Authorisation form for travelling abroad with a minor

You must complete and sign a copy of this form for each minor travelling abroad with one parent or
with one or more other adults.

The form is not compulsory, but will speed up your passage through border controls.

Period of travel (DD-MM-YY) From: To:

Minor

Surname
Given name(s)
Date and place of birth
Nationality/ies
Travel document number
Travel document valid until (DD-MM-YY)

Accompanying adult(s) I/We authorise the aforementioned minor to travel with:

(Delete as appropriate)

Accompanying adult Adult 1 Adult 2

Surname
Initial(s)
Date and place of birth
Nationality/ies
Travel document number
Travel document valid until (DD-MM-YY)
Relation to minor

Authorising adult/adults/organisation:
I/We have parental responsibility/custody/guardianship over the aforementioned minor:
(Delete as appropriate)

Name of organisation
Adult 1 Adult 2
Surname
Initial(s)
Place and date of birth
Travel document number
Travel document valid until (DD-MM-YY)
Street
Postcode and town/city
Telephone number(s)
Signature(s)
 Travel information
I/We authorise the aforementioned adult/adults to travel with the aforementioned minor to:
(Delete as appropriate)

Name of family/accommodation
Postcode and town/city
Country
Telephone number
Itinerary (for example, flight number(s))

This form has been completed truthfully.

Signature(s) of authorising adult/adults

(Delete as appropriate)

Adult 1's signature Adult 2's signature

Date and place: Date and place:

Signature(s) of accompanying adult/adults

(Delete as appropriate)

Adult 1's signature Adult 2's signature

Date and place: Date and place:

If you have any questions, please go to www.kinderontvoering.org.

Attached:

• Copy/ies of authorising adult's/adults’ passport(s) or identity card(s).

The following additional documents may be required, depending on your personal situation:

• A recently issued international extract from the Personal Records Database (BRP) relating
to the minor (can be requested from the municipality).
• A recently issued extract from the parental responsibility register (can be requested from a
court).
• Parenting plan.
• Court judgment(s) relating to custody and access.
• All addresses the child will be staying at (if staying at multiple addresses).