Form DS-3053: Statement of Consent — U.S. Passport Issuance to a Child
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For family law attorneys, passport expediters, and corporate relocation teams
Family law practice, corporate mobility team, or passport agency preparing the 46-field Form DS-3053 (Edition 10-2024)? Pre-fill Sections 1–3 cleanly with zero cross-outs so the non-applying parent is ready for the notary within the 90-day validity window.
JustFill is not affiliated with U.S. Department of State. This is an independent third-party tool to help you complete DS-3053. Always download the current blank form from the official source and verify your completed copy before signing or submitting. Official DS-3053 from U.S. Department of State
Form DS-3053, Statement of Consent, is the U.S. Department of State form used when a child under 16 applies for a passport but one parent or guardian cannot appear in person. The current PDF (edition 10-2024) is a free download from the State Department at eforms.state.gov, linked from the travel.state.gov Passport Forms page; it is English-only and is not in the online Passport Form Filler. The non-applying parent completes Sections 1–3, signs Section 4 only in front of a notary public or passport authorizing officer, and attaches a photocopy of the front and back of the ID shown at signing. It is handed in with the child's DS-11 within 90 days of that signature. With JustFill you upload the blank DS-3053 PDF, the AI auto-detects every field, you type or dictate your details, and the first clean completed PDF download is included at no charge.
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Both parents or guardians normally must appear in person when a child under age 16 applies for a U.S. passport. When one of them cannot be there, Form DS-3053 is how the absent parent gives written consent. JustFill turns the official PDF into a fillable form you complete in your browser — the signature must wait for the notary, but you can prepare every other field cleanly instead of handwriting it. That matters here because the form says to print legibly or type in black ink and, if you make an error, to complete a new form rather than correct it. That matters here because the form says to print legibly or type in black ink and, if you make an error, to complete a new form rather than correct it. The absent parent fills in the child's details (Section 1), the name and relationship of the adult who will attend the appointment (Section 2) and their own name, address, phone and email (Section 3), then signs Section 4 in front of a notary public or passport authorizing officer and attaches a photocopy of the front and back of the ID presented at signing. The applying parent then brings the notarized DS-3053 to the passport appointment with the child's DS-11. It expires 90 days after notarization.
When a child under age 16 applies for a U.S. passport on Form DS-11 and one parent or legal guardian cannot appear in person, the absent parent must submit Form DS-3053 (Statement of Consent, Edition 10-2024, OMB No. 1405-0129). Unlike DS-11 and DS-82, Form DS-3053 is NOT included in the State Department's online Passport Form Filler — and the official instructions warn that any handwritten cross-out, white-out, or correction invalidates the form and requires starting over on a fresh sheet.
JustFill loads the official 46-field Form DS-3053 PDF directly in your browser so the non-applying parent, family law paralegal, or corporate relocation coordinator can type Sections 1, 2, and 3 cleanly, print single-sided on letter paper, and sign Section 4 in front of the notary public within the mandatory 90-day validity window.
Related U.S. Department of State & B2B Compliance Forms
Download the current Form DS-3053 (edition 10-2024, OMB control number 1405-0129, expires 10-31-2027) free from the State Department at eforms.state.gov/Forms/ds3053.pdf, the link used on the travel.state.gov Passport Forms page. The form is published in English only; the Spanish-language travel.state.gov page links the same English PDF. DS-3053 is not one of the forms the State Department's online Passport Form Filler covers (those are DS-11, DS-82, DS-5504 and DS-64), so you either handwrite it or type it in a PDF tool. Upload the official blank to JustFill, complete Sections 1–3 on screen, print it single-sided on letter paper, and leave Section 4 for the notary. The first clean completed download is included at no charge.
What each section of DS-3053 asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.
The minor's full name and date of birth exactly as they appear on the DS-11 application.
Section 2 names the adult who will appear in person with the child and their relationship (Legal Parent, Legal Guardian or Third Party). Section 3 carries the full name of the parent or guardian who cannot appear (a second blank for a second absent parent), their street address, city/state/country/ZIP, phone and email, and an optional line to limit consent to a passport book only or card only.
The declaration consenting to the issuance of a U.S. passport to the named child.
The type and number of the identification the absent parent shows when signing — a photocopy of both sides must be attached.
The non-applying parent signs and dates the form in front of the notary, not before.
Completed by the notary public or passport authorizing officer — signature, date, location (agency or city and state) and seal. The signed date starts the 90-day validity window and must match the date you sign. The notary must not be related to you.
A nine-year-old is applying for a first passport. One parent will take the child to the acceptance facility with the DS-11; the other parent is working out of state and completes DS-3053 instead of appearing in person. Both parents share custody.
SAMPLE, AVA ROSE
Copy it exactly as it appears on the child's DS-11. The form's own example is "SMITH, JOHN ROBERT".
03-14-2017 — box left unchecked
The child is nine, so the 16-or-17 box stays empty. That box only matters for the one-parent "awareness" rule for older teens.
SAMPLE, JORDAN LEE — Legal Parent
This is the parent who will attend the appointment, not the one signing the consent. Tick one relationship box only.
Casey Morgan Sample
The absent parent is the "affiant". Blank space 2 stays empty because only one parent is absent.
Left blank
Blank means consent covers both a passport book and a passport card. Write "Issue passport book only" or "Issue passport card only" if you want to limit it.
100 Sample St, Anytown, WA 98000 — (555) 010-0123 — casey@example.com
Contact details let Passport Services reach the consenting parent if anything needs confirming.
Left blank until the notary appointment
The form says "STOP HERE! Do not sign this form until requested to do so by a Passport Authorizing Officer or Notary." Your date and the notary's date must match.
Driver's License — Casey Morgan Sample — ID number WDL•••••••• — Washington — issued 2023, expires 2029
Record the exact ID you hand to the notary, then attach a photocopy of its front and back to the form.
Completed by the notary, not by you
The notary must not be related to you. The 90-day validity window starts from the notary's signed date.
These values are made up. They are here to show what belongs on each line, not to be copied — every name, number, and address on your own DS-3053 has to be your own.
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For family law attorneys, passport expediters, and corporate relocation teams
Because the U.S. State Department online Passport Form Filler does not include Form DS-3053 and passport acceptance facilities reject handwritten cross-outs, pre-fill child and parent fields in JustFill or batch-generate packets for relocating employee families from CSV.
Dedicated guide & CSV template: Batch fill Form DS-3053 & mobility packets from Excel/CSV
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We load the blank DS-3053 PDF for you — no download needed. Or upload your own copy below.
Upload your form
Choose a PDF, a Word file or an image from your files, or photograph a paper form.
PDF, Word (.docx), JPG, PNG, WebP, HEIC, GIF and BMP. Instant field preview in browser — no credit card required.
First hand-filled PDF (up to 1 pages) is free with no watermark. Need more or AI Auto-Fill? Grab the $7 7-Day Pass (25 clean PDF downloads + 25 AI credits, $7 credited toward $19/mo Starter).
By uploading, you confirm you have the legal right to use this document.
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Official source: DS-3053 on U.S. Department of State’s website
Edition checked: DS-3053 10-2024 (OMB 1405-0129, expires 10-31-2027). Verified against the official source on · Verified in our Government Forms Fillability Study.
JustFill is an independent product and is not affiliated with, endorsed by, or sponsored by U.S. Department of State or any government agency. Always verify your completed form on the official version before signing or submitting.