.
OMB Control No. 1405-0129
Expiration Date: 10-31-2027
Estimated Burden: 20 Minutes
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.
Page 2 of 2
DS-3053 10-2024
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.
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
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 c
orrect to the best of my knowledge and
belief.
______________________________________________
1) Non-Applying Legal Parent/Legal Guardian Signature
_______________________________
Date
______________________________________________
2) Non-Applying Legal Parent/Legal Guardian Signature
_______________________________
Date
1) Non-Apply
ing
Legal Parent/Guardian Identifying Documents:
Driver’s
License Passport Military Other______
Name: ___________________________________________
ID Number: ______________________________________
Place of Issue: ____________________________________
Issue Date: ______________ Expire Date: _____________
2) Non-Applying Legal Parent/Guardian Identifying Documents:
Driver’s License Passport Military Other________
Name: ____________________________________________
ID Number: ________________________________________
Place of Issue: ______________________________________
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).
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.
SEAL
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”
a.Child’s Name (LAST, FIRST MIDDLE) Example: SMITH, JOHN ROBERT
OMB Control No. 1405-0129
Expiration Date: 10-31-2027
Estimated Burden: 20 Minutes
Reset
Document Specifics
| Fact Name | Description |
|---|---|
| Purpose | The DS-3053 form is used to provide consent for a minor's passport application when one parent or guardian is unable to be present. |
| Eligibility | This form is applicable for minors under the age of 16 who are applying for a U.S. passport. |
| Signature Requirement | The form must be signed by the parent or guardian who is not present during the application process. |
| Submission | The completed DS-3053 form should be submitted along with the minor's passport application to the appropriate passport acceptance facility. |
| Notarization | The form must be notarized to confirm the identity of the signing parent or guardian. |
| State-Specific Laws | In some states, additional requirements may apply, such as specific identification for the notary, governed by state laws like the Uniform Law on Notarial Acts. |
| Validity Period | The DS-3053 form is valid for 90 days from the date of notarization, after which a new form must be completed if not used. |
DS-3053: Usage Instruction
Completing the DS-3053 form is an essential step in the process of obtaining a passport for a minor. After gathering the necessary information and documents, you will be ready to fill out the form accurately. Following these steps will help ensure that your application proceeds smoothly.
- Begin by downloading the DS-3053 form from the official U.S. State Department website.
- Print the form. Ensure that you have a clear and legible copy.
- In the first section, provide the minor’s full name as it appears on their birth certificate.
- Next, enter the minor’s date of birth and place of birth in the designated fields.
- Fill in the name of the parent or legal guardian who is signing the form.
- Provide the address of the parent or legal guardian, including street address, city, state, and ZIP code.
- In the next section, indicate the relationship of the signer to the minor.
- Complete the section regarding the consent of the other parent or legal guardian. If the other parent cannot be reached, provide details as required.
- Sign and date the form at the bottom. Remember, the signature must be in ink.
- Gather any required supporting documents, such as a photocopy of the front and back of the signer’s ID.
- Review the completed form for any errors or omissions before submission.
After completing the form, it is advisable to submit it along with the other necessary documents to the appropriate passport processing location. Ensure that you follow any specific instructions provided by the passport agency to avoid delays in processing.
Learn More on DS-3053
What is the DS-3053 form?
The DS-3053 form, also known as the "Statement of Consent," is a document required by the U.S. Department of State. It is primarily used when a minor child is applying for a U.S. passport and one parent or guardian cannot be present during the application process. This form allows the absent parent to provide consent for the issuance of the passport.
Who needs to fill out the DS-3053 form?
The DS-3053 form must be completed by the parent or legal guardian who is not accompanying the child to the passport application appointment. This is essential to ensure that both parents agree to the issuance of the passport. If one parent has sole legal custody, they may not need to fill out the form, but they should provide legal documentation proving their custody status.
How do I complete the DS-3053 form?
Completing the DS-3053 form involves several steps:
- Obtain the form from the U.S. Department of State's website or a passport acceptance facility.
- Provide the child’s full name, date of birth, and other identifying information.
- Include your name, address, and contact information.
- Sign and date the form, indicating your consent.
- Have your signature notarized by a certified notary public.
Make sure to double-check all information for accuracy before submission.
Where do I submit the DS-3053 form?
The completed DS-3053 form should be submitted along with the child's passport application. This can be done at a passport acceptance facility or a passport agency. If the application is being mailed, include the DS-3053 form with the application package.
Is there a fee associated with the DS-3053 form?
There is no fee specifically for completing the DS-3053 form itself. However, there are fees associated with applying for a passport. These fees vary depending on the type of passport requested and the processing speed. It's important to check the current fee schedule on the U.S. Department of State's website.
What if the absent parent cannot sign the DS-3053 form?
If the absent parent cannot sign the DS-3053 form due to circumstances like being overseas, they may provide a signed statement of consent. This statement must include the same information required on the DS-3053 and should also be notarized. In cases of sole custody, legal documentation must be provided to confirm that the other parent’s consent is not necessary.
Can the DS-3053 form be used for other purposes?
The DS-3053 form is specifically designed for passport applications for minors. It cannot be used for other legal purposes or documents. If you need consent for a different situation, you may need to consult a legal professional for guidance on the appropriate documentation.
Common mistakes
Filling out the DS-3053 form can be a straightforward process, but many people make common mistakes that can lead to delays or complications. Understanding these pitfalls is crucial for a smooth application experience. Here are five mistakes to watch out for.
One frequent error is failing to sign the form in the appropriate place. The DS-3053 requires the signature of the parent or legal guardian who is not present when the application is submitted. If this signature is missing or placed incorrectly, it can result in the application being rejected. Always double-check that the signature is in the designated area.
