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Guardianship PDF

Guardianship

Guardianship

Step 1 of 11

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- Email*
  
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- What led to the temporary guardianship? Please explain.
- Authorizing Party's Relationship to Children
- Name
- Address
- City
- State
- Zip Code
- Telephone Number
- Signature
- Draw Signature
- Upload Signature
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  Max. file size: 2 MB, Max. files: 1.
- Would you like to include a consent form for the non-authorizing parent
- Include Consent of Second Parent?
  - Yes
  - No
- Name of Second Parent
- Address
- City
- State
- Zip Code
- Telephone Number
- Second Parent Signature
- Draw Signature
- Upload Signature
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  Max. file size: 2 MB, Max. files: 1.
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- Who is drafting this affidavit on behalf of the minor(s)
- Total Child
- FIRST CHILD
- Child Name
- Date of Birth
  MM slash DD slash YYYY
- Child Gender
- Place of Birth (City)
- Place of Birth (State):
- Second Child
- Child Name
- Date of Birth
  MM slash DD slash YYYY
- Child Gender
- Place of Birth (City)
- Place of Birth (State):
- Third Child
- Child Name
- Date of Birth
  MM slash DD slash YYYY
- Child Gender
- Place of Birth (City)
- Place of Birth (State):
- Fourth Child
- Child Name
- Date of Birth
  MM slash DD slash YYYY
- Child Gender
- Place of Birth (City)
- Place of Birth (State):
- Fifth Child
- Child Name
- Date of Birth
  MM slash DD slash YYYY
- Child Gender
- Place of Birth (City)
- Place of Birth (State):
- Sixth Child
- Child Name
- Date of Birth
  MM slash DD slash YYYY
- Child Gender
- Place of Birth (City)
- Place of Birth (State):
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- Would you like to attach a consent form for the parent who isn't approving
- The need for temporary guardianship arose due to the legal guardian
- Who is to be the interim guardian, per your designation
- Are you designating a couple as temporary guardians
  - Yes
  - No
- Name of Temporary Guardian
- Address
- City
- State
- Zip Code
- Telephone Number:
- Temporary Guardian Signature
- Draw Signature
- Draw Signature
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  Max. file size: 2 MB, Max. files: 1.
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- When will the temporary guardianship authorization start and end?
- Start Date
  MM slash DD slash YYYY
- End Date
  MM slash DD slash YYYY
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- What choices about the temporary guardian's health and emergency care will be allowed?
- May the temporary guardian make any and all healthcare decisions?
  - Yes
  - No
- May the temporary guardian access information regarding the health of the child or children?
  - Yes
  - No
- May the temporary guardian sign medical waivers and releases?
  - Yes
  - No
- May the temporary guardian authorize child's admission to or discharge from a healthcare institution?
  - Yes
  - No
- May the temporary guardian participate in or authorize consultations with a healthcare provider?
  - Yes
  - No
- May the temporary guardian consent to the provision or withholding of a healthcare procedure?
  - Yes
  - No
- Would you like to grant the temporary guardian the power to make any additional health and emergency care decisions?
  - Yes
  - No
- Add Another
- The temporary guardian is permitted to
- The temporary guardian is permitted to
- The temporary guardian is permitted to
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- What choices about the child's schooling will the temporary guardian be able to make?
- May the temporary guardian enroll the child or children in school?
  - Yes
  - No
- May the temporary guardian access academic records?
  - Yes
  - No
- May the temporary guardian authorize participation in school or extracurricular activities?
  - Yes
  - No
- May the temporary guardian authorize travel for related to education?
  - Yes
  - No
- Would you like to grant the temporary guardian the power to make any additional education decisions?
  - Yes
  - No
- Add Another
- The temporary guardian is permitted to
- The temporary guardian is permitted to
- The temporary guardian is permitted to
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- May the temporary guardian make domestic and international travel arrangements?
  - Yes
  - No
- May the temporary guardian accompany the child or children on any trips?
  - Yes
  - No
- May the temporary guardian make any related arrangements such as hotel accommodations?
  - Yes
  - No
- Would you like to grant the temporary guardian the power to make any additional travel decisions?
  - Yes
  - No
- Add Another
- The temporary guardian is permitted to
- The temporary guardian is permitted to
- The temporary guardian is permitted to
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- Actions Not Authorized?
  - Yes
  - No
- Add Another
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
- The temporary guardian is not authorized to
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- Who will sign this document in front of witnesses
- If you know who will serve as witnesses, you may add their information to the document now. You may also write the witnesses information on the document later. Which would you like to do?
- The first witness is who?
- Name of First Witness
- Address
- City
- State
- Zip Code
- Telephone Number
- First Witness Signature
- Draw Signature
- Upload Signature
  Drop files here or
  
  Max. file size: 2 MB, Max. files: 1.
- The second witness is who?
- Name of Second Witness
- Address
- City
- State
- Zip Code
- Telephone Number
- Second Witness Signature
- Draw Signature
- Upload signature
  Drop files here or
  
  Max. file size: 2 MB, Max. files: 1.
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- Where will the notary public sign and witness this document?
- Notary County
- Notary State
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