Authorization for Foreign Travel with Minor

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Last Updated: February 9, 2023.

About this Form

This form is an authorization letter for foreign travel with a minor. It is meant to be used by parents or legal guardians of a minor child who is a citizen of the United States of America and is planning to travel outside of the country. The form provides information about the minor child, such as their name, date of birth, and passport number. It also provides information about the adult with whom the child will be traveling and the purpose of the trip.

The parents or guardians must sign the form in the presence of a notary public, attesting to their legal custody of the child and granting authorization for the child to travel. Additionally, the parents or guardians provide their contact information. The form serves as proof of authorization for the child to travel and may be required by airlines, foreign governments, or other organizations.
AUTHORIZATION FOR FOREIGN TRAVEL WITH MINOR
To Whom It May Concern:

This letter is in relation to my child, _____________________________________________  [name of child]  , who is a citizen of the United States of America and a minor born on _________________________  [specify child’s date of birth]  .  My child holds a U.S. passport with the number _________________________.

I do solemnly swear that I have legal custody of my child and that no pending divorce or child custody proceedings involving my child exist.  I do hereby grant full authorization and consent for my child to travel outside of the United States with _________________________  [specify name of adult with whom child will travel]  , who is the _________________________  [specify adult’s relationship with child]  of my child. The purpose of the travel is _________________________  [specify vacation, touring, to visit relatives, to accompany adult on business trip or other reason]  .  I have approved the following travel plans:

Dates of travel:                           Destinations/Accommodations:
_________________                  ______________________________________
_________________                  ______________________________________

I authorize _____________________________________________  [name of adult with whom child will travel]  to make any changes whatsoever to the travel plans specified above.

Under penalty of perjury under the laws of the state of ______________________, I attest to the truthfulness, accuracy, and validity of the forgoing statement.
   
____________________________________                     ___________________
Parent 1's Signature                                                       Date
 
 ____________________________________                     ___________________
Parent 2's Signature                                                       Date

Parent #1: 
Name: ________________________________________________________________________
Address:  ______________________________________________________________________
Home phone: __________________________      Work phone: __________________________
Cell phone: ____________________________      Pager: _______________________________
Email: ________________________________
Additional Contact Information: _____________________________________________________
_______________________________________________________________________________

Parent #2: 
Name: ________________________________________________________________________
Address:  ______________________________________________________________________
Home phone: __________________________      Work phone: __________________________
Cell phone: ____________________________      Pager: _______________________________
Email: ________________________________
Additional Contact Information: _____________________________________________________
_______________________________________________________________________________
 

CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC
STATE OF __________________
COUNTY OF ________________

Acknowledged before me on ___________________ [date] by __________________________________ [name of principal].

[Notary Seal, if any]:

_______________________________
(Signature of Notarial Officer)

Notary Public for the State of __________________

My commission expires: ______________________
  

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