Form DS-3053 is a supporting document that often must be completed if a minor under the age of 16 years is applying for a US Passport. This form is used if the parent or guardian cannot be with the child at the time of application. Proper completion of this form includes signing it in front of a notary as well as having the document notarized. Form DS-3053 is only valid for three months after its creation.
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A DS-3053 form is used by the U.S. Department of State. It is used when filling out a United States passport application (Form DS-11 “Application for a U.S. Passport”) for a minor child under the age of 16.  This form must be filled out by an adult who is the parent/guardian of the minor child. The DS 3053 form is only used if the parent or guardian cannot present the completed application for the child in person at an appropriate passport agency, acceptance facility, or U.S. Consulate if abroad.
Because this form is used instead of in-person application, it must be signed in front of a notary public and notarized in order to be legal. Written consent must be provided, and the consent will become invalid after 3 months. A clear photocopy of the front and back of the non-applying parents' government-issued photo identification must be presented to the notary with the written consent. Â This means you should submit the completed application to the issuing agency as soon as possible. Be sure to note any special circumstances before finalizing the application.
Knowingly and willingly making a false statement on a passport application, affidavit, or other supporting documents may be punishable by a fine and/or imprisonment under U.S. law.
To complete a Form DS 3053 Statement of Consent: Issuance of a U.S. Passport to a Minor Under Age 16, you will need to provide the following information:
If you have any questions about the passport form, you should visit travel.state.gov or contact the National Passport Information Center (NPIC) at 1-877-487-2778 or NPIC@state.gov.
