The Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Minor under Age 16 (DS-5525) is used in conjunction with the Application for a U.S. Passport (DS-11). This form is only for use if the written consent of the non-applying parent or guardian cannot be obtained. The statement must explain in detail the non-applying parent or guardian's unavailability, and recent efforts made to contact the non-applying parent/guardian. This form is not to be used if the non-applying parent/guardian refuses, or claims it is inconvenient, to provide notarized consent for the minor applicant.
The latest form for Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Minor Under Age 16 expires 2023-11-30 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Supplementary Document |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supporting Statement A |
Reinstatement without change of a previously approved collection | 2023-12-08 | ||
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2021-01-28 | |
Approved without change |
Revision of a currently approved collection | 2019-08-27 | |
Approved without change |
Revision of a currently approved collection | 2016-07-08 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 2013-06-20 |