Sign, fax and printable from pc, ipad, tablet or mobile. Most often this form is used for medical purposes in order to hold the hospital or surgeon harmless of any wrongdoing due to the risks involved with the procedure. In order to use this application you will have to download the ds3053 statement of consent application form this fillable pdf. Statement of consent for issuing a passport to a child ds3053 you should complete this form if one parent or guardian cannot go with the child to apply in person for the childs passport. Drag and drop your pdf documents, choose fields needed to be filled, and type your text. Ds3053 022008 page 1 of 2 drivers license passport military identification other. Fill free fillable form ds3053 statement of consent. We are aware forms ds11, ds82, ds5504, ds3053, and ds5525 are. Make the most of a electronic solution to generate, edit and sign contracts in pdf or word format on the web. The passport parental consent form, otherwise known as form ds3053, is used when a minor under the age of sixteen 16 is applying for a passport. Download and study the form every legal request form can be a bit tricky that is why completely knowing what and where to write is a. Print, complete and sign both the request for consular report of birth abroad this form and the consular vital record search request.
Department of state of the views or products contained therein. This form should be submitted with a ds11 application to any designated acceptance facility of u. Download form ds3053 for statement of consent or special circumstances when. Passport forms bureau of consular affairs us department of state. At the time the ds3053 form is presented, a copy of the same identity document used to notarize the form must also be provided. Fill online, printable, fillable, blank form ds3053 statement of consent issuance of passport to a minor under age 16 form. You do not have to provide the information requested if the omb approval has expired. Links to external websites are provided as a convenience and should not be construed as an endorsement by the u. The nonapplying parent or guardian providing written consent for your minor child to apply for a u. Ds3053 2016 2019 form complete and download in pdf. Signature of parent or guardian date mmddyyyy notary seal ds3053 022006 page 1 of 2 oath. Fill out, securely sign, print or email your form ds 3053 fillable instantly with signnow. Statement of consent to be completed by the nonapplying parent or guardian using hisher information when not. Form ds3053 is a supporting document that often must be completed if a minor under the age of 16 years is applying for a us passport.
Distribute the prepared form by using electronic mail or fax, print it out or download on your device. Ds3053 online application form for statement of consent. Ds3053 0820 date of notarization date mmddyyyy page 2 of 2 u. When a minor under age of 16 applies for a passport and one of the minors parent or legal guardians is unavailable at the time the passport is executed, a completed and notarized ds3053 can be used as the statement of consent. Form ds5504 1 document s general resume template 3 document s customer service resume template 3 document s marketing campaign template 1 document s illustrator brochure templates 5 document s event flyer template 4 document s pamphlet template 3 document s sample credit report 3 document s credit card payment authorization. Ds 3053 fillable is not the form youre looking for. Try now fill ds fillable, download blank or editable.
Form ds3053 may be notarized at a kep office or before. Transform them into templates for multiple use, include fillable fields to gather recipients. Application for passport form ds11 download and print a pdf version and fill it. According to the us department of state, anyone under the age of 16 is classified as a child and only qualifies to receive a passport book or card valid for five years. One should give all the necessary supporting documents in order for the statement to be approved. Target application form ds 3053 statement of consent or special circumstance for minors intended for passport consent forms. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. This consent form should be used if one of the minors parents or guardians cannot be present at the time that the passport is being executed. For passport and travel information, please visit our website at travel. A consent form gives written permission to another party that they understand the terms of an event or activity that will be performed. If one custodial parent is not able to attend, she must submit a notarized form ds3053 statement of consent. The information solicited on this form is requested pursuant to 22 u.
Ds3053 child passport application form us passport help guide. The best online form filler webbased solution for pdf. Ds3053 application form for child passport travel visa pro. Start a free trial now to save yourself time and money. You can free download ds3053 form to fill, edit, print and sign. Save, print, send or continue editing your documents.
The ds3053 fillable pdf you create here will be accessible from virtually any internetconnected device available. Free download ds5525 form ds5525 form download pdf template. Pdf editor allows you to make modifications on your 2016 2019 ds3053 fill online from any internet linked gadget, customize it based on your requirements, sign it electronically and distribute in several ways. Passport parental consent form ds3053 eforms free fillable. The passport parental consent, or statement of consent form ds3053, is used in the event a minor person under 16 years of age is applying for a passport and only one of the parentsguardians can be present. In the ds 3053 fillable form you will see tables 1 and 2, the person. Statement of consent for issuing a passport to a child ds3053 you should complete this form if one parent or guardian cannot go with the child to. If a parent or guardian has sole custody of the child, then this form is not necessary, and you would be able to apply for the childs passport without the other parent using the ds11 application form for new passport. The state department requires that parents or guardians fill out the ds3053 statement of. You should complete this form if you lost your passport or it has been stolen. Download the ds3053 statement of consent application form this fillable pdf document is used when parents would not be able to present the child passport application to the acceptance agent. Get the job done from any gadget and share docs by email or fax. When a minor under the age of 16 applies for a passport and one of the minors parents or legal guardians is unavailable at the time the passport is executed, a completed and notarized ds3053 can be used as the statement of consent. J1 visa waiver recommendation application instructions omb no.
Ds3053 child passport application ds3053 download the ds3053 statement of consent application form this fillable pdf document is used when parents would not be able to present the child passport application to the acceptance agent. A ds3053 form is for parental consent that is filled out by. Ds3053 form free download, create, edit, fill, print pdf. Intelligent form recognition makes your pdf form fillable free download free download. Ds 3053 fillable pdf download the ds statement of consent application form this fillable pdf document is used when parents would not be able to present the child passport. Fill consent form eforms instantly, download blank or editable online. I declare under penalty of perjury that all statements made in this supporting document are true and correct. Statement of consent or special circumstance for minor passport pdf. The information collected on this form is used in conjunction wi th the ds11, application for a u.
Submit form ds 3053 fillable form along with ds form once all detail filling and its entirety were done, the person shall now proceed to submission of the form in person and both parents and guardians should appear ds 3053 fillable the child. Ds 3053 form fill out and sign printable pdf template. If a parent or guardian has sole custody of the child, then. Download the ds statement of consent application form this fillable pdf document is used when parents would not be able to present the child passport.
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