A Caregiver's Authorization Affidavit is a form one can complete in many states and give to a child's school or health care provider to use in enrolling the child in school or getting medical care for the child. A Caregiver's Authorization Affidavit does not affect the rights of the child's parents. The parents still have custody and control of the child. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.