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U.S. Department of State STATEMENT OF CONSENT: ISSUANCE OF A U.S. PASSPORT TO A MINOR Underage 16USE OF THIS FORM The information collected on this form is used in conjunction with the DS11, \”

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How to fill out statement of consent issuance

01

Step 1: Start by writing the title 'Statement of Consent Issuance' at the top of the document.

02

Step 2: Next, write the name and contact details of the person issuing the consent, including their full name, address, phone number, and email address.

03

Step 3: Below the issuer's information, write the name and contact details of the recipient of the consent, including their full name, address, phone number, and email address.

04

Step 4: Clearly state the purpose of the consent issuance and provide a brief description of the activities or actions to which the consent applies.

05

Step 5: Specify the duration for which the consent is valid, including the start and end dates if applicable.

06

Step 6: Include any additional terms and conditions or limitations associated with the consent, such as restrictions on use or disclosure of information.

07

Step 7: Provide an option for the issuer to revoke or withdraw the consent at any time if desired.

08

Step 8: Leave space for the issuer to sign and date the statement, and include a line for the recipient to acknowledge their acceptance of the consent.

09

Step 9: Review the completed statement of consent issuance for accuracy and clarity before finalizing and distributing it to the relevant parties.

Who needs statement of consent issuance?

01

Anyone who wishes to grant permission or consent to another party for specific activities or actions may need a statement of consent issuance.

02

Examples of individuals or entities who may require a statement of consent issuance include parents providing consent for their child's participation in a school trip, individuals authorizing medical procedures or treatments, organizations granting access to confidential information, or businesses giving permission for the use of their copyrighted materials.

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What is statement of consent issuance?

The statement of consent issuance is a document that gives permission or approval for a certain action or decision.

Who is required to file statement of consent issuance?

Individuals or entities that need to grant permission or approval for specific activities are required to file a statement of consent issuance.

How to fill out statement of consent issuance?

To fill out a statement of consent issuance, you need to provide your personal or business information, details of the activity requiring consent, and sign the document.

What is the purpose of statement of consent issuance?

The purpose of statement of consent issuance is to formalize permission or approval for certain actions or decisions.

What information must be reported on statement of consent issuance?

The statement of consent issuance must include the details of the activity requiring consent, the names of the parties involved, and any conditions or restrictions of the consent.

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