A Consular Report of Birth may be issued for any U.S. citizen child under
age 18 who was
Only the child's parent or legal guardian may make application on
the child's behalf. The application generally must be signed before a U.S.
consular officer, a consular agent or, in the case of children born in U.S.
military hospitals, a designated military official. In certain circumstances,
the application may be executed before a notary public overseas.
A. When an application is made for a Consular Report of Birth for a child
who has never been documented as a U.S. citizen, the documentary
evidence listed below should be presented. Provisions may be made for
documents that are not available. In certain instances, additional evidence
may be required to insure full compliance with citizenship law. All
documentation submitted must be originals or certified copies of the
originals.
1. Child's birth certificate.
2. Evidence of the parent U.S. citizenship. This may consist of a U.S.
passport, Consular Report of Birth, Naturalization Certificate, Certificate of
Citizenship or U.S. birth certificate. For other forms of acceptable U.S.
citizenship evidence, contact the U.S. consul.
3. Parents' marriage certificate.
4. Evidence of the termination of any previous marriages of the parents
.
5. Other documents may be requested including identity documentation
and documentation or other evidence establishing a biological relationship
between the child and the parent.
B. When an application is made for a child who has previously been
documented as a U.S. citizen, the application need only be accompanied
by the documentation issued to the child and the original or a certified
copy of the child's birth certificate.
Complete Section A, items 1-15 on the first page of this form in
accordance with the corresponding numbers below.
1. Enter the name of the child as it is recorded on the local birth
certificate. Translations of foreign names are acceptable. If an erroneous
name is shown on the birth certificate, an explanatory affidavit from the
parent must be presented regarding the correct name. When a child's
name has been changed by adoption or certain other legal action
amending the child's name retroactive to birth, the new name may be
recorded on the application when the legal action has been substantiated
by an adoption decree or other documentary evidence, respectively.
Note, however, that information provided in items 6-14 must relate to
biological, not adoptive parents.
2. Check box to indicate whether male or female.
3. Write the month in full. Do not abbreviate. .
4. Strike out either A.M. or P.M. , and enter the
conventional local time as shown on the birth certificate.
If the time of birth is not shown on the birth certificate, enter the time
from memory if known. If time is not known, write "not known."
5. Enter only the name of the city, state, or province , and
country.
6. Enter the names of the biological parents including the maiden
name of mother. The names of adoptive parents may not be used.
7. Write the month in full. Do not abbreviate.
8. Enter only the city, state, and country.
9. Use address at the time the application is executed.
10. Enter either address at which parents will be residing or receiving
mail upon arrival or return to the United States, or the last address in the
U.S. The address should be written out in every instance. Do not write
"same" or "same as husband."
11. List the type of document, document number, date and place of
issuance, and name of individual as recorded on the document if
different than item 6 above. For a list of permissible documents, see
instructions on documentary evidence. If parent is not a U.S. citizen,
show nationality.
12. List periods of physical presence in the U.S. prior to the child's birth
in exact detail. Do not include periods that will be mentioned in item 13.
Vacation trips abroad, schooling in foreign countries, and any other brief
absences cannot be counted as periods of a physical presence in the
U.S.
13. List periods in detail. Official written evidence from the appropriate
governmental department or international organization must be
presented to support any periods shown. For names of qualifying
organizations, see consul.
14. List all prior marriages in the following manner: Date of marriage,
manner of termination, date of termination. If no previous marriages,
write "none."
15. Show date and place of marriage of child's parents. If the parents
are not married to each other, write "not married."
APPLICATION FOR A CONSULAR REPORT OF BIRTH
DS-2029 Instructions Page
For children who have previously been documented as U.S. citizens
born abroad and who acquired U.S. citizenship at
DOCUMENTARY EVIDENCE
For children who have never been documented as U.S. citizen
COMPLETION OF THE APPLICATION FOR A CONSULAR REPORT OF
BIRTH
birth.
:
:
(s)
(divorce decree, annulment decree, or death certificate)
the nearest American Embassy or Consulate for guidance in such cases.)
(Contact
(X)
(Example: October 2,
1984)
(whichever is inapplicable)
(Example: 3:00
P.M.)
(if applicable)
THE FOLLOWING ITEMS PERTAIN TO THE BIOLOGICAL PARENTS. COMPLETE FOR BOTH FATHER AND MOTHER.
3. Date of Birth
A. THIS SECTION TO BE COMPLETED BY APPLICANT.
5. Place of Birth in Full
4. Hour
APPLICATION FOR CONSULAR REPORT OF BIRTH ABROAD
OF A CITIZEN OF THE UNITED STATES OF AMERICA
18.
Please Type or Print Neatly in Blue or Black Ink.
See Instructions on Reverse Side.
2. Sex
M
AM
PM
F
Serial No.
