Form DS-3053: Statement of Consent or Special Circumstance for Minor's Passport
is required when one parent or guardian who does not have sole legal custody applies for a minor's passport
since the general rule requires the signature of both parents.
The non-applying parent or guardian must
complete the form and have it notarized in order to provide consent for
the applying parent or guardian to obtain the passport. When written
consent cannot be obtained, the applying parent or guardian must
complete the special circumstances section of the form. Note, the
approval of special circumstance is at the discretion of official
How to Submit Form DS-3053:
The instructions are pretty straight-forward and easy to understand. There are three steps to the process.
STEP 1: Complete and Print Form
Applicants should use black ink to complete Form DS-3053.
Information provided on this form should be complete and correct.
Errors on the application or illegible writing can lead to delays in
If you are the non-applying parent or guardian who is
consenting to the issuance of a passport for your minor child, you
should complete item 4a. If you are the applying parent or guardian who
is unable to obtain written consent from the non-applying parent or
guardian, you need to complete item 5. Be as specific as possible about
why the non-applying parent is unavailable and the efforts you have
made to contact them. Note, special circumstances are evaluated on a
case-by-case basis. There is no guarantee of approval.
Click the link to open the form in PDF format: Form DS-3053: Statement of Consent or Special Circumstance for Minor Passport (PDF)
STEP 2: Get Form DS-3053 Notarized & Submit Photocopy of the ID (Only with Statement of Consent)
It is only necessary to complete step 2 if you are submitting
Form DS-3053 as a Statement of Consent. When used as a Statement of
Special Circumstances, it is not necessary to have the form notarized.
If you are a non-applying parent or guardian consenting to the issuance
of a passport for a minor child, you must:
STEP 3: Submit Form DS-3053 with Completed Form DS-11 and Supporting Documents
- Sign and date Form DS-3053 in the presence of a Certified Notary Public
- Submit a photocopy of the front and back side of your ID with Form DS-3053
In all cases, Form DS-3053 must be submitted along with Form DS-11: Application for a New U.S. Passport
and required supporting documents at an application acceptance facility
or, in cases of urgent travel needs, a regional passport agency
A Statement of Consent from a non-applying parent or guardian
must be submitted with the minor's passport application within 3 months
of the date it was notarized to be valid. A new, notarized Statement of
Consent from the non-applying parent will be required for future
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