Passport Parental Consent – Form DS-3053

Updated May 24, 2022

A passport parental consent, or statement of consent (Form DS-3053), is used in the event a minor (person under 16 years of age) is applying for a passport and only one of the parents/guardians can be present. Both parents/guardians must authorize the issuance of a minor’s passport and must provide the proper documentation of citizenship and guardianship.

If one of them isn’t able to appear for the application process, the non-applying guardian must grant permission by completing a statement of consent and submitting it with the child’s DS-11 Form. The non-applying parent/guardian must sign Form 3053 in front of a notary and present a piece of government-issued photo identification. This identification must be photocopied (front and back) and submitted along with the parental consent form.

IRS Form DS-82 – Use as an application to renew an adult passport.

How to Write

Download Form 3053: Adobe PDF.

I. Child’s Name

(1) Full Name Of Child Or Minor. The name of the Child this application concerns should be supplied across the three boxes on the top row by supplying his or her “Last” name,” “First” name, and “Middle” name where requested.

II. Child’s Date Of Birth

(2) Child’s Birthday. Document the two-digit month, calendar date of the month, and four-digit year of the Child’s birth date in the space provided by Section (2).

III. Purpose Of Consent

Select Item 3 Or Select Item 4 Or Select Item 5

(3) Passport Book And Card. If the purpose of this application is to obtain a “Passport Book And Card” for the Child named above, then place a mark in the first checkbox of Section (3).

(4) Book Only. If this application is being submitted to only gain a passport book for the Child then the second checkbox must be marked.

(5) Card Only. Select the third checkbox if the goal of this application will be only to obtain a passport card for the Child.

VI. Minor Status

Select Item 6 Or Select Item 7

(6) Under Sixteen. If the Child is under sixteen years old, the “Yes” box should be selected from Section 4(A).

(7) Over Sixteen. If the Child is over sixteen years old, place a mark in the “No” checkbox.

(8) Required Adult (If Applicable). If the Child is under sixteen years old then the full name of the Adult who will accompany the Child to the passport office or otherwise effecting this application should be listed in Section (4B).

V. Statement Of Consent

(9) Legal Guardian. The full name of the Child’s Parent (or Legal Guardian) whose consent is required to approve of this application’s submission must be presented in print on the first blank line of the consent statement provided.

(10) Address Of Legal Guardian. The physical “Street Address” of the Parent or Legal Guardian’s home address along with its apartment number (if applicable), “City,” “State,” and “Zip Code” should be produced across the spaces Section (5) provides. Notice that each address item will have a unique area of presentation.

(11) Legal Guardian Contact Information. Submit the telephone number where the Child’s Parent or Legal Guardian may be reached by supplying the area code and number where requested then continue with a record of the Parent or Legal Guardian’s “Email Address.”

VI. Dated Notarized Signature

(12) Signature Of Legal Guardian. The signature of the Child’s Parent or Legal Guardian must be submitted before a Notary Public. Therefore, once this application is confirmed as correct, the Child’s Parent or Legal Guardian should sign his or her name to prove that the “Oath” displayed above is true.

(13) Date Of Legal Guardian Signature. Once he or she has signed this application, the Parent or Legal Guardian should submit the date at the time of signing.

VII. Completion By Notary

(14) Notarization. The Notary Public who has viewed the application’s signing and has viewed the credentials of the Signature Parent or Legal Guardian will complete the final section to show the notarization process has been completed.