<%@LANGUAGE="VBSCRIPT" CODEPAGE="CP_ACP"%> PASSPORT AUTHORIZATION LETTER FOR CHILD
 
460 Van Emburgh Ave, Ridgewood, New Jersey 07450 USA
Tel: (201) 445-7088   Fax: (201) 445-0588
Email: service@visarite.com    Web: www.visarite.com
     

 

PASSPORT AUTHORIZATION LETTER
To Be Completed by Biological Parent/Guardian

   
   
CHILD'S NAME:
 
(Last, First Middle)
   
   
CHILD'S DATE OF BIRTH:
 
(Month / Day / Year)
   
   
CONTACT PHONE :
 
(put dowm N/A, if not available)
   
   
I authorize VisaRite Services Inc. to submit my child's passport application to US Passport Agency and to collect it when issued
I authorize the US Passport Agency to discuss any problems which may arise with my child's passport application with VisaRite Services Inc.
 
 
 
 
 
Biological Parent/Guardian Signature:
 
Date:
 
Relationship (circle one):
Mother / Father / Legal Guardian