SafeNotarizeSafeNotarize
HomeOnline NotaryDocument LibraryPricingFAQStart

Create a Child Passport Consent

Enter the parent, child, passport application, optional travel, and consent details. Review the document before downloading the PDF.

General template only. This general template does not replace an official passport-agency form such as DS-3053. Confirm the exact form and signature requirements with the receiving passport agency before use.

Document information

Parent or Guardian

Enter the name of the person giving consent.
Use the current residential address.
Provide reliable contact information.

Child Information

Use the name shown on the child’s birth record.
Enter the child’s date of birth.
Enter the city, state or province, and country.

Second Parent or Guardian

Leave blank if not applicable.
Add the current address if it should appear in the letter.
Include contact information if available.

Passport Application Information

Example: first passport, renewal, or passport book and card.
Enter the location if known.
Enter the planned appointment or filing date.

Optional Travel Information

List the destination if the consent relates to planned travel.
Leave blank when travel has not been scheduled.
Leave blank when travel has not been scheduled.

Consent and Instructions

Describe the passport application or issuance you authorize.
Add any details the receiving agency requested.
Enter the date the consent letter is prepared.

Fields marked with * are required. Your entries stay in this browser page and are not sent to SafeNotarize by this template.

Your document is downloaded

Continue to provide signer and session information, upload the PDF when prompted, then join now or select a later time.

Continue to Online Notarization