[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-305224-105":53,"doc-detail-305224-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","birth-affidavit-ds-10-birth-affidavit-affiant-information-and-instructions","BIRTH AFFIDAVIT - DS-10 - Birth Affidavit Affiant Information and Instructions","","Birth Affidavit DS-10 provides a sworn, signed written statement for U.S. passport applicants when no U.S. birth certificate exists or when it was filed more than one year after birth. The form must be completed by an affiant with personal knowledge of the applicant’s birth, such as a close blood relative or attending physician. It lists required supporting records, signature and identification requirements, privacy act disclosures, and warning provisions regarding false statements and document verification.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/birth-affidavit-ds-10-birth-affidavit-affiant-information-and-instructions/305224/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/birth-affidavit-ds-10-birth-affidavit-affiant-information-and-instructions/305224.png","ImageObject",442,249,{"name":88,"@type":89},"Bill Black","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-12","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"When is Form DS-10 (Birth Affidavit) used for a U.S. passport?","Question",{"text":109,"@type":110},"It is used when no U.S. birth certificate exists or when a U.S. birth certificate was filed more than a year after birth.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Who must complete and sign the DS-10 affidavit?",{"text":114,"@type":110},"A person with personal knowledge of the applicant’s birth, such as a close blood relative or the attending physician, must complete and sign it in front of a passport agent, acceptance agent, or notary.",{"name":116,"@type":107,"acceptedAnswer":117},"What happens if the affidavit includes false statements?",{"text":118,"@type":110},"Knowingly and willfully false statements in passport applications, affidavits, or supporting documents are punishable under U.S. law, and all statements and documents are subject to verification.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},305224,1790301867,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},24189269381491,"https://ap-avatar.wpscdn.com/avatar/160000cf11732dd8392?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788146458752108895","| USE OF THIS FORM\u003Cbr>This form is used when no birth certificate exists for a person born in the United States or when a U.S. birth certificate was filed more than a year after birth. This form, or a written statement that includes all of the information on this form, must be filled out by a close blood relative (e.g. , an older brother or sister) who has personal knowledge of the details of the passport applicant’s birth or by a person who was personally involved in the passport applicant’s birth (e.g. , the attending physician) .\u003Cbr>• The person filling out this form is the affiant.\u003Cbr>• This form is an affidavit. An affidavit is a signed written statement that an affiant swears or affirms is true.\u003Cbr>• This form is submitted with an application for a U.S. passport. |\n| --- |\n| AFFIANT (The person filling out this form)\u003Cbr>The affiant is the person who has personal knowledge of and remembers the passport applicant’s birth (e.g. , a close blood relative orthe attending physician) .\u003Cbr>• The affiant must remember and explain the passport applicant’s birth in detail.\u003Cbr>• The affiant must submit a clear photocopy of the front and back of the valid government-issued photo identification the affiant presented to the passport agent, passport acceptance agent, or notary.\u003Cbr>• The affiant must sign the form or written statement in front of a passport agent, passport acceptance agent, or notary.\u003Cbr>• The date of the affiant’s signature must be the same as the date of the passport agent, passport acceptance agent, or notary’s signature.\u003Cbr>|\n| PASSPORT APPLICANT (The person applying for the passport)\u003Cbr>The passport applicant must submit the following:\u003Cbr>• Early public records (e.g. , baptismal certificate, hospital birth certificate, early school records)\u003Cbr>• Delayed birth certificate or Letter of No Record (showing no birth certificate exists)\u003Cbr>• Form DS-10, Birth Affidavit completed and signed by the person with personal knowledge of the passport applicant’s birth in front of a passport agent, passport acceptance agent, or notary\u003Cbr>• Form DS-11, Application for a U. S   Passport\u003Cbr>Please visit [travel.state.gov/citizenship for more](travel.state.gov/citizenship for more) information about the requirements for a delayed birth certificate and Letter of No Record. Birth certificates and Letters of No Record are available from the vital records office in the state you were born. Requests for copies of this affidavit should be made at the time of execution. |\n| WARNING\u003Cbr>False statements made knowingly and willfully in passport applications, including affidavits or other supporting documents submitted to support this application, are punishable [by fine and/or imprisonment under U.S. law](by fine and/or imprisonment under U.S. law), including provisions of 18 U.S.C. 1001, 18 U.S.C. 1542, and/or 18 U.S.C. 1621. Alteration or mutilation of a passport issued pursuant to this application is punishable by fine and/or imprisonment under the provisions of 18 U.S.C. 1543. The use of a passport in violation of the restrictions contained herein or of the passport regulations is punishable by fine and/or imprisonment under 18 U.S.C. 1544. All statements and documents are subject to verification. |\n| PRIVACY ACT STATEMENT\u003Cbr>AUTHORITIES: Collection of this information is authorized by 22 U.S.C. 211a et seq. ; 8 U.S.C. 1104; Executive Order 11295 (August 5, 1996); and [22 C.F.R. parts](22 C.F.R. parts) 50 and 51.\u003Cbr>PURPOSE: We are requesting this information in order to determine the place of birth of an applicant for a U.S. passport. The collection of the Social Security number will be used to verify your (the affiant's) identity and for no other purpose unless authorized by law.\u003Cbr>ROUTINE USES: This information may be disclosed to another domestic government agency , a private contractor, a foreign government agency, or to a private person or private employer in accordance with certain approved routine uses. These routine uses include, b","cbCaikzLyrrW9wlm","https://ap.wps.com/l/cbCaikzLyrrW9wlm","pdf",1824469,"English","# Use of this form\n# Affiant (person filling out the form)\n# Passport applicant requirements\n# Warning\n# Privacy Act Statement\n# Paperwork Reduction Act Statement\n# Form cover details\n## Estimated burden and OMB control information","[{\"question\":\"When is Form DS-10 (Birth Affidavit) used for a U.S. passport?\",\"answer\":\"It is used when no U.S. birth certificate exists or when a U.S. birth certificate was filed more than a year after birth.\"},{\"question\":\"Who must complete and sign the DS-10 affidavit?\",\"answer\":\"A person with personal knowledge of the applicant’s birth, such as a close blood relative or the attending physician, must complete and sign it in front of a passport agent, acceptance agent, or notary.\"},{\"question\":\"What happens if the affidavit includes false statements?\",\"answer\":\"Knowingly and willfully false statements in passport applications, affidavits, or supporting documents are punishable under U.S. law, and all statements and documents are subject to verification.\"}]","BIRTH AFFIDAVIT - DS-10 - Birth Affidavit Affiant Information and Instructions | PDF",1789822994]