Statement of Consent: Issuance of a Passport to a Minor Under Age 16: DS-3053
This form should be notarized and submitted (within 3 months of being notarized), along with the DS-11 Application for Passport, for minors under age 16 as evidence of parental permission if:
- You are a non-applying parent or guardian consenting to passport issuance for your child, or
- You are an applying parent or guardian, and the written consent of the non-applying parent or guardian cannot be obtained
Duration of Consent: The written consent (from the non-applying parent) that accompanies an application for a new passport must not be more than 3 months old. The applying parent will need to submit a new written consent if the consent on file pre-dates the new application.
If you would prefer to complete the current Form DS-3053 online or by hand, please do so legibly and in black ink. Illegible applications may delay application processing times.
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