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1. Date and Location: Current date and place where the letter is being executed
2. Parent/Guardian Information: Full legal names, addresses, and contact information of parents/legal guardians giving authorization
3. Caregiver Information: Full legal name, address, and contact information of the designated caregiver
4. Child Information: Full legal name, date of birth, and current address of the child
5. Authorization Statement: Clear statement delegating temporary caregiving authority and specific powers granted
6. Duration of Authorization: Specific start and end dates for the caregiving arrangement
7. Emergency Contact Details: List of emergency contacts including parents and alternative contacts
8. Signatures: Signatures of parents/guardians with dates
9. Witness Information: Names and signatures of witnesses
1. Medical Authorization: Specific medical decision-making powers and any relevant health information, needed if medical care might be required
2. Special Instructions: Any specific care instructions, dietary requirements, or routines to be followed
3. Travel Authorization: Permission for in-state or out-of-state travel if needed during care period
4. Education Authorization: Authority to make educational decisions if care period covers school time
5. Religious Preferences: Any religious observations or restrictions to be followed during care
6. Revocation Clause: Terms under which the authorization can be revoked before the end date
1. Schedule A - Identification Documents: Copies of government ID proof of all parties involved
2. Schedule B - Medical Information: Child's medical history, allergies, medications, and healthcare provider details
3. Schedule C - Emergency Contact List: Detailed contact information for all emergency contacts including relationship to child
4. Schedule D - Daily Schedule: Child's typical daily routine, activities, and specific care requirements
Healthcare
Education
Childcare Services
Social Services
Legal Services
Family Services
Domestic Help Services
Emergency Services
Medical Services
Community Services
Legal
Human Resources
Healthcare Administration
School Administration
Social Services
Child Protection
Emergency Services
Family Services
Compliance
Document Management
Family Lawyer
Healthcare Administrator
School Administrator
Social Worker
Child Care Provider
Pediatrician
Family Services Coordinator
Emergency Room Manager
School Principal
Human Resources Manager
Immigration Officer
Notary Public
Legal Compliance Officer
Family Court Judge
Child Protection Officer
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