Absent Parent Passport Form

Absent Parent Passport Form
This form is used when one or both of the legal parents and/or legal heirs are unable to personally apply for that child's passport with the child.
Child's Name
First NameMiddle NameLast Name
Child's Date of Birth
MonthDayYear
Date
Is Child Under 16 Years Old?
Name of Adult Who Applied With The Child
First NameMiddle NameLast Name
This Consent Valid For:
First Name   Last Name   give my consent to the issuance of a United States passport to the minor child named on this application. My consent is unconditional with regards to passport validity and travel.
Adress: Street Address   Address Line 2   City   State   Zip
Phone Number: Area Code   Phone Number
Email:  Email
I declare under penalty of perjury that all statements made in this supporting document are true and correct.
Signature
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Date
MonthDayYear
Date
Should be Empty: