DS-3053 08-2013 Page 1 of 2 OMB CONTROL NO. 1405-0129 OMB EXPIRATION DATE 08-31-2016 ESTIMATED BURDEN 20 Minutes Attention Read WARNING and FORM INSTRUCTIONS on page 1 1. When a minor under age of 16 applies for a passport and one of the minor s 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. U*S* Department of State STATEMENT OF CONSENT ISSUANCE OF A U*S* PASSPORT TO A MINOR UNDER AGE 16...
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Who needs a DS-3053 form?

Both parents or guardians should appear with the child applying for a US passport. The information provided by DS 3053 form (Statement of Consent: Issuance of a U.S. Passport to a Minor under age 16) is used in conjunction with the DS-11, “Application for a U.S. Passport”, for obtaining a passport of the United States by an underage person in a situation where a non-applying parent or guardian is absent at the time of execution of a passport.

What is the form DS-3053 for?

DS 3053 form is used as a statement of consent where the absent parent agrees with the application for a passport of his minor child and confirms their personal data.

Is the fillable form DS-3053 accompanied by other forms?

The DS-3053 form is an addition to the DS-11 form. A photocopy of the non-applying parent’s government-issued identification is required with this written consent.

This written consent to be valid must not be more than 90 days old.

How do I fill out Form DS 3053 online?

It is very easy to fill out DS 3053 form. You must write a name of your minor child, their date of birth and sign this form in front of a notary. Also, a notary certification of the document is required. The notary certifies the document and provides their personal data.

Where do I send DS3053 form?

This form should be submitted with a DS-11 application to any designated acceptance facility of U.S. Passport Agency.

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