DS-3053: Statement of Consent or Special Circumstance for Minor Passport

DS-3053What is the form DS 3053 Statement of Consent, and when do you use this application form? The DS-3053: Statement of Consent or Special Circumstance for Minor Passport is used when one parent is applying for a passport for a child without the other parent or has sole custody of the minor. In order to use this application, you will have to download the DS-3053 Statement of Consent Application Form this fillable PDF.

If parent or guardian has sole custody of the child then this form is not needed, and you would be able to apply for the child’s passport without the other parent using the DS-11 Application form for New Passport. The State Department requires that parents or guardians fill out the DS-3053 Statement of Consent Application Form. You will need to get a witness and have the document notarized.

Download the  Statement of Consent or Special Circumstances


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When To Use The DS-3053 Form

The Absence of a Parent/Guardian
The absent parent/guardian must complete the DS-3053 form and signed it in front of a notary public. A photocopy of both sides of an identification card must be submitted along with the form. The notarized form must be submitted with 3 months after it being notarized.

A Parent/Guardian Cannot Be Located
If a parent cannot be located or incarcerated, the Form DS-5525 “Statement of Exigent/Special Family Circumstances” must be submitted. When submitting this form provide as much detail as possible and any supporting documents. Documents like a custody order, incarceration order, or a restraining order form.

Both Parents/Guardian Are Absent
In the absence of both parents/guardians, the person submitting the application must have a written notarized document form both parties granting authorization. A photocopy of both parents’/guardians’ identification must be included. In the case when the statement is from one parent/guardian, proof of sole custody must be provided.
Processing time for passports is approximately four to six weeks. Expedited processing options are available for additional fees.

REMINDER: All documents must be completed in black ink and sign in front of the acceptance agent.

Requirements for DS-3053 Statement of Consent for Child Passport

  •  You are a non-applying parent or guardian providing a written consent for a minor U.S. citizen child to apply for a United States passport because you are unable to apply in person with your child (Statement of Consent) or
  • You are applying parent or guardian, and the written consent of a non-applying parent or guardian.

How to use the DS-3053 Parental Consent Passport Form?

When applying for a minor passport both parent is required to appear with the minor to obtain the passport for the child. The DS-3053 is used when one of the parent or guardians cannot appear with the child in such as case the following would need to be done.

  •  Date and Sign the DS 3053 Parental Consent Passport Form in the presence of a certified notary public and
  •  Submit a photocopy of the front and back of the Identification that was presented to the Notary Public with the DS-3053 form.

How to use the DS-3053 Statement of Special Circumstance?
Please note: This application form should be filled out using black ink, and a Certified Public Notary should witness the signature.

Step 1: Complete Items 1, 2, and 3 which is the minor information such as minor name, date of birth and relationship of minors.
Step 2: Complete Item 4a Statement of Consent should only be filled out if you are a non-applying parent or guardian submit the minor’s application.
Step 3: Notary Public should fill out this section which is the Notary Public Information.
DS-3053 must be submitted along with form DS-11 at an approved agency or acceptance facility within 3 months of the date it was notarized. Any future Statement of Consent from the non-applying parent must be notarized as well.

Processing time for passports is approximately four to six weeks. Expedited processing options are available for additional fees.

Common Questions using the Form DS-3053

Question: Can I use a copy of the form DS-3053? My daughter’s dad lives in Mexico and filled out the form at the embassy. Can he email it to me and I print it and take it to post office? will they accept a copy of the notarized form?

Answer:  Yes you would need a clear copy of the original notarized DS-3053 Application form.

Question:  My daughter’s passport has expired last year. She is now 14 years old. When I first got her passport her mother came with us for the DS-3053 consent. Can I do a normal DS-82 renewal or do I need another DS-3053? I am in NC and her mother is in NV.

Answer: You will need her mother to come along with her to sign the DS-11 Application Form as child passport can not be renewed.

Question: I am taking my 14-year-old niece without her mother on a vacation. I am filling out the form DS-11 to get her passport. Her father is filling are out the  DS-3053 Application form. I  am going to the Regional Passport Agency and I  am taking the following items birth certificate and 2 2×2 passport pics. What an else do we need to bring?

Answer: If you are going to a passport agency you might need to bring along a letter for emergency travel plans. Additionally, you will need to bring the following information expired passport, birth certificate, passport photo and ds-3053 refer to our child passport section for more information.

Question: Is it possible if the father sends me a notarized clear copy by email (DS-3053)or has original?

Answer: Yes it is ok to have a clear copy of the notarized copy of the DS-3053.

