Rockland County, NY · Rockland County
Passport Headgear Affidavit
This affidavit lets a passport applicant affirm that headgear is necessary for religious purposes and provide the applicant’s or parent’s signature.
At a glance
- Issued by
- City of Rockland County · Rockland County, Rockland County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- rocklandcountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Passport Headgear Affidavit records an applicant’s affirmation that headgear is necessary for religious purposes. It is addressed to U.S. Passport Services and asks for the date, applicant’s printed name, relationship to the applicant or “self,” and applicant or parent signatures, if required. The document does not state when this affidavit is required or provide submission instructions.
Who needs it
A passport applicant affirming that headgear is necessary for religious purposes, or a parent signing if required, may use this affidavit.
How to submit it
The form is addressed to U.S. Passport Services, but it does not provide a submission method or address; check with U.S. Passport Services for current instructions.
About notarization
This document is signed without a notary; the signer dates and signs the affidavit, with parent signatures if required.
How to submit this form
- 1
Download the Affidavit
Download the Passport Headgear Affidavit PDF.
- 2
Complete the Form
Enter the date, print the applicant’s name, and indicate the relationship to the applicant or write “self.”
- 3
Sign the Affidavit
The applicant signs; parent signatures are included if required.
- 4
Check Submission Instructions
The form is addressed to U.S. Passport Services. Check with that office for current submission instructions.
Frequently asked questions
- What is the Passport Headgear Affidavit for?
- It lets an applicant affirm that headgear is necessary for religious purposes and provides space for the applicant’s name and signature, or parent signatures if required.
- Do I need a notary for the Passport Headgear Affidavit?
- No. The document is signed and dated without a notary; parent signatures are included if required.
- How do I submit the Passport Headgear Affidavit?
- The form is addressed to U.S. Passport Services but gives no submission method or address. Check with U.S. Passport Services for current instructions.