Phone: 1-409-385-2438
Fax: 1-800-599-9442
National Passports
335 HWY 327 West  #286
Silsbee, Texas 77656
www.nationalpassports.com
info@nationalpassports.com
ORDER FORM
Print this form, fill it out and send it to us with your information
Written Letter of Consent
(Please fill in the blanks and return to our office with your passport request
This Form MUST be on the inside of your sealed envelope.)

Houston Passport Agency
1919 Smith Street
Suite 1100
Houston, Texas  77002

Dear Passport Representatives,

I, , give authorization to have my child's
  (non present parents name)
passport issued without me being present.
  (child's name)
  non-present parent's signature phone number