Question: My child’s father is in Italy, can he use an Italy notary(in English) for the Ds-3053 consent form?

Answer: Yes, as long as it is certified notary it should work. But to be sure it is recommended that you go to the U.S. embassy in Italy and get the application notaries.

Question: Do you need the DS-3053 when renewing passport for a child who is 16 years of age?

Answer: If the child is 16 years old you will no longer need the ds-3053 as the child would be able to apply for a 10 years adult passport.

Question: My husband is in Mexico and I want to travel with my newborn but I need the DS-3053 if he fax it to me would that work?

Answer: If your child is a U.S. citizen you will need the ds-3053 to be clear it would be better if he FedEx the application to you.

Question:  I am applying a for a renewal passport for my daughter. We live in Mexico. My husband will not be coming with us to the appointment so I need to take the notarized consent form DS-3053. Is this something I can get notarized in Chiapas where I live and then take with me to the appointment or does it have to be notarized at the consulate?

Answer: You will need to the application notarized at a certified notary but we recommend you get the application notarized at the consulate to be sure it is not denied.

Question: Can the form DS-3053 be printed double-sided for notarization or does it have to be printed on two separate sheets of paper?

Answer: The application would need to be printed on two separate sheets of paper.

Question:  My daughter’s father does not live in the US and I haven’t heard from him in years. My daughter is 6 years old and we’re planning to travel next month. How do I renew her passport without the DS-3053 form? I don’t know where he is.

Answer: You will need to get to get sole physical custody of the child to apply without the DS-3053 form.

Question:  I have sole physical custody but 50% legal. Do I need the other parent to fill out the DS-3053 or just proof of the custody?

Answer: You will need to apply with the DS-3053 Application form as you have 50% legal custody.

Question:  In reference to the DS-3053 form, if one of the child’s guardian cannot be present because they are currently overseas will a notary (police, certified notary) from the country suffice as in order for the form to be valid. Or does the notary have to be here in the USA? Should the parent who is present with the child use a local notary and can that notary somehow contact the parent that is currently overseas. In short, I am asking is a notary from outside of the USA recognized and valid on the DS-3053 form.

Answer: You could use a notary from outside the United States but it would have to be a certified notary in English. We recommend you go to the U.S. consulate and get the application notaries.

Question: My 3 sons & I are planning on going to Greece at the end of July. They all had minor passports issued in 2001. My 2 oldest are 22 & 20 Yrs old. My youngest is 16yrs old. I am divorced from their Dad and he lives 8hrs away. He does not have a license anymore. Will I still need to get him to sign the DS-3053 for my 16yr old or since he will be 17yrs old in Oct. and he lives w/ me 365/yr? I don’t receive regular child support.

Answer: Because your son is 16 years old he would be able to apply for a new adult passport and would not need the ds-3053 application form.

Question:  I am the Legal Guardian of my granddaughter. Is it possible for me to have her passport processed with only me present and notarized copies of DS-3053 from both parents; or must one parent be required to attend along with a DS-3053 from the second parent?

Answer: You will be able to apply using the DS-11 Application form without the DS-3053 because you are the legal parent of the child.

Question:  If I am renewing a child’s passport and I fill out the DS-3053 do I still need a notarized “written” consent from the other parent. Also, does the child need to be present when I submit the renewal application?

Answer: You would not be able to renew a child passport. You would have to apply for a new child passport which expires every 5 years. Yes, the child would need to be present to sign the DS-11 form.

Question:  My husband is over seas and I was wondering if it was possible for him to sign and notarize form DS-3053 and fax it to me or send me a copy of my email. I have already got my appointment and then found out that the statement has to be not more 3 months old and I don’t have to receive a new one by mail. Would a copy of a new notarized form be enough?

Answer: It is better to get a scanned copy of the ds-3053 as the application needs to be a clear copy of the application.

Question:  Is a DS-3053 required to obtain a passport card for minors? Also is a passport card required for infants?

Answer: Yes! You still need the statement of consent if you are applying for a passport card.

Question:  My daughter, Jessica  (then 15 yrs old) and I got new passports early last summer. We moved in late last August and unfortunately, Jessica’s passport has not been seen since! Thinking it’s somewhere in the new house but we have not located it yet and we have a cruise booked for August 19th. I wondering what my best options are. Last year I needed a notarized DS-3053 from her father. Do I still need that since she is currently 16, almost 17? I heard there are same day facilities in Philadelphia & NY, is that an option for us? Please advise!

Answer: You would need to use the DS-64 Application for Lost Passport and DS-11 for New Passport as the child would now be able to apply for an adult passport.