Form DS-3053: Statement of Consent or Special Circumstances - Issuance of a Passport to a Minor Under Age 16


SUBMIT FORM DS-3053 IF:
  • You are the non-applying parent or guardian providing written consent for your minor child to apply for a U.S. passport (because you are unable to appear in person with your child) or
  • You are the applying parent or guardian, and the written consent of the non-applying parent or guardian cannot be obtained

STEPS TO SUBMITTING FORM DS-3053:

Read and understand Steps 1-3 before leaving this page.

STEP 1: Complete and Print Form

When completing Form DS-3053, do so legibly and in black ink.  Make sure that all of the entered information is complete and correct. Illegible applications may delay application processing times.

NOTE: Form DS-3053 can also be obtained from your local Acceptance Facility or a Passport Agency.

STEP 2: Notarize Completed Form

You must sign and date Form DS-3053 in the presence of a Certified Notary Public. Be sure to have both pages of the application completed, if necessary.

STEP 3: Submit Notarized Form DS-3053 + Completed Form DS-11

Form DS-3053 must be submitted with Form DS-11 at an Acceptance Facility or Passport Agency.

NEED A U.S. PASSPORT IMMEDIATELY?

You should make an appointment to be seen at a Regional Passport Agency only if:

  • The U.S. passport is needed in less than 2 weeks for international travel
  • The U.S. passport is needed within 4 weeks to obtain a foreign visa

Contact the National Passport Information Center to make an appointment or locate a Passport Agency.

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If you are overseas and need to apply for or renew your U.S. passport, please follow the instructions under the U.S. passport section in Tips for Americans Traveling Abroad.