Another mistake involves not providing accurate identification information. The form asks for specific details about the child and the parent or guardian. Omitting any required information, such as the full name, date of birth, or Social Security number, can cause significant delays. Ensure that all fields are filled out completely and accurately.
Additionally, many applicants neglect to include a proper notarization. The DS-3053 must be notarized to confirm the identity of the signing parent or guardian. Without this crucial step, the form may not be accepted. It's essential to visit a notary public and ensure that the notarization is completed correctly before submitting the form.
Some individuals also forget to include the necessary supporting documents. The DS-3053 requires certain documents, such as a photocopy of the identification of the parent or guardian who is signing. Failing to provide these documents can lead to processing delays. Always verify that you have included all required paperwork before sending in the application.
Lastly, a lack of attention to detail can result in incorrect fees being submitted. The DS-3053 is often part of a larger application process that may involve various fees. If the correct fee is not included, it can stall the application. Always check the current fee schedule to ensure that the right amount is sent along with your form.
Documents used along the form
The DS-3053 form, also known as the "Statement of Consent," is essential for obtaining a passport for a minor when one parent or guardian cannot be present. However, several other documents often accompany this form to ensure a smooth application process. Below are some of the key forms and documents that may be required alongside the DS-3053.
- DS-11 Form: This is the application for a U.S. passport. It is typically filled out by the parent or guardian who is applying for the minor's passport. The DS-11 must be submitted in person, along with the required documentation.
- Proof of Relationship: This document serves to establish the relationship between the minor and the applying parent or guardian. It can include a birth certificate or adoption decree that clearly shows the connection.
- Photo Identification: A valid form of ID for the parent or guardian is necessary. Acceptable forms include a driver's license, state ID, or passport. This helps verify the identity of the adult completing the application.
- Passport Photos: Recent passport-sized photos of the minor are required. These must meet specific guidelines, including size and background color, to ensure they are acceptable for passport processing.
- Payment Receipt: A receipt confirming payment of the passport application fee is needed. This can be a credit card transaction record or a check stub, demonstrating that the necessary fees have been paid.
Having these documents ready and organized can significantly streamline the passport application process for a minor. Ensuring that all required forms are completed accurately will help avoid delays and ensure a smoother experience.
Similar forms
The DS-5500 form is similar to the DS-3053 in that both documents are used for passport-related purposes. The DS-5500 is specifically for individuals applying for a U.S. passport for the first time. Like the DS-3053, it requires personal information and documentation to verify identity and eligibility. Both forms emphasize the importance of accurate information to ensure a smooth application process.
The DS-11 form also shares similarities with the DS-3053. This form is used for first-time applicants or those who cannot renew by mail. Just as the DS-3053 requires a parent’s consent for minors, the DS-11 requires parental involvement if the applicant is under 16. Both documents necessitate proof of citizenship and identity, underscoring the need for thoroughness in application submissions.
Dos and Don'ts
When filling out the DS-3053 form, which is essential for obtaining a passport for a minor, it’s important to follow certain guidelines to ensure a smooth process. Here’s a helpful list of things to do and avoid.
- Do read the instructions carefully before starting.
- Do use black ink to fill out the form.
- Do ensure that all signatures are original and not photocopied.
- Do provide accurate information, double-checking for any errors.
- Don't leave any required fields blank; fill them out completely.
- Don't forget to include a recent passport photo of the minor.
- Don't submit the form without the necessary identification documents.
- Don't use correction fluid or tape to fix mistakes; instead, start over if needed.
By following these tips, you can help ensure that your application process goes as smoothly as possible. Good luck with your passport application!
Misconceptions
The DS-3053 form is an important document related to passport applications for minors. However, several misconceptions exist about its purpose and requirements. Here are nine common misunderstandings:
-
Only one parent needs to sign the form.
This is incorrect. Both parents or legal guardians must provide consent for a minor's passport application, unless one parent has sole legal custody.
-
The form can be submitted online.
The DS-3053 form must be printed and submitted in person at a passport acceptance facility or during a passport appointment.
-
It is not necessary if the minor is over a certain age.
-
The form is only needed for first-time passport applications.
This is misleading. The DS-3053 is also required for renewals if the minor is under 16.
-
A notary public can sign the form on behalf of a parent.
This is false. The form must be signed by the parent or legal guardian in person.
-
There is no time limit for submitting the form.
The DS-3053 must be submitted at the same time as the passport application. Delays can affect the processing time.
-
The form is only needed for U.S. citizens.
This is incorrect. The DS-3053 is required for U.S. citizens applying for a minor's passport, regardless of the child's citizenship status.
-
Parents can fill out the form after the passport application is submitted.
This is not true. The DS-3053 must be completed and submitted with the passport application.
-
The form does not require any identification.
This is misleading. Parents must provide valid identification when submitting the DS-3053.
Key takeaways
The DS-3053 form is an important document used for obtaining a passport for a minor when one parent or guardian is unable to appear in person. Here are key takeaways to consider when filling out and using this form:
- Parental Consent: The DS-3053 requires the consent of both parents or guardians for a minor’s passport application. If one parent cannot be present, their signature is still necessary on this form.
- Notarization Requirement: The form must be notarized. This means that the absent parent or guardian must sign the form in front of a notary public, who will then validate the signature.
- Submission Timing: Submit the DS-3053 form along with the minor's passport application. Ensure that it is included in the same mailing or presented at the time of application to avoid delays.
- Validity Period: The DS-3053 is valid for a specific period. Make sure to check the expiration date to ensure it is current when you submit it with the application.