Date Issued
(mm-dd-yyyy)
Approved
FS Post
U.S. Department of State
OMB NO. 1405-0011
EXPIRES: 1/31/2013
Estimated Burden: 20 Minutes*
1. Name of Child in Full (Last, First, Middle)
(City, State, Country)
Mother
B. THIS SECTION TO BE COMPLETED BY CONSULAR OFFICER, NOTARY PUBLIC OR OTHER PERSON QUALIFIED TO ADMINISTER OATH
C. THIS SECTION TO BE COMPLETED BY CONSULAR OFFICER
Relationship to the Child
I SOLEMNLY SWEAR (OR AFFIRM) THAT THE STATEMENTS MADE ON THIS APPLICATION ARE TRUE TO THE
BEST OF MY KNOWLEDGE AND BELIEF.
Date
16. Affirmation:
Name of Person Providing Information
Signature
Subscribed to
15. Date and Place of Present Marriage
DS-2029
01-2010
9. Present Address
10. Address in United States
11. Evidence of U.S. Citizenship
If Alien, Show Nationality
12. Precise Periods of Physical
Presence in United States
From To From To
13. Precise Periods Abroad in
U.S. Armed Forces, in other
U.S. Government Employment,
with Qualifying International
Organization, or as Dependent
of such Person
From
To
Branch/Agency/Org.
From
To
14. Previous Marriages
17. Documents Presented - Please mark accordingly and provide date of document.
18. (See Upper Right Corner)
Father Item
6. Full Name
7. Date of Birth
8. Place of Birth
(Include Mother's Maiden Name)
(City, State, Country)
(Street No., City, State)
(Street No., City, State)
(Do not list individual States. Use
additional paper, if necessary)
(Specify)
(and Manner of Termination of All)
(Show Dates
(mm-dd-yyyy) (mm-dd-yyyy) (mm-dd-yyyy) (mm-dd-yyyy)
(mm-dd-yyyy) (City, State, Country)
Page 1 of 2
(SEAL)
Type Name and Title of Official
Signature of Official
City
(mm-dd-yyyy)
Birth Certificate
Date (mm-dd-yyyy)
Marriage Certificate
Father's Passport
Date (mm-dd-yyyy)
Mother's Passport
Other Citizenship Document of Parent
Other Identity Document
Date (mm-dd-yyyy)
Date (mm-dd-yyyy)
Date (mm-dd-yyyy)
Date (mm-dd-yyyy)
Other
Date (mm-dd-yyyy)
Branch/Agency/Org.
(e.g. Naturalization Certificate)
(e.g. Driver's License)
(mm-dd-yyyy)
(mm-dd-yyyy)
(mm-dd-yyyy)
(mm-dd-yyyy)
AUTHORITY: The information solicited on this form is requested pursuant to 8 U.S.C. §
1104, 1401, 1409, 1504, 22 U.S.C. § 2705 and Code of Federal Regulations issued pursuant to
E.O. 11295 (August 5, 1966), including 22 C.F.R § 50.5 and 50.7.
PURPOSE: The primary purpose for soliciting the information is to establish citizenship,
identity, and entitlement to issuance of a Consular Report of Birth and to properly administer
and enforce the laws pertaining thereto. The information may also be used in connection
with issuing other evidence of citizenship, and in furtherance of the Secretary's
responsibility for the protection of U.S. nationals abroad.
ROUTINE USES: The information solicited on this form may be made available as a routine
use to other government agencies, to assist the U.S. Department of State in adjudicating
passport applications and requests for related services, and for law enforcement and
administrative purposes. It may also be disclosed pursuant to court order. The information
may be made available to foreign government agencies to fulfill passport control and
immigration duties. The information may also be provided to foreign government agencies,
international organizations and, in limited cases, private persons and organizations to
investigate, prosecute, or otherwise address possible violations of law or to further the
Secretary's responsibility for the protection of U.S. nationals abroad. The information may
be made available to private U.S. citizen 'wardens' designated by the U.S. Embassies and
consulates.
Failure to provide the information requested on this form may result in the denial of a
Consular Report of Birth, related document or service to the individual seeking such report,
document or service.
Public reporting burden for this collection of information is estimated to average 20 minutes
per response, including time required for searching existing data sources, gathering the
necessary documentation, providing the information and/or documents required, and
reviewing the final collection. You do not have to supply this information unless this
collection displays a currently valid OMB control number. If you have comments on the
accuracy of this burden estimate and/or recommendations for reducing it, please send them
to: A/GIS/DIR, Room 2400, SA-22, U.S. Department of State, Washington, DC 20522-2202.
PRIVACY ACT STATEMENT
PAPERWORK REDUCTION ACT (PRA) STATEMENT
Page 2 of 2
DS-2029